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Do Not Mix It up! Long-Term Outcomes of Different Proximal Aortic Cuffs with the AFX Endograft.
Ann Vasc Surg
November 2024
Department of Public Health, Vascular Surgery Unit, University Federico II of Naples, Naples, Italy.
Background: The AFX unibody endograft offers advantages in treating abdominal aortic aneurysms (AAAs) with narrow aortic bifurcations due to its unique design, where the flow divider sits at the native aortic bifurcation. However, its limited length options may limit complete proximal neck utilization. As per device instruction for use, the implant should be completed with an aortic cuff.
View Article and Find Full Text PDFTransprosthetic Fenestration With Electrified Wires. Experimental Evaluation of Three Multifilament Endografts.
J Endovasc Ther
October 2024
Department of Vascular and Cardiothoracic Surgery, University of Göttingen, Göttingen, Germany.
Article Synopsis
- - The study investigates the effectiveness and safety of using the "electrified wire" technique for creating fenestrations in various types of aortic stent-grafts to treat complex aortic aneurysms.
- - Results showed that the Zenith and RelayPro stent-grafts performed significantly better than the Endurant in terms of puncture success and fenestration size post-ballooning.
- - While some damage such as fraying and tearing occurred across all groups, the Endurant group required additional treatment for stenosis, unlike the RelayPro and Zenith groups which showed no significant issues post-procedure.
Infected Abdominal Aortic Aneurysm Successfully Treated With Endovascular Aortic Repair and Antibiotics: A Case Report.
Cureus
August 2024
Cardiovascular Surgery, Sapporo Medical University, Sapporo, JPN.
Surgical treatment of infected aneurysms is problematic due to their high complication and mortality rates. Infected aortic aneurysms are at high risk of rupture and should be operated on as soon as possible after diagnosis. A 72-year-old female patient with a medical history of diabetes mellitus, hyperlipidemia, and hypertension presented with a fever of 38°C and back pain, without any apparent cause, in 2021.
View Article and Find Full Text PDFLong-Term Outcomes in Patients Managed with the Endurant Endograft under Elective Setting.
J Clin Med
September 2024
Department of Vascular Surgery, Larissa University Hospital, Faculty of Medicine, University of Thessaly, 41110 Larissa, Greece.
Article Synopsis
- This study investigates the outcomes of using the Endurant II/IIs device for elective endovascular aneurysm repair (EVAR) in patients with abdominal aortic aneurysms (AAAs) from 2008 to 2024.
- The primary outcomes measured included technical success, mortality, and complications within 30 days, with secondary outcomes focused on long-term survival and endoleak incidents.
- Results indicated a high technical success rate (99.7%), low 30-day mortality (0.6%), and promising long-term outcomes, with less than 50% of patients needing reintervention after 7 years.
The Enzen Trial: Analysis of EVAR Endoprosthesis Zenith and Endurant for Infrarenal Aortoiliac Aneurysms Regarding Outcomes, Endoleaks, and Reinterventions.
J Endovasc Ther
August 2024
Division of Vascular and Endovascular Surgery, Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil.
Objective: The main objective of this paper is to analyze the outcomes regarding endoleaks, reinterventions, and death related to aneurysm complications in patients submitted to endovascular repair (EVAR) for abdominal aortoiliac aneurysm (AAA) using Endurant II (Medtronic) and Zenith Flex (Cook) endografts.
Methods: This was a prospective, consecutive cohort study of patients with AAA who underwent EVAR between January 2019 and December 2022. Two groups of patients were evaluated: Group Endurant (patients submitted to EVAR with the use of Endurant II) and Group Zenith (patients submitted to EVAR with the use of Zenith Flex).
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