Nonresective repair for abdominal aortic aneurysm

Ann Vasc Surg. 2011 May;25(4):558.e1-4. doi: 10.1016/j.avsg.2010.09.027.

Abstract

Background: In this report, we present our experience with nonresective repair of abdominal aortic aneurysm in selected patients who were unsuited for other surgical approaches and would benefit from repair.

Methods: Seven patients with abdominal aortic aneurysm underwent nonresective repair comprising aneurysm embolization followed by the creation of an axillary-femoral, femoral-femoral bypass with a polytetrafluoroethylene (PTFE) graft.

Results: Between April 2006 and March 2009, seven patients (mean age: 85 years) underwent surgery. Of these, four (57%) are currently alive and healthy, with a mean follow-up of 15.7 months, the remaining three died.

Conclusion: Nonresection may be used as an alternative surgical treatment in certain high-risk patients.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / mortality
  • Aortic Aneurysm, Abdominal / surgery
  • Aortic Aneurysm, Abdominal / therapy*
  • Aortography / methods
  • Axillary Artery / surgery
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Blood Vessel Prosthesis Implantation* / mortality
  • Embolization, Therapeutic* / adverse effects
  • Embolization, Therapeutic* / mortality
  • Female
  • Femoral Artery / surgery
  • Humans
  • Male
  • Polytetrafluoroethylene
  • Prosthesis Design
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Polytetrafluoroethylene