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Limited feasibility in endovascular aneurysm repair using currently available graft in Korea

Cited 4 time in Web of Science Cited 4 time in Scopus
Authors
Bae, Taeseok; Lee, Taeseung; Jung, In Mok; Ha, Jongwon; Chung, Jung Kee; Kim, Sang Joon
Issue Date
2008-08-30
Publisher
Korean Academy of Medical Sciences
Citation
J Korean Med Sci. 2008; 23(4): 651-6
Keywords
Aortic Aneurysm, AbdominalSuitabilityEVAR
Abstract
Despite the wide acceptance of endovascular aneurysmal repair in patients with abdominal aortic aneurysm (EVAR), stringent morphologic criteria recommended by manufacturers may preclude this treatment in patients with AAA. The purpose of this study was to investigate how many patients are feasible by Zenith and Excluder stent graft system, which are available in Korea. Eighty-two AAA patients (71 men, mean age 70 yr) who had been treated surgically or medically from January 2005 to December 2006 were included. Criteria for morphologic suitability (MS) were examined to focus on characteristics of aneurysm; proximal and distal landing zone; angulation and involvement of both iliac artery aneurysms. Twenty-eight patients (34.1%) were feasible in Zenith stent graft and 31 patients (37.8%) were feasible in Excluder. The patients who were excluded EVAR had an average of 1.61 exclusion criteria. The main reasons for exclusion were an unfavorable proximal neck (n=34, 41.5%) and problem of distal landing zone (n=25, 30.5%). There was no statistical significance among gender, age or aneurysm size in terms of MS. Only 32 patients (39%) who had AAA were estimated to be suitable for two currently approved grafts by strict criteria. However, even unfavorable AAA patients who have severe co-morbidities will be included in EVAR in the near future. Therefore, more efforts including fine skill and anatomical understanding will be needed to meet these challenging cases.
ISSN
1011-8934 (Print)
Language
English
URI
http://hdl.handle.net/10371/61987
DOI
https://doi.org/10.3346/jkms.2008.23.4.651
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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