Long-term outcome of multilayer flow modulator in aortic aneurysms.
This retrospective study investigated the efficacy of endovascular treatment with multilayer flow modulators (MFMs) for treating aortic aneurysms in high-risk patients unsuitable for conventional treatments. Conducted from 2011 to 2019 at a single center, this retrospective observational study inclu...
| Publicado en: | Radiology & Oncology Vol. 58; no. 2; pp. 206 - 214 |
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| Autores principales: | , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Paradigm Publishing Services
Jun2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177820083&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177820083 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13182099 39VO jtl: Radiology & Oncology issn: 13182099 maglogo: N pubinfo: dt: Jun2024 vid: 58 iid: 2 pid: 35924 pub: Paradigm Publishing Services artinfo: ui: 177820083 177820083 177820083 10.2478/raon-2024-0021 177820083 ppf: 206 ppct: 8 formats: tig: atl: Long-term outcome of multilayer flow modulator in aortic aneurysms. aug: au: Pintaric, Karlo Boltezar, Lucka Umek, Nejc Kuhelj, Dimitrij affil: Clinical Institute of Radiology, University Medical Center Ljubljana, Slovenia sug: subj: Patient Safety Endovascular Aneurysm Repair Blood Vessel Prosthesis Equipment and Supplies Aortic Aneurysm Surgery Treatment Outcomes Human Male Female Middle Age Aged Aged, 80 and Over Nonexperimental Studies Retrospective Design Record Review Computed Tomography Angiography Aorta, Abdominal Anatomy and Histology Hemodynamics Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: This retrospective study investigated the efficacy of endovascular treatment with multilayer flow modulators (MFMs) for treating aortic aneurysms in high-risk patients unsuitable for conventional treatments. Conducted from 2011 to 2019 at a single center, this retrospective observational study included 17 patients who underwent endovascular treatment with MFMs. These patients were selected based on their unsuitability for traditional surgical or endovascular procedures. The study involved meticulous pre-procedural planning, precise implantation of MFMs, and follow-up using CT angiography. The primary focus was on volumetric and flow volume changes in aneurysms, along with traditional diameter measurements. Moreover, the technical success and post-procedural complications were also registered. The technical success rate was 100%, and 30-day procedural complication rate was 17.6%. Post-treatment assessments revealed that 11 out of 17 patients showed a decrease in flow volume within the aneurysm sac, indicative of a favorable hemodynamic response. The median decrease in flow volume was 12 ml, with a median relative decrease of 8%. However, there was no consistent reduction in aneurysm size; most aneurysms demonstrated a median increase in volume for 46 ml and median increase in diameter for 18 mm. While MFMs offer a potential alternative for high-risk aortic aneurysm patients, their effectiveness in preventing aneurysm expansion is limited. The results suggest that MFMs can provide a stable hemodynamic environment but do not reliably reduce aneurysm size. This underscores the need for ongoing vigilance and long-term monitoring in patients treated with this technology. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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