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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 209 - 216 (8page)
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Purpose: The AFX2 endograft is a unibody, bifurcated stent graft that can be used to lower complications in certain patients. In this study, we retrospectively reviewed consecutive cases in which the AFX2 system was used to overcome the challenges of narrow distal aorta, as well as to reduce procedure time and contrast medium dose. Furthermore, we compared the results with matched patients treated using the Endurant II endograft system. Materials and Methods: This was a retrospective observational study of nine patients with abdominal aortic aneurysm (AAA) who underwent endovascular aneurysm repair (EVAR) using the AFX2 device between June 2017 and April 2018 at Seoul National University Hospital. The patients had narrow distal aorta (n=3), reversed tapered neck (n=1), iliac artery aneurysm (n=2), chronic kidney disease patients (n=2), and impending rupture (n=1). Seven matched patients were treated using the Endurant II graft. Results: In the AFX2 group, the mean procedure time was 87.2 minutes, mean blood loss volume was 157.7 mL, and mean volume of contrast medium used was 48.3 mL. In the Endurant II group, the mean procedure time was 140.0 minutes, mean blood loss volume was 175.0 mL, and mean volume of contrast medium used was 119.3 mL. Conclusion: Our preliminary experiences with selected AAA patients treated using the AFX2 endovascular repair system showed good outcomes compared with similar patients treated using the Endurant II system. Therefore, the AFX2 may be a good option to perform EVAR in patients of advanced age who have chronic kidney failure or narrow distal aorta.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Jackson RS / 2012 / Comparison of long-term survival after open vs endovascular repair of intact abdominal aortic aneurysm among Medicare beneficiaries / JAMA 307:1621~1628
United Kingdom EVAR Trial Investigators / 2010 / Endovascular versus open repair of abdominal aortic aneurysm / N Engl J Med 362:1863~1871
Buckley CJ / 2015 / Deficiencies with current aortic endografts / J Cardiovasc Surg(Torino) 56:369~373
Diethrich EB / 2014 / Novel sealing concept in the Endologix AFX unibody stentgraft / J Cardiovasc Surg(Torino) 55:93~102
Melas N / 2015 / Active proximal sealing in the endovascular repair of abdominal aortic aneurysms : early results with a new stent-graft / J Endovasc Ther 22:174~178
United Kingdom EVAR Trial Investigators / 2010 / Endovascular versus open repair of abdominal aortic aneurysm / N Engl J Med 362:1863~1871
Buckley CJ / 2015 / Deficiencies with current aortic endografts / J Cardiovasc Surg(Torino) 56:369~373
Diethrich EB / 2014 / Novel sealing concept in the Endologix AFX unibody stentgraft / J Cardiovasc Surg(Torino) 55:93~102
Melas N / 2015 / Active proximal sealing in the endovascular repair of abdominal aortic aneurysms : early results with a new stent-graft / J Endovasc Ther 22:174~178
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