A comparison between aortobifemoral bypass and aortoiliac kissing stents in patients with complex aortoiliac obstructive disease

Dorigo, Walter; Piffaretti, Gabriele; Benedetto, Filippo; Tarallo, Antonino; Castelli, Patrizio; Spinelli, Francesco; Fargion, Aaron; Pratesi, Carlo

doi:10.1016/j.jvs.2016.06.107

Cited by 59 publications

(42 citation statements)

References 22 publications

(51 reference statements)

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“…The Taeymans study, 34 however, included all patients from the first in human, and a learning curve bias was likely. In the current study, 195 lesions were classified as TASC D, but the majority of these (138, 70.7%) were from the study groups of Sixt (n=61) 10 and Dorigo (n=77), 25 which may indicate a heterogeneity in treatment strategy between study groups. These results call for a one-to-one comparison of the CERAB and KS techniques for severe AIOD.…”

Section: Discussionmentioning

confidence: 61%

“…Of the 5 articles 3,10,16,21,25 selected, 4 publications reported single-center data; Dorigo et al 25 published data collected from 3 centers. All patients were treated between April 1995 and February 2014.…”

Section: Resultsmentioning

confidence: 99%

“…Half of the procedures were performed before 2005. Only the patients from Dorigo et al 25 were predominantly treated after 2005 (121/128, 94.5%); for the other groups the procedures were divided 50/50 over the period before and after 2005. This excluded the data from Sabri et al, 21 as their ethics board prohibited the exchange of dates.…”

Section: Resultsmentioning

confidence: 99%

“…12 The updated search query identified 22 articles. 1–6,8–10,13–25 Authors of 19 articles with contact information were invited by electronic mail to join the consortium, and a communication log was kept to overview all responses. If the authors did not respond to the request, a second letter was sent; if this remained unanswered the study was excluded.…”

Section: Methodsmentioning

confidence: 99%

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Meta-analysis of Individual Patient Data After Kissing Stent Treatment for Aortoiliac Occlusive Disease

et al. 2018

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Purpose: To evaluate short- and long-term technical and clinical outcomes after kissing stent treatment of aortoiliac occlusive disease (AIOD) based on an individual participant data (IPD) meta-analysis. Materials and Methods: A search of the Scopus database identified 156 articles on KS treatment of AIOD; of these 22 met the inclusion criteria. Authors of 19 articles with contact information were approached to join an IPD consortium. Eight author groups responded and 5 provided anonymized data for merging into an IPD database. The number of included procedures was equal before and after 2005. The primary study outcome was the cumulative patency at 24 months. Secondary outcomes were patency at up to 60 months, complications, and changes in Rutherford category and ankle-brachial index. The predictive value of stent protrusion length, pre-/postdilation, stent type, and patient demographics on primary patency were examined with Cox proportional hazard modeling; outcomes are reported as the hazard ratio (HR). The Kaplan-Meier method was employed to estimate patency rates. Results: In total, 605 (40.9%) of 1480 patients presented in the literature were included in the IPD analysis. The indication for intervention was intermittent claudication in 84.2% and critical limb ischemia in 15.8%. Lesions were classified as TransAtlantic Inter-Society Consensus (TASC) A or B in 52.8% and TASC C and D in 47.2%. The overall primary patency estimate was 81% at 24 months. Primary patency significantly increased after 2005 (p=0.005). Cox regression analysis revealed only age as a significant predictor of sustained primary patency (HR 0.60, p<0.005). Any previous endovascular intervention (HR 2.52, p=0.02) was the main predictor for loss of secondary patency; history of cardiovascular disease (HR 0.27, p=0.04) was the main predictor of sustained secondary patency. Conclusion: The kissing stent technique has a good safety profile and acceptable patency rates up to 2 years, even in TASC C and D lesions, supporting an endovascular-first approach for AIOD.

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Section: Discussionmentioning

confidence: 61%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Meta-analysis of Individual Patient Data After Kissing Stent Treatment for Aortoiliac Occlusive Disease

et al. 2018

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“…This in situ multistent assembling technique is used in the management of complex occlusive lesions involving the aortoiliac bifurcation that also frequently compromise the proximal iliac arteries. Regardless of the several drawbacks that hinder their performance, this modular technique is still in clinical use today …”

Section: Physical Phenomenamentioning

confidence: 99%

In Situ Generated Medical Devices

Cohn

Sloutski

Elyashiv

et al. 2019

Adv Healthcare Materials

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Medical devices play a major role in all areas of modern medicine, largely contributing to the success of clinical procedures and to the health of patients worldwide. They span from simple commodity products such as gauzes and catheters, to highly advanced implants, e.g., heart valves and vascular grafts. In situ generated devices are an important family of devices that are formed at their site of clinical function that have distinct advantages. Among them, since they are formed within the body, they only require minimally invasive procedures, avoiding the pain and risks associated with open surgery. These devices also display enhanced conformability to local tissues and can reach sites that otherwise are inaccessible. This review aims at shedding light on the unique features of in situ generated devices and to underscore leading trends in the field, as they are reflected by key developments recently in the field over the last several years. Since the uniqueness of these devices stems from their in situ generation, the way they are formed is crucial. It is because of this fact that in this review, the medical devices are classified depending on whether their in situ generation entails chemical or physical phenomena.

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Management of Extensive Aorto-Iliac Disease: A Systematic Review and Meta-Analysis of 9319 Patients

Salem

Sayed

Francia

et al. 2021

Cardiovasc Intervent Radiol

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A comparison between aortobifemoral bypass and aortoiliac kissing stents in patients with complex aortoiliac obstructive disease

Abstract: In this multicenter experience, endovascular repair of aortoiliac complex lesions with the kissing stent technique provided similar satisfactory early and late results to those obtained with open surgery.

Cited by 59 publications

References 22 publications

Meta-analysis of Individual Patient Data After Kissing Stent Treatment for Aortoiliac Occlusive Disease

Meta-analysis of Individual Patient Data After Kissing Stent Treatment for Aortoiliac Occlusive Disease

In Situ Generated Medical Devices

Management of Extensive Aorto-Iliac Disease: A Systematic Review and Meta-Analysis of 9319 Patients

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