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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Endovascular therapy for abdominal pseudoaneurysms: analysis from technical and clinical aspects
H Kakizawa1, N Toyota, A Naito
1Department of Radiology, Hiroshima University Hospital, Japan. kakizawa@hiroshima-u.ac.jp
Purpose:
To clarify the factors of outcomes by endovascular therapy for abdominal pseudoaneurysm (PSA) from both technical and clinical aspects.
Material And Methods:
Sixteen patients with PSAs underwent embolization. Embolic methods were classified into two groups: proximal and distal embolization (PDE) and proximal embolization alone (PE). The patients were classified into four groups by shock index. Pre-embolization hemoglobin (Hb) level and decrease in Hb level were evaluated. Outcomes were classified into two groups: successful recovery and failure despite successful PSA embolization.
Results:
There were no statistical differences in success, recurrence, and complication rate, and outcomes between the two embolic methods. There was a statistically significant correlation between the grades of shock indices and outcomes (P<0.05). There was no statistical difference between the Hb levels and outcomes.
Conclusion:
Outcomes were not dependent on the embolic methods. Shock index reflecting clinical status may be a simple predictor of outcome. PSA should therefore be treated by optimal embolic methods as quickly as possible to avoid rupture.
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