Reparación endovascular de aneurismas de aorta abdominal (parte I). Epidemiología indicaciones y limitaciones
Palabras clave:
aneurisma aórtica abdominal, reparación endoluminal, epidemiologíaResumen
Los aneurismas de la aorta abdominal son una patología frecuente, con alta afinidad hacia la ruptura y muerte. La reparación endovascular es una alternativa al reparo convencional en pacientes de alto riesgo, y el desarrollo tecnológico y el perfeccionamiento de las endoprótesis va a permitir su aplicación en pacientes de buen riesgo para reparo convencional con cirugía abierta. En este artículo se dan las pautas básicas que deben conocer los especialistas en enfermedades cardiovasculares acerca de la epidemiología, indicaciones y limitaciones del reparo endoluminal de los aneurismas de la aorta abdominal.
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Referencias bibliográficas
1. Ailawadi G, Eliason JL, Upchurch GR, Jr. Current concepts in the pathogenesis of abdominal aortic aneurysm. J Vasc Surg. 2003; 38: 584-588.
2. Bickerstaff LK, Hollier LH, Peenen HJ Goes, Melton LJ 3rd, Pairolero PC, O´Fallon WM. Abdominal aortic aneurysms: the changing natural history. J Vasc Surg. 1984; 1: 6-12.
3. JL Cronenwett, WC Krupski, RB Rutherford: Abdominal Aortic and Iliac Aneurysm. In: Vascular Surgery. Fifth Ed. 2000; 1246-1280.
4. Ahn SS, Rutherford RB, Johnston KW. Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/International Society for Cardiovascular Surgery. J Vasc Surg. 1997; 25: 405-410.
5. Hollier LH, Taylor LM, Ochsner J: Recommended indications for operative treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the Society for Vascular Surgery and the North American Chapter of the International Society for Cardiovascular Surgery. J Vasc Surg. 1992; 15: 1046-1056.
6. Steyberg EW, Kievit J, Alexander Mol Van, Otterloo JC. Perioperative mortality of elective abdominal aortic aneurysm surgery. A Clinical prediction rule based on literature and individual patient data. Arch Intern Med 1995; 155: 1998-2004.
7. The UK Small Aneurysm Trial Participants Mortality results for randomized controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic abdominal aneurysm. Lancet 1998; 352: 1649-1655.
8. The United Kingdom Small Aneurysm Trial Participants. Long-term outcomes of immediate repair compared with surveillance for small abdominal aortic aneurysms. N Engl J Med 2002; 346: 1445-1452.
9. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, et al. Immediate repair compared with surveillance small abdominal aortic aneurysms. N Engl J Med 2002; 346: 1437-1444.
10. Brady AR, Fowkes FG, Greenhalgh RM, Powell JT, Ruckley CV, Thompson SGl. Risk factors for postoperative death following elective surgical repair of abdominal aortic aneurysm: results from the UK Small Aneurysm Trial. On behalf of the UK Small Aneurysm Trial participants. Br J Surg. 2000; 87: 742-749.
11. Brown PM, Pattenden R, Vernooy C, Zelt DT, Gutelius JR. Selective management of abdominal aortic aneurysms in a prospective measurement program. J Vasc Surg. 1996; 23: 213-20.
12. Parodi JC, Ferreira LM, Garelli G. Endoprótesis en los aneurismas de aorta abdominal. En: Diagnóstico y terapéutica endoluminal. Maynar M y Carreira JM. Ed. Masson 2002.
13. May J, White GW. Endovascular treatment of aortic aneurysm. In: Vascular surgery. Fifth Ed. 2000; 1281-1295.
14. Rutherford RB, Krupski WC. Current status of open versus endovascular stent- graft repair of abdominal aortic aneurysm. J Vasc Surg 2004; 39: 1129-1139.
15. Jordan WD, Alcocer F, Wirthlin DJ, Westfall AO, Whitley D. Abdominal aortic aneurysm. In: "High risk", surgical patients. Comparison of open and endovascular repair. Ann Surg 2003; 237: 623-630.
16. Prinssen M, Verhoeven ELG, Buth J, Cuypers PW, Van Sambeek MR, Balm R et al. A Randomized trial comparing conventinal and endovascular repair of abdominal aortic aneurysms for the dutch randomized endovascular aneurysm management (DREAM) Trial Group*. N Engl J Med 2004; 351: 1607-1618.
17. Lederle F: Editorials abdominal aortic aneurysms - Open vs. Endovascular repair. N Engl J Med 2004; 351: 1676-1679.
18. Veith F, Ohki T, Lipsitz EC. Treatment of ruptured abdominal aneurysms with stent grafts: a new gold standard? Seminars in Vascular Surgery 2003; 16: 171-175.
19. Veith F, Ohki T, Lipsitz EC. Endovascular grafts and other catheter-directed techniques in the management of ruptured abdominal aortic aneurysms. Seminars in Vascular Surgery 2003; 16: 326-331.
20. Greengage RM, Brown LC, Kwong GP, Powell JT, Thompson SG. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 2004; 364: 843-848.
21. Fillinger MF, Marra SP, Baghavan ML, Cronenwett JL, Kennedy FE. Prediction of Rupture Risk. In: Abdominal aortic aneurysm during observation: Wall stress vs. diameter. J Vasc Surg 2003; 37: 724-732.
22. Fillinger MF, Marra SP, Baghavan ML, Cronenwett JL, Kennedy FE. In vivo analysis of mechanical wall stress and abdominal aortic aneurysm rupture risk. J Vasc Surg 2002; 36: 689-697.
