Endurant stent-graft for the treatment of abdominal aorta aneurysm

/Jia Xin

(賈鑫，Dept Vascul Surg，PLA Gen Hosp，Beijing 100853)…∥Chin J Gen Surg.-2011，26(11).-904 ～906

ObjectiveTo evaluate early results of Endurant stent-graft in the treatment of abdominal aortic aneurysms(AAAs).MethodsFrom July 2010 to June 2011，68 patients(57 men，11 women;mean age 74.3 years)were treated with Endurant stent-graft at our center.26 cases had hostile proximal neck in the anatomy.According to ASA classification，15 cases were class Ⅱ ;32 cases were classⅢ and 21 cases were classⅣ.ResultsIntraoperative immediate technical success was achieved in all cases.At completion angiography，a type Ⅱ endoleak was detected in 18(26%)of the 68 patients.The mean operation time was(96 ±29)min，the mean blood loss was(99 ± 68)ml，and the mean contrast usage was(122±65)ml.No intraoperative conversion to open surgery，stent migration，types Ⅰ/Ⅲ endoleak，other major complications，or death was encountered.49 patients(72%)had a postimplantation syndrome with fever，leukocytosis，and increase of C-reactive protein levels，which completely resolved within two weeks.The mean follow-up time was(8 ± 5)months.ConclusionEndurant stentgraft seems to be safe and effective in endovascular aneurysm repair，even in patients with hostile aortoiliac anatomy.8 refs