Preliminary experience with the use of ultra-low profile endografts

Daniela Mazzaccaro, Giovanni Malacrida, Bruno Amato, Salvatore Alessio Angileri, Anna Maria Ierardi, Giovanni Nano

Research output: Contribution to journalArticle

Abstract

PURPOSE We aimed to report a preliminary single-center experience of elective endovascular aortic repair (EVAR) using ultra-low profile (ULP) endografts of 14 F outer diameter. METHODS Data of 67 consecutive patients who underwent EVAR using either Ovation (group A, n=30) or Incraft (group B, n=37) endografts were retrospectively analyzed. RESULTS Aorto-iliac anatomy was significantly different between the two groups, as patients of group A had a greater thrombotic apposition on proximal aortic neck (thrombus thickness: 7.2±1 mm vs. 3.3±1.6 mm, P = 0.042; percentage of the circumference covered by thrombus: 45.2%±10.4% vs. 18.7%±10.6%, P = 0.0003), while patients of group B had a more angulated proximal neck in the coronal axis (35.9 ±6.4 vs. 16.7 ±5, P = 0.012). Procedural success was 93.3% and 97.3%, respectively, in groups A and B. One patient in group A required an immediate conversion to open surgery for persistent occlusion of both iliac limbs. Another patient required implantation of a conical endograft with a femoro-femoral right-to-left bypass for occlusion of the contralateral gate during the cannulation. In group B, one intraoperative type Ia endoleak was immediately corrected. Neither deaths nor major adverse events were recorded within 30-days. During a median follow-up of 15.2 months (range, 1-56.7 months) two type Ia endoleaks in group A required open conversion after 12.1 and 40.5 months, respectively. Three patients in group B required a reintervention after 30 days. Neither deaths nor aortic ruptures were recorded during follow-up. CONCLUSION Both ULP endografts showed satisfying early and mid-term results.

Original languageEnglish
Pages (from-to)448-453
Number of pages6
JournalDiagnostic and Interventional Radiology
Volume23
Issue number6
DOIs
Publication statusPublished - Nov 1 2017

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Endoleak
Thrombosis
Conversion to Open Surgery
Aortic Rupture
Thigh
Catheterization
Anatomy
Extremities

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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Preliminary experience with the use of ultra-low profile endografts. / Mazzaccaro, Daniela; Malacrida, Giovanni; Amato, Bruno; Angileri, Salvatore Alessio; Ierardi, Anna Maria; Nano, Giovanni.

In: Diagnostic and Interventional Radiology, Vol. 23, No. 6, 01.11.2017, p. 448-453.

Research output: Contribution to journalArticle

Mazzaccaro, Daniela ; Malacrida, Giovanni ; Amato, Bruno ; Angileri, Salvatore Alessio ; Ierardi, Anna Maria ; Nano, Giovanni. / Preliminary experience with the use of ultra-low profile endografts. In: Diagnostic and Interventional Radiology. 2017 ; Vol. 23, No. 6. pp. 448-453.
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abstract = "PURPOSE We aimed to report a preliminary single-center experience of elective endovascular aortic repair (EVAR) using ultra-low profile (ULP) endografts of 14 F outer diameter. METHODS Data of 67 consecutive patients who underwent EVAR using either Ovation (group A, n=30) or Incraft (group B, n=37) endografts were retrospectively analyzed. RESULTS Aorto-iliac anatomy was significantly different between the two groups, as patients of group A had a greater thrombotic apposition on proximal aortic neck (thrombus thickness: 7.2±1 mm vs. 3.3±1.6 mm, P = 0.042; percentage of the circumference covered by thrombus: 45.2{\%}±10.4{\%} vs. 18.7{\%}±10.6{\%}, P = 0.0003), while patients of group B had a more angulated proximal neck in the coronal axis (35.9 ±6.4 vs. 16.7 ±5, P = 0.012). Procedural success was 93.3{\%} and 97.3{\%}, respectively, in groups A and B. One patient in group A required an immediate conversion to open surgery for persistent occlusion of both iliac limbs. Another patient required implantation of a conical endograft with a femoro-femoral right-to-left bypass for occlusion of the contralateral gate during the cannulation. In group B, one intraoperative type Ia endoleak was immediately corrected. Neither deaths nor major adverse events were recorded within 30-days. During a median follow-up of 15.2 months (range, 1-56.7 months) two type Ia endoleaks in group A required open conversion after 12.1 and 40.5 months, respectively. Three patients in group B required a reintervention after 30 days. Neither deaths nor aortic ruptures were recorded during follow-up. CONCLUSION Both ULP endografts showed satisfying early and mid-term results.",
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