23. Maynar M, Zander T, Qian Z, Rostagno R, Llorens R, Zerolo I, Kirsch D, Sorrells L, Castaneda WR. Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. J Endovasc Ther. 2005; 12: 22-27.
2. Bickerstaff LK, Hollier LH, Peenen HJ Goes, Melton LJ 3rd, Pairolero PC, O´Fallon WM. Abdominal aortic aneurysms: the changing natural history. J Vasc Surg. 1984; 1: 6-12.
3. JL Cronenwett, WC Krupski, RB Rutherford: Abdominal Aortic and Iliac Aneurysm. In: Vascular Surgery. Fifth Ed. 2000; 1246-1280.
4. Ahn SS, Rutherford RB, Johnston KW. Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/International Society for Cardiovascular Surgery. J Vasc Surg. 1997; 25: 405-410.
5. Hollier LH, Taylor LM, Ochsner J: Recommended indications for operative treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the Society for Vascular Surgery and the North American Chapter of the International Society for Cardiovascular Surgery. J Vasc Surg. 1992; 15: 1046-1056.
6. Steyberg EW, Kievit J, Alexander Mol Van, Otterloo JC. Perioperative mortality of elective abdominal aortic aneurysm surgery. A Clinical prediction rule based on literature and individual patient data. Arch Intern Med 1995; 155: 1998-2004.
7. The UK Small Aneurysm Trial Participants Mortality results for randomized controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic abdominal aneurysm. Lancet 1998; 352: 1649-1655.
8. The United Kingdom Small Aneurysm Trial Participants. Long-term outcomes of immediate repair compared with surveillance for small abdominal aortic aneurysms. N Engl J Med 2002; 346: 1445-1452.
9. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, et al. Immediate repair compared with surveillance small abdominal aortic aneurysms. N Engl J Med 2002; 346: 1437-1444.
10. Brady AR, Fowkes FG, Greenhalgh RM, Powell JT, Ruckley CV, Thompson SGl. Risk factors for postoperative death following elective surgical repair of abdominal aortic aneurysm: results from the UK Small Aneurysm Trial. On behalf of the UK Small Aneurysm Trial participants. Br J Surg. 2000; 87: 742-749.
11. Brown PM, Pattenden R, Vernooy C, Zelt DT, Gutelius JR. Selective management of abdominal aortic aneurysms in a prospective measurement program. J Vasc Surg. 1996; 23: 213-20.
12. Parodi JC, Ferreira LM, Garelli G. Endoprótesis en los aneurismas de aorta abdominal. En: Diagnóstico y terapéutica endoluminal. Maynar M y Carreira JM. Ed. Masson 2002.
13. May J, White GW. Endovascular treatment of aortic aneurysm. In: Vascular surgery. Fifth Ed. 2000; 1281-1295.
14. Rutherford RB, Krupski WC. Current status of open versus endovascular stent- graft repair of abdominal aortic aneurysm. J Vasc Surg 2004; 39: 1129-1139.
15. Jordan WD, Alcocer F, Wirthlin DJ, Westfall AO, Whitley D. Abdominal aortic aneurysm. In: "High risk", surgical patients. Comparison of open and endovascular repair. Ann Surg 2003; 237: 623-630.
16. Prinssen M, Verhoeven ELG, Buth J, Cuypers PW, Van Sambeek MR, Balm R et al. A Randomized trial comparing conventinal and endovascular repair of abdominal aortic aneurysms for the dutch randomized endovascular aneurysm management (DREAM) Trial Group*. N Engl J Med 2004; 351: 1607-1618.
17. Lederle F: Editorials abdominal aortic aneurysms - Open vs. Endovascular repair. N Engl J Med 2004; 351: 1676-1679.
18. Veith F, Ohki T, Lipsitz EC. Treatment of ruptured abdominal aneurysms with stent grafts: a new gold standard? Seminars in Vascular Surgery 2003; 16: 171-175.
19. Veith F, Ohki T, Lipsitz EC. Endovascular grafts and other catheter-directed techniques in the management of ruptured abdominal aortic aneurysms. Seminars in Vascular Surgery 2003; 16: 326-331.
20. Greengage RM, Brown LC, Kwong GP, Powell JT, Thompson SG. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 2004; 364: 843-848.
21. Fillinger MF, Marra SP, Baghavan ML, Cronenwett JL, Kennedy FE. Prediction of Rupture Risk. In: Abdominal aortic aneurysm during observation: Wall stress vs. diameter. J Vasc Surg 2003; 37: 724-732.
22. Fillinger MF, Marra SP, Baghavan ML, Cronenwett JL, Kennedy FE. In vivo analysis of mechanical wall stress and abdominal aortic aneurysm rupture risk. J Vasc Surg 2002; 36: 689-697.
23. Maynar M, Zander T, Qian Z, Rostagno R, Llorens R, Zerolo I, Kirsch D, Sorrells L, Castaneda WR. Bifurcated endoprosthesis for treatment of aortoiliac occlusive lesions. J Endovasc Ther. 2005; 12: 22-27.
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Publicado
2007-06-20
Cómo citar
(1)
Fominaya Pardo, R. C.; Maynar Moliner, M.; Rostagno, R. Reparación Endovascular De Aneurismas De Aorta Abdominal (parte I). Epidemiología Indicaciones Y Limitaciones. Rev Colomb Cir 2007, 22, 91-101.
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