Initial Experience With Covered Endovascular Reconstruction of the Aortic Bifurcation in Conjunction With Chimney Grafts

Abstract

Chimney-CERAB is technically feasible and may offer an alternative to open surgery for complex aortoiliac occlusive disease. Further prospective studies are needed to confirm these findings.

First-in-Human Experience With the Gore Balloon-Expandable Covered Endoprosthesis in Iliac Artery Occlusive Disease

“…To put this in context, reported 12-month patency rates range from 86% to 87% 9,20,26 for bare metal stents and from 87% to 89% for covered stents. 25,27 This excellent result was achieved despite the patient cohort representing a "real world" selection of anatomies with no exclusion criteria regarding iliac tortuosity, severe calcification, or the use of reentry devices.…”

“…22 Early clinical experience with CERAB is promising. [23][24][25] Both BE and SE covered stents have been used in the iliac arteries. BE covered stents have been most frequently used and have the high radial strength and placement accuracy provided by a BE platform.…”

Update on covered endovascular reconstruction of the aortic bifurcation

“…The CERAB technique can be used in disease up to, or even above, the renal arteries with the use of protection balloons or chimneys. 25 Nevertheless, in a young and fit patient, the surgical option may be better, as the long-term outcome of chimneys is unknown.…”

“…18 In another case series, the combination of CERAB with chimneys was described ( Figure 2). 25 A total of 15 chimney grafts were used in 14 patients. Eleven were male with a mean age of 61.2 years.…”

Results of AFX Unibody Stent-Graft Implantation in Patients With TASC D Aortoiliac Lesions and Coexistent Abdominal Aortic Aneurysms

“…Consequently, endovascular techniques are becoming a first-line therapy due to the potential to provide a less invasive treatment associated with reduced morbidity and mortality. 3–6…”