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8-Year Long-Term Outcome Comparison: Two Ways to Exclude the Internal Iliac Artery during Endovascular Aorta Repair (EVAR) Surgery

Author

Listed:
  • Han Luo
  • Bin Huang
  • Ding Yuan
  • Yi Yang
  • Fei Xiong
  • Guojun Zeng
  • Zhoupeng Wu
  • Xiyang Chen
  • Xiaojiong Du
  • Xiaorong Wen
  • Chuncheng Liu
  • Hongliu Yang
  • Jichun Zhao

Abstract

Purpose: To evaluate the 8-year long-term outcome after internal iliac artery (IIA) coverage with or without embolization in EVAR. Patients and Methods: From January 2006 to December 2013, abdominal aortic aneurysm (AAA) subjects that underwent EVAR and IIA exclusion were recruited and analyzed retrospectively. All the subjects were divided into group A or B based on the presence or absence of intraoperative IIA embolization before coverage (group A: without embolization; group B: with embolization). The 30-day mortality, stent patency, and the incidences of endoleaks and ischemia of the buttocks and lower limbs were compared. The follow-up period was 96 months. Result: There were 137 subjects (A: 74 vs. B: 63), 124 male (91.1%) and 13 female (9.5%), with a mean age of 71.6 years. There were no significant differences in the early outcomes of intraoperative blood loss (87.23±14.07 ml; A: 86.53±9.57 ml vs. B: 88.06±18.04 ml, p = .545) and surgery time (87.13±9.25 min; A: 85.99±7.07 min vs. B: 88.48±11.19 min, p = .130). However, there were significant differences in contrast consumption (65.18±9.85 ml; A: 61.89±7.95 ml vs. B: 69.05±10.50 ml, p

Suggested Citation

  • Han Luo & Bin Huang & Ding Yuan & Yi Yang & Fei Xiong & Guojun Zeng & Zhoupeng Wu & Xiyang Chen & Xiaojiong Du & Xiaorong Wen & Chuncheng Liu & Hongliu Yang & Jichun Zhao, 2015. "8-Year Long-Term Outcome Comparison: Two Ways to Exclude the Internal Iliac Artery during Endovascular Aorta Repair (EVAR) Surgery," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0130586
    DOI: 10.1371/journal.pone.0130586
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