Operative and 1-Year Outcomes of the Custom-Made Fenestrated Anaconda Aortic Stent Graft-A UK Multicenter Study
| Autor: | Frances E. Colgan, Mike Clarke, David Gerrard, Robin Williams, John W. Quarmby, Peter Bungay, N Burfitt, Alun H. Davies, Michael Jenkins, Andrew Hatrick |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Time Factors Endoleak Computed Tomography Angiography medicine.medical_treatment Kaplan-Meier Estimate 030204 cardiovascular system & hematology Endovascular aneurysm repair Aortic aneurysm 0302 clinical medicine Risk Factors 030212 general & internal medicine Aged 80 and over medicine.diagnostic_test biology Endovascular Procedures General Medicine Middle Aged Abdominal aortic aneurysm Treatment Outcome England Female Stents Radiology Cardiology and Cardiovascular Medicine medicine.medical_specialty Prosthesis Design Aortography Disease-Free Survival Anaconda 03 medical and health sciences Blood Vessel Prosthesis Implantation Aneurysm Blood vessel prosthesis Multidetector Computed Tomography medicine Humans Vascular Patency Aged Retrospective Studies business.industry Stent medicine.disease biology.organism_classification Surgery Blood Vessel Prosthesis Angiography business Aortic Aneurysm Abdominal |
| Zdroj: | Annals of vascular surgery. 46 |
| ISSN: | 1615-5947 |
| Popis: | Background Early and 1-year outcomes are presented for fenestrated endovascular aneurysm repair (FEVAR) of complex aortic aneurysmal disease with the custom-made Anaconda fenestrated stent graft in 101 patients. Methods Retrospective site-reported data from the first 101 elective cases (2010–2014) from 4 UK centers were studied to evaluate patient demographics, aneurysm morphology, clinical success, and 1-year outcomes in patients undergoing fenestrated aneurysm repair with the custom-made Anaconda device. Results 101 fenestrated grafts (median age 76, 85% male) were implanted with a total of 255 fenestrations (196 renal arteries, 48 superior mesenteric artery, and 11 celiac arteries) with 3% mortality, 98.4% target vessel patency (TVP) at 30 day follow-up. Although 15 type I or III endoleaks were demonstrated at completion angiography, all 10 type Ia endoleaks resolved spontaneously. Survival by Kaplan-Meier analysis was 97% and 91% at 1 month and 1 year, respectively; with 75.8% showing reduction in abdominal aortic aneurysm diameter and only 1 patient with sac expansion. Freedom from loss of TVP was 97.6%. Conclusions Custom-made fenestrated Anaconda devices demonstrate low procedural mortality and a high rate of technical and clinical success at 30 days and 1 year. |
| Databáze: | OpenAIRE |
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