지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.2
- 발행연도
- 2014.2
- 수록면
- 95 - 99 (5page)
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초록· 키워드
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Purpose: Type I endoleak is known to be associated with sac enlargement and occasional rupture, therefore, the treatment of type I endoleak is recommended at the time of diagnosis. The aim of this study was to identify the significance of early type I endoleak found on completion angiography.
Methods: Between January 2000 and December 2012, a total of 86 patients underwent endovascular abdominal aortic aneurysm repair (EVAR) and 10 patients (11.6%) were diagnosed with type Ia endoleak on completion angiography. Clinical and radiologic data were reviewed retrospectively.
Results: Of the 10 patients, two underwent EVAR with custom-made stent-grafts in the initial stage and both of them needed immediate treatment: one case involved open repair while the other involved insertion of an additional stentgraft. In 8 patients, the amount of leakage decreased after repeated balloon molding. They were managed conservatively and followed up with computed tomography angiography within 2 weeks after EVAR. In 7 of the 8 cases, type Ia endoleaks disappeared. In one patient with a persistent endoleak and a folded posterior wall of the stent-graft, coil embolization was performed 1 week after EVAR. With a median follow-up of 12 months (range, 1?61 months), no patients showed recurrence of type I endoleak or sac expansion.
Conclusion: Type I endoleaks diagnosed on completion angiography sealed spontaneously in 7 of 10 patients (70.0%). In cases of decreased amounts of leakage after balloon molding, simple observation may be an alternative to repetitive procedures. The long-term follow-up of patients with self-sealed type I endoleaks is mandatory.
Methods: Between January 2000 and December 2012, a total of 86 patients underwent endovascular abdominal aortic aneurysm repair (EVAR) and 10 patients (11.6%) were diagnosed with type Ia endoleak on completion angiography. Clinical and radiologic data were reviewed retrospectively.
Results: Of the 10 patients, two underwent EVAR with custom-made stent-grafts in the initial stage and both of them needed immediate treatment: one case involved open repair while the other involved insertion of an additional stentgraft. In 8 patients, the amount of leakage decreased after repeated balloon molding. They were managed conservatively and followed up with computed tomography angiography within 2 weeks after EVAR. In 7 of the 8 cases, type Ia endoleaks disappeared. In one patient with a persistent endoleak and a folded posterior wall of the stent-graft, coil embolization was performed 1 week after EVAR. With a median follow-up of 12 months (range, 1?61 months), no patients showed recurrence of type I endoleak or sac expansion.
Conclusion: Type I endoleaks diagnosed on completion angiography sealed spontaneously in 7 of 10 patients (70.0%). In cases of decreased amounts of leakage after balloon molding, simple observation may be an alternative to repetitive procedures. The long-term follow-up of patients with self-sealed type I endoleaks is mandatory.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Patel VI. / 2012 / Impact of chronic kidney disease on outcomes after abdominal aortic aneurysm repair / J Vasc Surg 56 : 1206 ~ 1213
2. [학술지(정기간행물)] - EVAR trial participants. / 2005 / Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm(EVAR trial 1) : randomised controlled trial / Lancet 365 : 2179 ~ 2186
3. [학술지(정기간행물)] - EVAR trial participants. / 2005 / Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm(EVAR trial 2) : randomised controlled trial / Lancet 365 : 2187 ~ 2192
4. [학술지(정기간행물)] - Pitoulias GA. / 2009 / Secondary endovascular and conversion procedures for failed endovascular abdominal aortic aneurysm repair : can we still be optimistic? / Vascular 17 : 15 ~ 22
5. [학술지(정기간행물)] - Mehta M. / 2010 / Long-term outcomes of secondary procedures after endovascular aneurysm repair / J Vasc Surg 52 : 1442 ~ 1449
2. [학술지(정기간행물)] - EVAR trial participants. / 2005 / Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm(EVAR trial 1) : randomised controlled trial / Lancet 365 : 2179 ~ 2186
3. [학술지(정기간행물)] - EVAR trial participants. / 2005 / Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm(EVAR trial 2) : randomised controlled trial / Lancet 365 : 2187 ~ 2192
4. [학술지(정기간행물)] - Pitoulias GA. / 2009 / Secondary endovascular and conversion procedures for failed endovascular abdominal aortic aneurysm repair : can we still be optimistic? / Vascular 17 : 15 ~ 22
5. [학술지(정기간행물)] - Mehta M. / 2010 / Long-term outcomes of secondary procedures after endovascular aneurysm repair / J Vasc Surg 52 : 1442 ~ 1449
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UCI(KEPA) : I410-ECN-0101-2015-510-001271707