A critical appraisal of endovascular stent-grafts in the management of abdominal aortic aneurysms

Schoretsanitis, Nikolaos; Georgakarakos, Efstratios; Argyriou, Christos; Ktenidis, Kiriakos; Georgiadis, George S.

doi:10.1007/s11547-017-0724-z

Cited by 20 publications

(9 citation statements)

References 61 publications

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“…A relationship to stent‐graft fabric composition and large‐bore introducer sheaths has been demonstrated. Treatment is with antiinflammatory therapy …”

Section: Endograft‐related Complicationsmentioning

confidence: 99%

Percutaneous endovascular abdominal aneurysm repair: State‐of‐the art

Jabbar

Chanda

White

et al. 2019

Cathet Cardio Intervent

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Endovascular repair of abdominal aortic aneurysms emerged initially as an alternative treatment strategy for patients considered to be inoperable or high risk for surgery. The evolution of endovascular techniques has made this technology a safe and less invasive alternative to open surgery for patients with suitable aortic anatomy. This manuscript reviews the current state of the art for endovascular AAA repair techniques, clinical outcomes, guideline recommendations, and future applications.

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“…A relationship to stent‐graft fabric composition and large‐bore introducer sheaths has been demonstrated. Treatment is with antiinflammatory therapy …”

Section: Endograft‐related Complicationsmentioning

confidence: 99%

Percutaneous endovascular abdominal aneurysm repair: State‐of‐the art

Jabbar

Chanda

White

et al. 2019

Cathet Cardio Intervent

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“…It has a modular, bifurcated stent composed of nitinol and a polyester graft. In contrast with the AFX2, which is fixed to the aortic bifurcation, the Endurant II graft has an M-shaped, wire stent architecture, as well as proximal springs with anchoring barbs that can actively fix the graft to the aortic neck [8].…”

Section: Introductionmentioning

confidence: 99%

Initial Experience and Potential Advantages of AFX2 Bifurcated Endograft System: Comparative Case Series

Ahn

Min

et al. 2019

VSI

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PurposeThe AFX2 endograft is a unibody, bifurcated stent graft that can be used to lower complications in certain patients. In this study, we retrospectively reviewed consecutive cases in which the AFX2 system was used to overcome the challenges of narrow distal aorta, as well as to reduce procedure time and contrast medium dose. Furthermore, we compared the results with matched patients treated using the Endurant II endograft system.Materials and MethodsThis was a retrospective observational study of nine patients with abdominal aortic aneurysm (AAA) who underwent endovascular aneurysm repair (EVAR) using the AFX2 device between June 2017 and April 2018 at Seoul National University Hospital. The patients had narrow distal aorta (n=3), reversed tapered neck (n=1), iliac artery aneurysm (n=2), chronic kidney disease patients (n=2), and impending rupture (n=1). Seven matched patients were treated using the Endurant II graft.ResultsIn the AFX2 group, the mean procedure time was 87.2 minutes, mean blood loss volume was 157.7 mL, and mean volume of contrast medium used was 48.3 mL. In the Endurant II group, the mean procedure time was 140.0 minutes, mean blood loss volume was 175.0 mL, and mean volume of contrast medium used was 119.3 mL.ConclusionOur preliminary experiences with selected AAA patients treated using the AFX2 endovascular repair system showed good outcomes compared with similar patients treated using the Endurant II system. Therefore, the AFX2 may be a good option to perform EVAR in patients of advanced age who have chronic kidney failure or narrow distal aorta.

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“…5 Some of the stent-grafts available on the market already display very good clinical performance, with remarkable endurance over time, even in hostile neck anatomies. 6 In the RATIONALE registry, 17 (8.4%) patients had an infrarenal length <15 mm, and only 21 (10.4%) had a severe infrarenal angle >60°. Interestingly, although a quarter of patients presented moderate or severe vessel tortuosity, the limbs of the Treovance stent-graft performed well, with only 1 occlusion.…”

mentioning

confidence: 99%