Conventional aortic surgery carries a significant mortality and morbidity. Transfemoral endoluminal aortic management (TEAM) offers a minimally invasive alternative. This article reports seven cases of TEAM for aortoiliac disease and abdominal aortic aneurysms with a patency rate of 100% at 24 months. Our data suggests that primary stenting can achieve excellent physiologic results and restoration of blood flow in selected patients with aortoiliac disease. Long-term study and follow-up is essential to determine the place of TEAM in the field of vascular surgery.
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References
1.
1. Hill BB, Hyde GL, Kuo C, et al: Aortoscopy: A guidance system for endoluminal aortic surgery. J Vasc Surg4:439-448, 1996.
2.
2. Parodi JC: Endovascular repair of abdominal aortic aneurysms and other arterial lesions. J Vasc Surg21:549-557, 1995.
3.
3. Marin M, Veith F, Cynamon J, et al: Transfemoral endovascular stented graft treatment of aortoiliac and femoropopliteal occlusive disease for limb salvage. Am J Surg168:156-162, 1994.
4.
4. Razari MK, Dake MD, Sembo CT, et al: Percutaneous endoluminal placement of stent grafts for the treatment of isolated iliac aneurysms. Radiology197:801-804, 1995.
5.
5. Balm R, Eikelboom BC, May J, et al: Early experience with transfemoral endovascular aneurysm management (TEAM) in the treatment of aortic aneurysms. Eur J Vasc Endovasc Surg11:214-220, 1996.
6.
6. Moore WS, Vescera CL: Repair of abdominal aortic aneurysm by transfemoral endovascular graft placement. Ann Surg220:331-341, 1994.
7.
7. Balm R, Koatee R, Blankensteijn JD, et al: CT angiography of abdominal aortic aneurysms after transfemoral endovascular aneurysm management. Eur J Vasc Endovasc Surg12:182-188, 1996.
8.
8. Ahn SS, Rutherford RB, Johnson KW, et al: Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. J Vasc Surg25:405-410, 1997.
9.
9. Matsumura JS, Pearce WH, McCarthy WJ, Yao JST: Reduction in aortic aneurysm size: Early results after endovascular graft replacement. J Vasc Surg25:113-123, 1997.
10.
10. Kumar K, Dorros G, Mark C, et al: Primary stent deployment in occlusive subclavian artery disease. Cathet Cardiovasc Diag34:281-285, 1995.
11.
11. Richter GM, Roeren TH, Noeldge G, et al: Initial long-term results of a randomized five year study: Iliac stent implantation versus PTA. Vasa (suppl) 35:192-193, 1992.
12.
12. Darros G, Mathiok L: Direct deployment of the ileofemoral balloon expandable (Palmaz) stent utilizing a small (7.5 French) arterial puncture. Cathet Cardiovasc Diag28:80-82, 1993.
13.
13. Hedeman Joosten PA, Breuking FA Jr, Overtoom TC, Moll FL: Percutaneous transluminal angioplasty of the infrarenal aorta. Initial outcome and long-term clinical and angiographic results. Eur J Vasc Endovasc Surg12:201-206, 1996.
14.
14. Diethrich EB, Santiago O, Gustafson G, Heuser RR: Preliminary observations on the use of the Palmaz stent in the distal portion of the abdominal aorta. Am Heart J125:490-501, 1993.
15.
15. Morag B, Rubinstein Z, Kessler A, et al: Percutaneous transluminal angioplasty of the distal abdominal aorta and its bifurcation. Cardiovasc Intervent Radiol10:129-133, 1987.
16.
16. Ravimandalam K, Rao VRK, Kumar S, et al: Obstruction of the infrarenal portion of the abdominal aorta: Results of treatment with balloon angioplasty. AJR156:1257-1260, 1991.