"\u0160ediv\u00FD, Petr" . . "Prevence endoleaku II. typu pomoc\u00ED peropera\u010Dn\u00EDho coilingu vaku aneuryzmatu abdomin\u00E1ln\u00ED aorty b\u011Bhem implantace stentgraft"@cs . "Prevention of type II endoleak by intraoperative coiling of abdominal aortic aneurysm sac during implantation of stent"@en . . . "89" . "7"^^ . . . . "Prevence endoleaku II. typu pomoc\u00ED peropera\u010Dn\u00EDho coilingu vaku aneuryzmatu abdomin\u00E1ln\u00ED aorty b\u011Bhem implantace stentgraft"@cs . . "Prevention of type II endoleak by intraoperative coiling of abdominal aortic aneurysm sac during implantation of stent"@en . "Rozhledy v chirurgii" . . "Endoleak, abdominal aortic aneurysms, coil, stent graft"@en . . "RIV/00023884:_____/10:#0003809" . "6"^^ . "1"^^ . . "CZ - \u010Cesk\u00E1 republika" . "N" . "281510" . "0035-9351" . "Prevence endoleaku II. typu pomoc\u00ED peropera\u010Dn\u00EDho coilingu vaku aneuryzmatu abdomin\u00E1ln\u00ED aorty b\u011Bhem implantace stentgraft" . "1" . . "[F1290EF2632F]" . . "\u00DAvod: prospektivn\u00ED randomizovan\u00E1 studie sleduj\u00EDc\u00ED \u00FAsp\u011B\u0161nost prevence endoleaku (EL) II. typu pomoc\u00ED peropera\u010Dn\u00EDho coilingu vaku aneuryzmatu abdomin\u00E1ln\u00ED aorty (AAA) p\u0159i endovaskul\u00E1rn\u00ED operaci pomoc\u00ED stentgraftu (SG). Materi\u00E1l a metody: Od ledna 2008 do \u010Dervence 2009 byla u 86 pacient\u016F \u0159e\u0161ena AAA endovaskul\u00E1rn\u011B pomoc\u00ED bifurka\u010Dn\u00EDho SG. Osoby byly prospektivn\u011B randomizov\u00E1ny do dvou skupin. Pacient\u016Fm ve skupin\u011B A (42 osob; 48,8 %) jsme peropera\u010Dn\u011B aplikovali r\u016Fzn\u00FD po\u010Det coil\u016F do voln\u00E9ho prostoru vaku v okol\u00ED t\u011Bla SG, skupina B (44 osob; 51,2 %) zahrnuje pacienty bez coil\u016F. Byly vyhodnoceny p\u0159edopera\u010Dn\u00ED CT angiografie (CT AG) s ohledem na pr\u016Fchodnost a po\u010Det aa.lumbales (AL), a.mesenterica inferior (AMI), a. sacralis mediana (ASM), aa. renales accessoriae (ARA), zm\u011B\u0159ena velikost vaku AAA a pr\u016Fto\u010Dn\u00E9ho lumen. Na konci sledovan\u00E9ho obdob\u00ED byla sonograficky a/nebo CT AG vyhodnocena p\u0159\u00EDtomnost EL II. typu a velikost vaku AAA. V\u00FDsledky: P\u0159ed operac\u00ED se skupiny A a B velmi m\u00E1lo li\u0161ily v po\u010Dtu p\u0159\u00EDtomn\u00FDch zdrojov\u00FDch tepen EL II. typu (AL 3,8 vs. 3,5; AMI 0,78 vs. 0,55; ASM 0,26 vs. 0,3; ARA 0,095 vs. 0,05), p\u0159edopera\u010Dn\u00ED velikost\u00ED vaku v\u00FDdut\u011B (68,6 vs. 67,0 mm) a pr\u016Fm\u011Brem pr\u016Fto\u010Dn\u00E9ho lumen (47,6 vs. 40,0 mm), pr\u016Fm\u011Brem vaku na konci sledovan\u00E9ho obdob\u00ED (63,9 vs. 62,1 mm) a pr\u016Fm\u011Brnou zm\u011Bnou jeho velikosti (-4,7 vs. -4,9 mm). Bezprost\u0159edn\u011B po operaci byl EL II. typu zji\u0161t\u011Bn ve skupin\u011B A u 6(14,3%), ve skupin\u011B B u 9(20,5 %) osob. Na konci sledov\u00E1n\u00ED byl EL II. typu ve skupin\u011B A nalezen u 4(9,5%), ve skupin\u011B B u 8(18,2%) osob. Z\u00E1v\u011Br: Peropera\u010Dn\u00ED zaveden\u00ED coil\u016F do voln\u00E9ho prostoru vaku AAA je jedn\u00EDm ze zp\u016Fsob\u016F mo\u017En\u00E9 prevence vzniku EL II. typu, zv\u00FD\u0161\u00ED se t\u00EDm \u00FAsp\u011B\u0161nost regrese a vymizen\u00ED EL II. typu."