Endovascular treatment of aortic aneurysm by endoprosthesis
Šurlan, Miloš, 1936- ; Salapura, Vladka
Aortic endoprosthesis are divided according to its shape, site of application,and construction material. Regarding the shape, there are tubular,unilateral and bifurcational endoprosthesis. Tubular ...are used mostly for treatment the thoracic aneurysm, and less for treatment of the abdominal aneurysms. For exclusion of abdominal aneurysm the bifurcational prosthesis ismostly used. Aortic endoprostheses are made of metallic support and prosthetic part. Supportive elements are made of stainless steel or nitinol, while the prosthetic part is made of dacron or PTFE. Metallic part of prosthesis attaches prosthesis to healthy part of aorta, above and below aneurysm, like sutures. It expands and gives support to the prosthesis. The procedure is precisely described for thoracic and abdominal aortic aneurysms. We describe the possible complications and the mechanism of leakage and its diagnosis. In the study are presented two cases of patients with aneurysm of thoracic aorta and one case with abdominal aorta, successfully treated in our Institution. The follow-up results after 2 years, in the patients with thoracic aortic aneurysm, and 6 months follow up in the patient with abdominalaortic aneurysm showed no signs of clinical or imaging complications.In conslusion, we were trying, on the basis of our experiences and results that have been recently published, to evaluate this method of treatment.
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