Tube-inlay graft for abdominal aortic aneurysms. Technique and results

The usefulness of the tube-inlay graft technique for abdominal aortic aneurysms has been tested in 74 consecutive patients. The operative technique is described. In nearly half of the patients this technique could be used. The other patients received a conventional bifurcation prosthesis. Especially in the patient with a ruptured abdominal aortic aneurysm the tube-inlay-graft technique, because of its simplicity, shorter operating time and less blood loss is to be preferred. Since introduction of the method, the mortality in ruptured cases decreased from 46 to 24 percent.