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首页> 外文期刊>The American Journal of Surgery >Secondary modification into aortouniiliac configuration to salvage failed endovascular aneurysm repair is safe and effective but not associated with higher intervention rates during long-term follow-up
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Secondary modification into aortouniiliac configuration to salvage failed endovascular aneurysm repair is safe and effective but not associated with higher intervention rates during long-term follow-up

机译：二次修饰成主动脉单瓣形态以挽救失败的血管内动脉瘤修复是安全有效的，但与长期随访期间较高的干预率无关

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Background Reports of secondary modifications into aortouniiliac configuration to salvage-failed endovascular aneurysm repair (EVAR) are limited. We evaluated long-term results after these procedures and compared them with those after primary aortouniiliac endografting (AUE). Methods A retrospective review of all EVAR performed from March 1995 until July 2011 was conducted. Patients were included when primary AUE (group I) or modification into aortouniiliac configuration (group II) was done. Results Data analysis obtained 27 group I and 23 group II patients. Salvage of failed EVAR could be achieved in 96% of group II patients, and mortality was zero. Frequency of adverse events and amount of interventions to maintain aneurysm exclusion were not increased after secondary AUE. Kaplan-Meier estimates for long-term survival between groups were comparable (P =.36). Conclusions Secondary AUE allows correction of graft-related endoleaks potentially leading to late aneurysm rupture. Complications and adverse events throughout long-term follow-up were not necessarily increased when compared with primary AUE.
机译：背景技术对挽救失败的血管内动脉瘤修复术（EVAR）进行二次修饰成主动脉胆囊形态的报道很少。我们评估了这些手术后的长期结果，并将其与原发性主动脉单腔内移植术（AUE）进行了比较。方法对1995年3月至2011年7月进行的所有EVAR进行回顾性回顾。完成原发性AUE（I组）或修改为单主动脉结构（II组）时将患者纳入研究。结果数据分析获得27例I组和23例II组患者。 II组96％的患者可以挽救失败的EVAR，死亡率为零。继发AUE后不良事件的发生频率和维持动脉瘤排除的干预措施的数量没有增加。 Kaplan-Meier组之间长期生存的估计值具有可比性（P = .36）。结论继发性AUE可以纠正与移植物相关的内漏，可能导致晚期动脉瘤破裂。与原发性AUE相比，长期随访中的并发症和不良事件不一定增加。

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