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Related Experiment Videos

Abdominal aortic aneurysm wiring: an alternative method

G L Hicks, C Rob

    American Journal of Surgery
    |June 1, 1976
    PubMed
    Summary
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    Intraluminal wire reinforcement offers a feasible treatment for patients with symptomatic aortic aneurysms and poor surgical risk. This endovascular technique demonstrated improved survival and reduced rupture rates compared to no treatment.

    Area of Science:

    • Vascular Surgery
    • Interventional Cardiology
    • Medical Devices

    Background:

    • Symptomatic aortic aneurysms pose significant risks, particularly in patients deemed poor surgical candidates.
    • Traditional open repair carries high morbidity and mortality in high-risk populations.
    • Limited treatment options exist for extensive aortic disease in extremely poor-risk patients.

    Purpose of the Study:

    • To evaluate the feasibility and outcomes of intraluminal wire reinforcement for symptomatic aortic aneurysms in extremely poor-risk patients.
    • To assess the impact of this endovascular technique on hospital mortality, long-term survival, and aneurysm rupture incidence.

    Main Methods:

    • Intraluminal wire reinforcement was performed in a cohort of extremely poor-risk patients with symptomatic aortic aneurysms.

    Related Experiment Videos

  • Hospital mortality was recorded.
  • Actuarial survival rates at one and five years were calculated.
  • Comparison of outcomes with historical data from untreated patients was performed.

    • Main Results:

    • The hospital mortality rate for the procedure was 12.5%.
    • Actuarial survival was 74% at one year and 33% at five years.
    • Patients treated with aneurysm wiring showed improved survival compared to untreated controls.
    • A decreased incidence of aneurysm rupture was observed in the treated group.

    Conclusions:

    • Intraluminal wire reinforcement is a feasible endovascular alternative for managing symptomatic aortic aneurysms in patients with extensive aortic disease and prohibitive surgical risk.
    • This technique offers improved survival and reduced rupture risk, providing a viable option when conventional surgery is not possible.