Śródnaczyniowa implantacja stentgraftów aortalnych : 5 lat doświadczeń

Bibliogr. s. 37-38

Background: Presentation of own experience in the field of endovascular treatment of aneurysms and aortal wall damage, as well as comparison of the value of angio-CT and dimensioning angiography imaging of aneurysms in the aspect of qualification for aortal stentgraft implantation procedures. Material/Method: 133 patients (11 females and 121 males) aged 23 - 82 years underwent endovascular stentgraft implantation procedures preformed as treatment for aortal aneurysms, delaminations and posttraumatic damage of the aortal wall. The treated patients were classified as belonging to groups II (35.5%), III (55%) and IV (9.5%) according to ASA. Qualification for endovascular surgery was based on angio-CT and dimensioning angiography. Results: 21 stentgrafts were implanted into the thoracic and 113 into the abdominal aorta. There was no necessity of perioperative removal of the prosthesis in any case. The overall rate of postoperative complications was 9.7 %. The duration of the surgery ranged from 30 to 120 min. Conclusions: Implantation of aortal stentgrafts is a safe method of treatment for aortal aneurysms, delaminations and ruptures. It as also a life-saving procedure in damage of the aortal wall due to trauma. Computed tomography is an essential imaging modality in the diagnostics of aortal abnormalities. Owing to 3D reconstructions of CT images, the aortal anatomy and the exact site of aortal wall damage can be identified. This is very important for correct selection of the stentgraft parameters and makes it possible to resign from dimensioning angiography.