naa a22 4500 510747841 CHVBK 20180411083053.0 cr unu---uuuuu 180411e20130601xx s 000 0 ita 10.1007/s11547-012-0905-8 doi (NATIONALLICENCE)springer-10.1007/s11547-012-0905-8 Trattamento endovascolare di aneurismi dell'aorta addominale: esperienza monocentrica di sei anni [Elektronische Daten] [R. Fossaceca, G. Guzzardi, P. Cerini, M. Di Terlizzi, E. Malatesta, L. Filice, P. Brustia, A. Carriero] Endovascular treatment of abdominal aortic aneurysms: 6 years of experience at a single centre Purpose: We sought to assess the effectiveness of endovascular abdominal aortic aneurysm (AAA) repair (EVAR) through a retrospective review of 6 years' experience at a single centre. Materials and methods: From April 2005 to August 2011, 222 patients affected by abdominal aortic aneurysms underwent EVAR. We evaluated primary technical success, postprocedural mortality, intraprocedural and postprocedural complications with contrast-enhanced computed tomography (CT) and contrast-enhanced ultrasound (US) follow-up at 1, 6 and 12 months and annually thereafter. Results: The procedures were elective in 75.7% and urgent due to symptomatic or ruptured aneurysm in 24.3%. Technical success was 98.6%; three patients (1.4%) required conversion to open surgery. Postoperative mortality rate was 24% for urgent and 2.3% for elective procedures. During a mean follow-up period of 29.6 months, no cases of stent-graft migration were observed; the overall incidence of endoleaks was 27% (60/222) and comprised four type I (1.8%) and one type III (0.45%), all treated by stent-graft extension, and 55 type 2 (24.8%), eight of which (14.5%) were treated by percutaneous injection of thrombin. In 10/222 cases (4.5%), thrombotic occlusion of the iliac extension was detected, which was successfully treated by transcatheter intra-arterial thrombolysis. One patient developed stent-graft infection requiring surgical explantation. Average hospital stay was 4 days, and average time in intensive care was 2 days. Conclusions: Consistent with the literature data, our study confirms the safety and long-term efficacy of EVAR for treating AAA. Springer-Verlag Italia, 2012 EVAR nationallicence Aorta nationallicence Endoleak nationallicence Aneurysm nationallicence EVAR nationallicence Aorta nationallicence Endoleak nationallicence Aneurisma Radiol med nationallicence Fossaceca R. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut Guzzardi G. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut Cerini P. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut Di Terlizzi M. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut Malatesta E. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut Filice L. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut Brustia P. S.C.D. Chirurgia Vascolare A.O.U. Maggiore della Carità, Novara, Italy aut Carriero A. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut La radiologia medica Springer Milan 118/4(2013-06-01), 616-632 0033-8362 118:4<616 2013 118 11547 https://doi.org/10.1007/s11547-012-0905-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-012-0905-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fossaceca R. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut NATIONALLICENCE 700 1- Guzzardi G. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut NATIONALLICENCE 700 1- Cerini P. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut NATIONALLICENCE 700 1- Di Terlizzi M. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut NATIONALLICENCE 700 1- Malatesta E. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut NATIONALLICENCE 700 1- Filice L. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut NATIONALLICENCE 700 1- Brustia P. S.C.D. Chirurgia Vascolare A.O.U. Maggiore della Carità, Novara, Italy aut NATIONALLICENCE 700 1- Carriero A. S.C.D.U Radiodiagnostica e Radiologia Interventistica A.O.U. Maggiore della Carità, C.so Mazzini 18, 28100, Novara, Italy aut NATIONALLICENCE 773 0- La radiologia medica Springer Milan 118/4(2013-06-01), 616-632 0033-8362 118:4<616 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer