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Gewählte Publikation:

Tillich, M; Hausegger, KA; Tiesenhausen, K; Tauss, J; Groell, R; Szolar, DH.
Helical CT angiography of stent-grafts in abdominal aortic aneurysms: morphologic changes and complications.
Radiographics. 1999; 19(6):1573-1583 Doi: 10.1148/radiographics.19.6.g99no091573 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Groell Reinhard
Hausegger Klaus
Tauss Josef
Tiesenhausen Kurt
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Abstract:
Transfemoral placement of an endovascular stent-graft is increasingly be-ing used as an alternative to surgical repair in the treatment of abdominal aortic aneurysm, especially in high-risk patients. However, complications frequently occur after stent-graft placement. Helical computed tomographic (CT) angiography is a fast, minimally invasive procedure that is quickly becoming the imaging modality of choice for assessment of these complications. Thirty-nine patients who were treated for abdominal aortic aneurysm with stent-graft placement underwent helical CT angiography at routinely scheduled follow-up intervals or whenever complications were suspected. The resulting images were evaluated for the presence, extent, and origin of endovascular leaks. In addition, the position, shape, and patency of the stent-grafts were assessed. Findings included both graft-related (n = 4) and non-graft-related (n = 3) leaks, thrombosis of a graft limb (n = 3), distal migration of the stent-graft (n = 5), angulation of bifurcated stent-grafts distal to the main graft (n = 6), shrinkage of the abdominal aortic aneurysm (n = 7), enlargement of the aneurysm with secondary graft-related leaks (n = 2), and an aortoduodenal fistula (n = 1). Helical CT angiography can depict complications that develop after treatment of abdominal aortic aneurysms with endovascular stent-grafts. Long-term follow-up is required to determine the full spectrum and frequency of complications that may develop after initially successful repair.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Anastomosis, Surgical - adverse effects
Aortic Aneurysm, Abdominal - pathology
Aortic Diseases - etiology
Aortography - methods
Blood Vessel Prosthesis - adverse effects
Blood Vessel Prosthesis Implantation - adverse effects
Duodenal Diseases - etiology
Female - etiology
Follow-Up Studies - etiology
Foreign-Body Migration - etiology
Humans - etiology
Image Processing, Computer-Assisted - methods
Intestinal Fistula - etiology
Longitudinal Studies - etiology
Male - etiology
Middle Aged - etiology
Prosthesis Failure - etiology
Stents - adverse effects
Surgical Procedures, Minimally Invasive - adverse effects
Thrombosis - etiology
Tomography, X-Ray Computed - methods
Vascular Fistula - etiology
Vascular Patency - etiology

Find related publications in this database (Keywords)
Aneurysm
Aortic
Aneurysm
Aneurysm
Therapy
Computed Tomography
Angiography
Stents and Prostheses
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