Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms
Aneurysms occur throughout the length of the aorta, with a large proportion occurring in the infra-renal segment of the abdominal aorta (least 9 to 10 times more common than thoracic aortic aneurysms). Aneurysmal disease of the aorto-iliac segment which commonly occurs as a result of a degenerative...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Surgery
2016
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867614458224836608 |
|---|---|
| access_status_str | Open Access |
| author | Dube, Bhekifa |
| author2 | Naidoo, Nadraj G |
| author_browse | Dube, Bhekifa Naidoo, Nadraj G |
| author_facet | Naidoo, Nadraj G Dube, Bhekifa |
| author_sort | Dube, Bhekifa |
| collection | Thesis |
| description | Aneurysms occur throughout the length of the aorta, with a large proportion occurring in the infra-renal segment of the abdominal aorta (least 9 to 10 times more common than thoracic aortic aneurysms). Aneurysmal disease of the aorto-iliac segment which commonly occurs as a result of a degenerative process is invariably a progressive entity. Concomitant iliac artery aneurysms have been noted to occur in 15-40% of patients with abdominal aortic aneurysms (AAAs). As a result, following open AAA repair, there is a concern regarding the progressive enlargement of the iliac arteries. The aim of this study was to investigate the long term outcome of proximally excluded common iliac arteries (CIAs) following open bifurcated abdominal aortic aneurysm (AAA) repair. Baseline clinical and demographic data of 165 consecutive patients undergoing open AAA repair between April 2004 and April 2014 was collected. The aorta and iliac segments were measured in the 120 available preoperative Computed Tomographic (CT) angiograms. A single postoperative CT scan was performed and measurements recorded in 46 patients available for follow-up. The patients were grouped according to the type of surgical repair, open tube graft repair or bifurcated graft repair to the common iliac (CIA), external iliac artery (EIA) or common femoral artery (CFA). Entered into the study were 165 patients (133 men, 32 women) with a mean age of 66 years and a mean AAA diameter of 6.7cm (range 5.1 - 10.3cm). After a median follow-up of 49 months, 46 patients (88 CIAs) were available for a single postoperative CT scan. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/20965 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:52:21.757Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Surgery |
| publisherStr | Department of Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/20965 The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms Dube, Bhekifa Naidoo, Nadraj G Vascular Surgery Aneurysms occur throughout the length of the aorta, with a large proportion occurring in the infra-renal segment of the abdominal aorta (least 9 to 10 times more common than thoracic aortic aneurysms). Aneurysmal disease of the aorto-iliac segment which commonly occurs as a result of a degenerative process is invariably a progressive entity. Concomitant iliac artery aneurysms have been noted to occur in 15-40% of patients with abdominal aortic aneurysms (AAAs). As a result, following open AAA repair, there is a concern regarding the progressive enlargement of the iliac arteries. The aim of this study was to investigate the long term outcome of proximally excluded common iliac arteries (CIAs) following open bifurcated abdominal aortic aneurysm (AAA) repair. Baseline clinical and demographic data of 165 consecutive patients undergoing open AAA repair between April 2004 and April 2014 was collected. The aorta and iliac segments were measured in the 120 available preoperative Computed Tomographic (CT) angiograms. A single postoperative CT scan was performed and measurements recorded in 46 patients available for follow-up. The patients were grouped according to the type of surgical repair, open tube graft repair or bifurcated graft repair to the common iliac (CIA), external iliac artery (EIA) or common femoral artery (CFA). Entered into the study were 165 patients (133 men, 32 women) with a mean age of 66 years and a mean AAA diameter of 6.7cm (range 5.1 - 10.3cm). After a median follow-up of 49 months, 46 patients (88 CIAs) were available for a single postoperative CT scan. 2016-07-28T12:21:42Z 2016-07-28T12:21:42Z 2016 Master Thesis Masters MPhil http://hdl.handle.net/11427/20965 eng application/pdf Department of Surgery Faculty of Health Sciences University of Cape Town |
| spellingShingle | Vascular Surgery Dube, Bhekifa The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms |
| thesis_degree_str | Master's |
| title | The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms |
| title_full | The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms |
| title_fullStr | The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms |
| title_full_unstemmed | The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms |
| title_short | The fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms |
| title_sort | fate of proximally excluded iliac arteries following open repair of abdominal aortic aneurysms |
| topic | Vascular Surgery |
| url | http://hdl.handle.net/11427/20965 |
| work_keys_str_mv | AT dubebhekifa thefateofproximallyexcludediliacarteriesfollowingopenrepairofabdominalaorticaneurysms AT dubebhekifa fateofproximallyexcludediliacarteriesfollowingopenrepairofabdominalaorticaneurysms |