Percutaneous Modular Stent-Grafts in the Treatment of Abdominal Aortic Aneurysms

Do Yun Lee, Sung Gwon Kang, Donghoon Choi, Gwang Hoon Lee, Munehiro Maeda, Byung Suk Roh, Jae Whan Won, Chang Won Kim, Eun Sang Kim, Ho Young Song

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Purpose: To describe a newly designed bifurcated modular stent-graft and assess the feasibility and safety of its use in the treatment of abdominal aortic aneurysms (AAA). Methods: Thirteen patients (10 men; mean age 61.2±16 years, range 57-78) with AAAs underwent treatment with a bifurcated stent-graft consisting of 4 components: an unsupported bifurcated stent-graft, an inner bare stent, and 2 stent-grafts. The system was placed sequentially through a percutaneously introduced 12-F sheath; the preloaded bifurcated main body of the stent-graft was deployed first, followed by the inner bare stent and individual stent-graft limbs through separate 10-F sheaths. Spiral computed tomography (CT) was performed before treatment and at 1 week, 3 months, and then at 6-month intervals. Results: The stent-grafts were successfully deployed in all patients, although 3 types of procedure-related adverse events occurred: left limb kinking in 1, postimplantation syndrome (fever, leukocytosis, and decreased platelet count) in 5, and a small access site arteriovenous fistula in 1. Postprocedural angiography and 1-week follow-up CT scanning did not identify any endoleaks. At a mean 9.2±4.6-month follow-up, all devices were intact, with complete exclusion of the aneurysms and no endoleaks. Conclusions: This newly designed bifurcated modular stent-graft appears to be effective for percutaneous AAA repair; further investigation is warranted.

Original languageEnglish (US)
Pages (from-to)752-759
Number of pages8
JournalJournal of Endovascular Therapy
Volume10
Issue number4
DOIs
StatePublished - Aug 1 2003
Externally publishedYes

Keywords

  • Abdominal aortic aneurysm
  • Endovascular repair
  • Modular endograft
  • Nitinol
  • Percutaneous delivery
  • Polyester graft
  • Stent-graft

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Percutaneous Modular Stent-Grafts in the Treatment of Abdominal Aortic Aneurysms'. Together they form a unique fingerprint.

  • Cite this

    Lee, D. Y., Kang, S. G., Choi, D., Lee, G. H., Maeda, M., Roh, B. S., Won, J. W., Kim, C. W., Kim, E. S., & Song, H. Y. (2003). Percutaneous Modular Stent-Grafts in the Treatment of Abdominal Aortic Aneurysms. Journal of Endovascular Therapy, 10(4), 752-759. https://doi.org/10.1583/1545-1550(2003)010<0752:PMSITT>2.0.CO;2