The montefiore medical center experience with endovascular stented grafts

The field of vascular surgery is facing an important crossroads. Increasingly, less invasive alternatives are becoming available for the treatment of vascular lesions previously amenable only to conventional operative repair. Endovascular devices and techniques have been developed in experimental and clinical settings in an attempt to reduce the morbidity and mortality seen with conventional treatments and provide for long-term function at reduced costs. One such device is the transluminally placed endovascular graft which has been used at the Montefiore Medical Center in New York to treat patients with a wide variety of vascular pathologies, including abdominal and peripheral aneurysms, aortoiliac and infrainguinal atherosclerotic occlusive lesions, and lesions of traumatic or iatrogenic origin. This work represents our initial results with the endoluminally deployed stented graft in 92 patients with 102 arterial lesions treated over a 30-month period.