@cs . "Aim: A prospective randomized study assessing the success rates of the type II endoleak (EL) prevention, using postoperative coiling of the abdominal aortic aneurysm (AAA) sac during stent graft (SG) implantation. Material end Methods: From January 2008 to July 2009, 86 patients were operated for AAA using endovascular methods with bifurcation SG. The subjects were prospectively randomised into two subgroups. Group A subjects (42 subjects, 48,8%) had various numbers of coils introduced into the sac, close to the SG body. Group B (44 subjects, 51,2%) included patients without coils. Preoperative CT angiography (CT AG) was used to assess patency and the number of lumbal arteries (AL), a. mesenterica inferior (AMI), a. sacralis mediana (ASM) and aa. renales accessoriae (ARA), the AAA sac and the lumen size. At the end of the studied period, existence of type II EL and the AAA sac size was assessed using sonography and/or CT AG. Results: Prior to the procedure, there were only minor differencies in the number of source type II EL arteries (AL 3.8 vs. 3.5; AMI 0.78 vs. 0.55; ASM 0.26 vs 0.3; ARA 0.095 vs. 0.05), preoperative AAA sac size (68.6 vs.67.0 mm) and the lumen size (47.6 vs. 40.0 mm), the AAA sac size at the end of the studied period (63.9 vs. 62.1 mm) and its mean size change (-4.7 vs. -4.9 mm), between the Group A and B, respectively. Postoperatively, type II EL was detected in 6 subjects in Group A(14.3%) and in 9 subjects in Group B (20.5%) At the study endpoint, the type II EL was identified in 4 subjects in Group A (9,5%) and in 8 subjects in Group B (18.2%). Conclusion: Peroperative introduction of coils into the AAA sac is one of the options for type II EL prevention. It facilitates successful regression and disappearance of type II EL."@en . . . "Prevence endoleaku II. typu pomoc\u00ED peropera\u010Dn\u00EDho coilingu vaku aneuryzmatu abdomin\u00E1ln\u00ED aorty b\u011Bhem implantace stentgraft" . . "RIV/00023884:_____/10:#0003809!RIV12-MZ0-00023884" . "\u00DAvod: prospektivn\u00ED randomizovan\u00E1 studie sleduj\u00EDc\u00ED \u00FAsp\u011B\u0161nost prevence endoleaku (EL) II. typu pomoc\u00ED peropera\u010Dn\u00EDho coilingu vaku aneuryzmatu abdomin\u00E1ln\u00ED aorty (AAA) p\u0159i endovaskul\u00E1rn\u00ED operaci pomoc\u00ED stentgraftu (SG). Materi\u00E1l a metody: Od ledna 2008 do \u010Dervence 2009 byla u 86 pacient\u016F \u0159e\u0161ena AAA endovaskul\u00E1rn\u011B pomoc\u00ED bifurka\u010Dn\u00EDho SG. Osoby byly prospektivn\u011B randomizov\u00E1ny do dvou skupin. Pacient\u016Fm ve skupin\u011B A (42 osob; 48,8 %) jsme peropera\u010Dn\u011B aplikovali r\u016Fzn\u00FD po\u010Det coil\u016F do voln\u00E9ho prostoru vaku v okol\u00ED t\u011Bla SG, skupina B (44 osob; 51,2 %) zahrnuje pacienty bez coil\u016F. Byly vyhodnoceny p\u0159edopera\u010Dn\u00ED CT angiografie (CT AG) s ohledem na pr\u016Fchodnost a po\u010Det aa.lumbales (AL), a.mesenterica inferior (AMI), a. sacralis mediana (ASM), aa. renales accessoriae (ARA), zm\u011B\u0159ena velikost vaku AAA a pr\u016Fto\u010Dn\u00E9ho lumen. Na konci sledovan\u00E9ho obdob\u00ED byla sonograficky a/nebo CT AG vyhodnocena p\u0159\u00EDtomnost EL II. typu a velikost vaku AAA. V\u00FDsledky: P\u0159ed operac\u00ED se skupiny A a B velmi m\u00E1lo li\u0161ily v po\u010Dtu p\u0159\u00EDtomn\u00FDch zdrojov\u00FDch tepen EL II. typu (AL 3,8 vs. 3,5; AMI 0,78 vs. 0,55; ASM 0,26 vs. 0,3; ARA 0,095 vs. 0,05), p\u0159edopera\u010Dn\u00ED velikost\u00ED vaku v\u00FDdut\u011B (68,6 vs. 67,0 mm) a pr\u016Fm\u011Brem pr\u016Fto\u010Dn\u00E9ho lumen (47,6 vs. 40,0 mm), pr\u016Fm\u011Brem vaku na konci sledovan\u00E9ho obdob\u00ED (63,9 vs. 62,1 mm) a pr\u016Fm\u011Brnou zm\u011Bnou jeho velikosti (-4,7 vs. -4,9 mm). Bezprost\u0159edn\u011B po operaci byl EL II. typu zji\u0161t\u011Bn ve skupin\u011B A u 6(14,3%), ve skupin\u011B B u 9(20,5 %) osob. Na konci sledov\u00E1n\u00ED byl EL II. typu ve skupin\u011B A nalezen u 4(9,5%), ve skupin\u011B B u 8(18,2%) osob. Z\u00E1v\u011Br: Peropera\u010Dn\u00ED zaveden\u00ED coil\u016F do voln\u00E9ho prostoru vaku AAA je jedn\u00EDm ze zp\u016Fsob\u016F mo\u017En\u00E9 prevence vzniku EL II. typu, zv\u00FD\u0161\u00ED se t\u00EDm \u00FAsp\u011B\u0161nost regrese a vymizen\u00ED EL II. typu." .