No difference in medium-term outcome between Zenith and Talent stent-grafts in endovascular aneurysm repair
| Autor: | R.J. Hannon, Louis L. Lau, Mark E. O'Donnell, Chee V. Soong, William Loan, Bernard Lee, Stephen A. Badger |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Aortography Time Factors medicine.medical_treatment Prosthesis Design Endovascular aneurysm repair Blood Vessel Prosthesis Implantation Aneurysm Foreign-Body Migration Blood vessel prosthesis medicine Humans Minimally Invasive Surgical Procedures Zenith Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Stent General Medicine medicine.disease Abdominal aortic aneurysm Surgery Blood Vessel Prosthesis Prosthesis Failure Treatment Outcome Female Stents Cardiology and Cardiovascular Medicine business Complication Tomography Spiral Computed Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | Vascular and endovascular surgery. 41(6) |
| ISSN: | 1538-5744 |
| Popis: | Background Many devices are available for endovascular aneurysm repair (EVAR). Our aim was to analyze morphological effects of the Zenith and Talent systems. Methods Patients included underwent EVAR from June 1999 to June 2005 using a Zenith or Talent stent-graft, with computed tomography follow-up. Aortic dimensions over time and clinical outcome were analyzed. Results Twenty-nine patients with Zenith stent-grafts and 33 with Talent devices were included. Mean preoperative age was similar (75.5 ± 6.0 years vs 74.2 ± 6.7 years; P = .29). Preoperative neck length was longer in the Zenith group (29.9 ± 15.2 mm vs 25.5 ± 10.8 mm; P = .10), and stent-graft oversizing was greater in the Talent patients (20.2% ± 7.9% vs 23.0% ± 11.3%). There was proximal aortic dilatation and aneurysm sac shrinkage in each group. Complication rates were comparable, with 83% of both groups free from 10-mm migration. Conclusion Although device designs differ, there is no difference in clinical outcome between Zenith and Talent stent-grafts. Migration rates were not influenced by suprarenal fixation. |
| Databáze: | OpenAIRE |
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