Early results of the Endurant endograft system in patients with friendly and hostile infrarenal abdominal aortic aneurysm anatomy

Abstract

Early (12 months) results suggest similar clinical performance of the Endurant stent graft system in endovascular treatment of AAAs with friendly and hostile anatomies, however, demonstrating more intra- and perioperative adversities for the last group. Larger prospective studies or even randomized trials comparing different new generation graft models are required to evaluate the comparable long-term results and possible expansion of EVAR indications for this specific endograft in adverse anatomies.

Outcomes of EVAR with the endurant stent-graft system in patients with infrarenal ruptured abdominal aortic aneurysms: Is hostile anatomy a challenging factor?

“…After the periprocedural period, there were only 2 deaths (1 in normal anatomy and 1 in hostile anatomy at 6th and 7th month, respectively). Previous studies comparing normal and hostile anatomy in unruptured AAAs showed that there was no statistically significant difference in perioperative mortality between the groups [5,6,18,19]. Our study revealed similar results in rAAAs that were treated with EVAR.…”

“…In previous studies [5][6][7], early (12-month) results revealed a similar clinical performance of the Endurant-I stent-graft system in the endovascular treatment of AAAs in patients with normal and hostile anatomies; however, the rates of intra-and perioperative adversities were higher in the last group. Moreover, acceptable results were obtained with the Endurant-I stent-graft system, with no difference in survival, morbidity, or reintervention rates in patients with both normal and hostile anatomy.…”

Requirement of intraoperative supportive procedures and complications in infrarenal abdominal aortic aneurysms due to iliac artery morphology

“…[17] That problem has been reduced by increased experience and new stent graft systems, although it still needs frequent usage of troubleshooter techniques and require longer radiation exposure time for the physicians. [18] Although there are no long-term data in the literature, the complication-induced additional procedures were needed in 17 patients (14%) in our study. There was a dissection in one patient (needed stent), thrombosis in one patient (needed PTA), rupture in two patients (needed extension), migration in two patients (needed extension), and type 1b leakage in 11 patients at the end of all procedures (needed PTA).…”

Kilt Technique as an Angle Modification Method for Endovascular Repair of Abdominal Aortic Aneurysm with Severe Neck Angle

“…Second, matching of the device position with planned location is very hard because asymmetrical deployment more frequently occurred in an angulated neck. 19) Third, nonetheless, delicate adjustment of position is not available in most cases of severe angulated neck because the single stiff guide wire might unsatisfactorily achieve an acceptable level of angle straightening to allow for insertion of the bulky device in conventional method; 20) moreover, the mound of the angulated neck disturbed the device introduction.…”