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
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- Co-Autor*innen der Med Uni Graz
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Groell Reinhard
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Hausegger Klaus
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Tauss Josef
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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.
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Aged -
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Aged, 80 and over -
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Anastomosis, Surgical - adverse effects
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Aortic Aneurysm, Abdominal - pathology
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Aortic Diseases - etiology
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Aortography - methods
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Blood Vessel Prosthesis - adverse effects
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Blood Vessel Prosthesis Implantation - adverse effects
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Duodenal Diseases - etiology
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Female - etiology
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Follow-Up Studies - etiology
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Foreign-Body Migration - etiology
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Humans - etiology
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Image Processing, Computer-Assisted - methods
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Intestinal Fistula - etiology
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Longitudinal Studies - etiology
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Male - etiology
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Middle Aged - etiology
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Prosthesis Failure - etiology
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Stents - adverse effects
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Surgical Procedures, Minimally Invasive - adverse effects
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Thrombosis - etiology
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Tomography, X-Ray Computed - methods
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Vascular Fistula - etiology
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Vascular Patency - etiology
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Aneurysm
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Aortic
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Aneurysm
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Aneurysm
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Therapy
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Computed Tomography
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Angiography
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Stents and Prostheses