Early results of fenestrated endovascular repair of juxtarenal aortic aneurysms in the United Kingdom
| Autor: | M. G. Wyatt, C. Bishop, J.B. Naik, Matthew Waltham, A.C. Fisher, D. Simring, G. Hamilton, R. Canavati, P. Gkoutzios, Robert J. Hinchliffe, Robert Morgan, T. Loosemore, I. Ahmed, P.L. Harris, K. Ivancev, Jonathan R. Boyle, J. Cross, Paul D. Hayes, Tom Carrell, Edward Choke, Stephen Black, T.C. See, Peter J. Holt, Ferdinand Serracino-Inglott, J. Raja, L. Wilson, D. Boardley, T. Metha, Richard G. McWilliams, Kevin Varty, Obi Agu, P. Bourke, F. Farquharson, Colin Bicknell, D. Smith, Ralph Jackson, Matt M. Thompson, Andrew Winterbottom, John A. Brennan, Matthew J. Bown, M.J. McCarthy, C. Cousins, G.P. Copeland, Michael Jenkins, Ian J. Franklin, Mark Tyrrell, S.R. Vallabhaneni, Nicholas J.W. Cheshire, D.J. Adam, R. Salter, Ian M. Loftus, J. Hague, Meryl Davis, Rachel Bell, John Rose, Robert K. Fisher, Randi M. Williams, A. James, Tarun Sabharwal, V. Wealleans, A.W. Bradbury, Toby Richards, A. Sharif, M.J. Clarke, R.D. Sayers, C.J. Wilkins, J. Hardman, A. Tamberaja, Graeme K. Ambler |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Patient demographics medicine.medical_treatment Target vessel Kaplan-Meier Estimate Endovascular aneurysm repair Physiology (medical) medicine Humans Aged Retrospective Studies Aged 80 and over Aneurysm morphology business.industry Open surgery Endovascular Procedures Stent Perioperative Middle Aged United Kingdom Surgery Blood Vessel Prosthesis Treatment Outcome Early results Female Stents Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | Circulation. 125(22) |
| ISSN: | 1524-4539 |
| Popis: | Background— Fenestrated endovascular repair of abdominal aortic aneurysms has been proposed as an alternative to open surgery for juxtarenal and pararenal abdominal aortic aneurysms. At present, the evidence base for this procedure is predominantly limited to single-center or single-operator series. The aim of this study was to present nationwide early results of fenestrated endovascular repair in the United Kingdom. Methods and Results— All patients who underwent fenestrated endovascular repair between January 2007 and December 2010 at experienced institutions in the United Kingdom(>10 procedures) were retrospectively studied by use of the GLOBALSTAR database. Site-reported data relating to patient demographics, aneurysm morphology, procedural details, and outcome were recorded. Data from 318 patients were obtained from 14 centers. Primary procedural success was achieved in 99% (316/318); perioperative mortality was 4.1%, and intraoperative target vessel loss was observed in 5 of 889 target vessels (0.6%). The early reintervention (30 days) was 90% (0.02), 86% (0.03), and 70% (0.08) at 1, 2, and 3 years. Conclusions— In this national sample, fenestrated endovascular repair has been performed with a high degree of technical and clinical success. Late survival and target vessel patency are satisfactory. These results support continued use and evaluation of this technique for juxtarenal aneurysms, but illustrate the need for a more robust evidence base. |
| Databáze: | OpenAIRE |
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