KMID : 1103720150720030156
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Journal of the Korean Society of Radiology 2015 Volume.72 No. 3 p.156 ~ p.163
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Endovascular Therapy for Abdominal Aortic Aneurysm and Iliac Artery Aneurysm Using SEAL Aortic Stent-Graft: A Single Center Experience1
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Park Su-Young
Kim Jeong-Ho Byun Sung-Su Kang Jin-Mo Choi Sang-Tae Park Jae-Hyung
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Abstract
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Purpose: The aim of this study was to evaluate the safety and efficacy of SEAL aortic stent-graft for abdominal aortoiliac aneurysms.
Materials and Methods: Between October 2007 and January 2014, 33 patients with abdominal aortoiliac aneurysms were treated with SEAL aortic stent-graft. We evaluated the technical success rate, clinical and CT follow-up periods, major complications, need for additional interventional treatment, aneurysm-related mortality and clinical success rate.
Results: SEAL bifurcated aortic stent-graft was successfully placed in 32 patients (97%). Clinical and CT follow-up periods were 24 and 14 months, respectively. Endoleak developed in 13 patients (41%): spontaneous regression or decrease in 6, need for additional treatment in 4 and follow-up loss in 3. Significant stenosis of stent-graft occurred in 4 patients (12%) and was treated with stenting in 3. Migration of stent-graft was noted in 3 patients (9%) and treated with additional stent-grafting. Aneurysm-related mortality was 9% (3 of 33). The placement of SEAL stent-graft was effective in 26 patients (79%).
Conclusion: The placement of SEAL aortic stent-graft was safe and effective in patients with aneurysms of abdominal aorta and iliac arteries. However, complicating endoleaks, stenosis and migration of the stent-graft developed during the follow-up. Therefore, regular CT follow-up seems to be mandatory.
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KEYWORD
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Aortic Stent-Graft, Abdominal Aorta, Iliac Artery, Aneurysm, Endovascular Aneurysm Repair
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