Early and midterm outcomes of endovascular aneurysm repair with an ultra-low-profile endograft from the Triveneto Incraft Registry

Zavatta, Marco; Squizzato, Francesco; Balestriero, Giovanni; Bonvini, Stefano; Perkmann, Reinhold; Milite, Domenico; Veraldi, Gian Franco; Antonello, Michele; Cognolato, Diego; Molon, Elena; Grego, Franco; Piazza, Michele; Prosdocimi, Linda; Taglialavoro, Jacopo; Cappellari, Tania Francesca; Marcello, Lino; Desole, Alessandro; Simoncini, Fabio; Invernizzi, Laura; Stringari, Carlo; Wassermann, Valentina

doi:10.1016/j.jvs.2020.09.044

Cited by 12 publications

(3 citation statements)

References 25 publications

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“…Therefore, it might be assumed that more frequent use of these low-profile devices, which are even eligible for aortic necks with a diameter of 0.7 mm, could lead to fewer endoleaks and in turn to fewer re-interventions. In this context, Zavatta et al recently showed that the use of the Incraft (Cordis Corporation, Bridgewater, NJ) ultra-low-profile endograft revealed both sufficient technical success rates and freedom from re-interventions [ 34 ]. Similar positive results were recently reported in a retrospective analysis of the low profile endografts Ovation, Zenith LP, and Incraft [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Quality of Life after Endovascular and Open Abdominal Aortic Aneurysm Repair: A Retrospective Single-Center Study

Gruel

Grambow

Weinrich

et al. 2022

JCM

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Postoperative quality of life is an important outcome parameter after treatment of abdominal aortic aneurysms. The aim of this retrospective single-center study was to assess and compare the health-related quality of life (HRQoL) of patients after open repair (OR) or endovascular treatment (EVAR), and furthermore to investigate the effect of incisional hernia (IH) formation on HRQoL. Patients who underwent OR or EVAR for treatment of an abdominal aortic aneurysm between 2008 and 2016 at a University Medical Center were included. HRQoL was assessed using the SF-36 questionnaire. The incidence of IH was recorded from patient files and by telephone contact. SF-36 scores of 83 patients (OR: n = 36; EVAR: n = 47) were obtained. The mean follow-up period was 7.1 years. When comparing HRQoL between OR and EVAR, patients in both groups scored higher in one of the eight categories of the SF36 questionnaires. The incidence of IH after OR was 30.6%. In patients with postoperative IH, HRQoL was significantly reduced in the dimensions “physical functioning”, “role physical” and “role emotional” of the SF-36. Based on this data, it can be concluded that neither OR nor EVAR supply a significant advantage regarding HRQoL. In contrast, the occurrence of IH has a relevant impact on the HRQoL of patients after OR.

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Section: Discussionmentioning

confidence: 99%

Assessment of Quality of Life after Endovascular and Open Abdominal Aortic Aneurysm Repair: A Retrospective Single-Center Study

Gruel

Grambow

Weinrich

et al. 2022

JCM

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“…Although patients with AAA obtain the greatest benefit from EVAR, problems have increasingly been exposed in the wake of time, such as rupture postimplantation, endoleak, graft migration, graft infection, limb thrombosis, and so on (3,4). Complex anatomical conditions are usually the main cause of related complications, and are associated with a higher rate of surgical revision (5,6). Iliac branch occlusion (IBO) is a common issue post EVAR, with a reported incidence of approximately 1-8% (5,(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…Complex anatomical conditions are usually the main cause of related complications, and are associated with a higher rate of surgical revision (5,6). Iliac branch occlusion (IBO) is a common issue post EVAR, with a reported incidence of approximately 1-8% (5,(7)(8)(9). Either unilateral or bilateral sides can be involved in IBO, and the causes are usually complex, including anatomy, equipment, operator factors, and so on.…”

Section: Introductionmentioning

confidence: 99%

Treatment of recurrent iliac branch occlusion after endovascular repair of abdominal aortic aneurysm diagnosed by contrast- enhanced ultrasound combined with computed tomography angiography: a case report

Wang¹,

Xing²,

Song³

et al. 2022

Ann Transl Med

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Background: Endovascular treatment of abdominal aortic aneurysm (AAA) has been in use for several decades and has become the main treatment for this disease. Iliac branch occlusion (IBO) is a common complication after endovascular treatment. The diagnosis and guidance of contrast-enhanced ultrasound (CEUS) combined with computed tomography angiography (CTA) in the treatment of recurrent IBO after endovascular aneurysm repair (EVAR) are rarely reported. In this case, CEUS gave important hints on the cause of IBO.Case Description: We present a 67-year-old male patient who was diagnosed with AAA in 2020 and underwent endovascular treatment in the same period. There was no family history of AAA. The operation process was successful. The CTA re-examination one month after operation showed that the aneurysm was well isolated without obvious endoleak. However, the patient developed intermittent claudication of both lower limbs after operation, but did not receive relevant diagnosis and treatment. Four months after surgery, the patient's claudication symptoms of the left lower limb were significantly worse than before, and CTA review revealed left IBO. The left ankle brachial index (ABI) was too low to detect the value. A femoral artery thrombectomy was performed and a stent was extended distal to the left iliac stent. The claudication symptoms improved after surgery. Unfortunately, only two months later, the patient developed rest pain in the left lower limb. CTA examination showed that the left iliac branch was occluded again. The problem in the proximal end of the left iliac branch was observed by CEUS before re-operation, which was also confirmed by digital subtraction angiography (DSA) after thrombectomy. The blood flow was significantly improved after the angle of the proximal iliac branch was adjusted by stent placement. The patient did not show claudication symptoms again during follow-up. Through CEUS, we identified the pathogenic causes which could not be reflected in CTA and formulated the correct treatment plan. Conclusions:The risk factors of IBO after EVAR are mostly hidden in the process of the initial operation.CEUS can provide more information about postoperative hemodynamics than CTA. The role of CEUS in postoperative follow-up of endovascular treatment of AAA needs to be further explored.

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Thirty-day Results from the ZEPHYR Registry: Outcomes of EVAR Using the Zenith Alpha™ Abdominal Endovascular Graft for the Treatment of AAA in 347 Patients

Hatzl

Yeung

Fioole

et al. 2022

Annals of Vascular Surgery

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Early and midterm outcomes of endovascular aneurysm repair with an ultra-low-profile endograft from the Triveneto Incraft Registry

Cited by 12 publications

References 25 publications

Assessment of Quality of Life after Endovascular and Open Abdominal Aortic Aneurysm Repair: A Retrospective Single-Center Study

Assessment of Quality of Life after Endovascular and Open Abdominal Aortic Aneurysm Repair: A Retrospective Single-Center Study

Treatment of recurrent iliac branch occlusion after endovascular repair of abdominal aortic aneurysm diagnosed by contrast- enhanced ultrasound combined with computed tomography angiography: a case report

Thirty-day Results from the ZEPHYR Registry: Outcomes of EVAR Using the Zenith Alpha™ Abdominal Endovascular Graft for the Treatment of AAA in 347 Patients

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