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Query: "author" (Salapura Vladka) .

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1.
Endovascular treatment of aortic aneurysm by endoprosthesis
Miloš Šurlan, Vladka Salapura, 2000, original scientific article

Abstract: Aortic endoprosthesis are divided according to its shape, site of application,and construction material. Regarding the shape, there are tubular,unilateral and bifurcational endoprosthesis. Tubular are used mostly for treatment the thoracic aneurysm, and less for treatment of the abdominal aneurysms. For exclusion of abdominal aneurysm the bifurcational prosthesis ismostly used. Aortic endoprostheses are made of metallic support and prosthetic part. Supportive elements are made of stainless steel or nitinol, while the prosthetic part is made of dacron or PTFE. Metallic part of prosthesis attaches prosthesis to healthy part of aorta, above and below aneurysm, like sutures. It expands and gives support to the prosthesis. The procedure is precisely described for thoracic and abdominal aortic aneurysms. We describe the possible complications and the mechanism of leakage and its diagnosis. In the study are presented two cases of patients with aneurysm of thoracic aorta and one case with abdominal aorta, successfully treated in our Institution. The follow-up results after 2 years, in the patients with thoracic aortic aneurysm, and 6 months follow up in the patient with abdominalaortic aneurysm showed no signs of clinical or imaging complications.In conslusion, we were trying, on the basis of our experiences and results that have been recently published, to evaluate this method of treatment.
Published in DiRROS: 24.01.2024; Views: 140; Downloads: 34
.pdf Full text (585,13 KB)

2.
Diagnostic imaging, indications and measurements for the treatment of aortic aneurysm by endoprosthesis
Miloš Šurlan, Vladka Salapura, Tomaž Kunst, 2000, review article

Abstract: Background. This paper presents imaging diagnostics of an aneurysm of the aorta, indications, common contraindications and measurements for the construction and selection of an endoprosthesis. The examination using ultrasound is the most handy and economically justifiable method for detectingan aneurysm of the aorta, for monitoring asymptomatic aneurysm as well as patients having undergone an operation or those with an endoprosthesis. Another examination to visualise the aortic aneurysm is CT with or without contrastive medium. The plan for treating an aneurysm can be made with the help of a DSA, helical CT angiography and/or MRA. DSA shows wellthe lightness of the aneurysm and the aorta, as well as the changes insideof it, large arteries close to the aneurysm and the condition of pelvic arteries for the selection of the approach. The helical CT angiography and MRAin two or three dimensional reproduction in several directions enable an accurate measurement of an aneurysm, the aorta diameter above and below the aneurysm, and the evaluation of the quality of its wall. Conclusions. The indication areas for endoprosthesis are aneurysm of the abdominal aorta and those of the descending part of thoracic aorta. The treatment with endoprosthesis as a less invasive method is indicated in patients who risk a number of complications and even mortality when treated surgically. Endoprosthesis is made of metal stent and prosthesis. The stent attaches the endoprosthesis to the unaffected part of the aorta above and below the aneurysm, it sets the stent asunder and provides support. The prosthesis is made of Dacron synthetic fabric, which has very good properties for this purpose such as small compliance, porosity, permeability and extensibility. The endoprosthesis is introduced into the aorta through a catheter system withthe help of a special guide wire. The entering point is surgically opened common femoral or iliac artery.
Published in DiRROS: 24.01.2024; Views: 148; Downloads: 35
.pdf Full text (323,00 KB)

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