Sökning: onr:"swepub:oai:lup.lub.lu.se:affae640-3d09-46c6-ba9b-49c2c30004ce" >
Transatlantic multi...
Transatlantic multicenter study on the use of a modified preloaded delivery system for fenestrated endovascular aortic repair
-
- Tsilimparis, Nikolaos (författare)
- University Hospital Munich
-
- Gouveia e Melo, Ryan (författare)
- University Hospital Munich
-
- Schanzer, Andres (författare)
- University of Massachusetts Medical School
-
visa fler...
-
- Sobocinski, Jonathan (författare)
- University of Lille
-
- Austermann, Martin (författare)
- University of Münster
-
- Chiesa, Roberto (författare)
- Vita-Salute San Raffaele University
-
- Resch, Timothy (författare)
- Copenhagen University Hospital,University of Copenhagen
-
- Gargiulo, Mauro (författare)
- St. Orsola-Malpighi University Hospital
-
- Timaran, Carlos (författare)
- University of Texas Southwestern Medical Center
-
- Maurel, Blandine (författare)
- Nantes University Hospital
-
- Adam, Donald (författare)
- University Hospitals Birmingham
-
- Dias, Nuno (författare)
- Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital
-
- Oderich, Gustavo S. (författare)
- University of Texas Health Science Center at Houston,Mayo Clinic Minnesota
-
- Kölbel, Tilo (författare)
- University Heart Center Hamburg
-
- Gomez Palones, Francisco (författare)
- Hospital Universitario Doctor Peset
-
- Simonte, Gioele (författare)
- Ospedale Santa Maria della Misericordia
-
- Giudice, Rocco (författare)
- San Giovanni Addolorata Hospital
-
- Mesnard, Thomas (författare)
- University of Lille
-
- Loschi, Diletta (författare)
- Vita-Salute San Raffaele University
-
- Leone, Nicola (författare)
- Copenhagen University Hospital,University of Copenhagen
-
- Gallito, Enrico (författare)
- St. Orsola-Malpighi University Hospital
-
- Spath, Paolo (författare)
- University Hospital Munich,St. Orsola-Malpighi University Hospital
-
- Porras Cólon, Jesus (författare)
- University of Texas Southwestern Medical Center
-
- Elboushi, Amro (författare)
- University Hospitals Birmingham
-
- Wachtmeister, Melker (författare)
- Skåne University Hospital
-
- Sonesson, Bjorn (författare)
- Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital
-
- Tenorio, Emanuel (författare)
- University of Texas Health Science Center at Houston,Mayo Clinic Minnesota
-
- Panuccio, Giuseppe (författare)
- University Heart Center Hamburg
-
- Isernia, Giacomo (författare)
- Ospedale Santa Maria della Misericordia
-
- Bertoglio, Luca (författare)
- Spedali Civili Di Brescia
-
visa färre...
-
(creator_code:org_t)
- 2023
- 2023
- Engelska.
-
Ingår i: Journal of Vascular Surgery. - 0741-5214. ; 78:4, s. 3-873
- Relaterad länk:
-
http://dx.doi.org/10...
-
visa fler...
-
https://lup.lub.lu.s...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Objective: Analyze the outcomes of endovascular complex abdominal and thoracoabdominal aortic aneurysm repair using the Cook fenestrated device with the modified preloaded delivery system (MPDS) with a biport handle and preloaded catheters. Methods: A multicenter retrospective single arm cohort study was performed, including all consecutive patients with complex abdominal aortic aneurysm repair and thoracoabdominal aortic aneurysms treated with the MPDS fenestrated device (Cook Medical). Patient clinical characteristics, anatomy, and indications for device use were collected. Outcomes, classified according to the Society for Vascular Surgery reporting standards, were collected at discharge, 30 days, 6 months, and annually thereafter. Results: Overall, 712 patients (median age, 73 years; interquartile range [IQR], 68-78 years; 83% male) from 16 centers in Europe and the United States treated electively were included: 35.4% (n = 252) presented with thoracoabdominal aortic aneurysms and 64.6% (n = 460) with complex abdominal aortic aneurysm repair. Overall, 2755 target vessels were included (mean, 3.9 per patient). Of these, 1628 were incorporated via ipsilateral preloads using the MPDS (1440 accessed from the biport handle and 188 from above). The mean size of the contralateral femoral sheath during target vessel catheterization was 15F ± 4, and in 41 patients (6.7%) the sheath size was ≤8F. Technical success was 96.1%. Median procedural time was 209 minutes (IQR, 161-270 minutes), contrast volume was 100 mL (IQR, 70-150mL), fluoroscopy time was 63.9 minutes (IQR, 49.7-80.4 minutes) and median cumulative air kerma radiation dose was 2630 mGy (IQR, 838-5251 mGy). Thirty-day mortality was 4.8% (n = 34). Access complications occurred in 6.8% (n = 48) and 30-day reintervention in 7% (n = 50; 18 branch related). Follow-up of >30 days was available for 628 patients (88%), with a median follow-up of 19 months (IQR, 8-39 months). Branch-related endoleaks (type Ic/IIIc) were observed in 15 patients (2.6%) and aneurysm growth of >5 mm was observed in 54 (9.5%). Freedom from reintervention at 12 and 24 months was 87.1% (standard error [SE],1.5%) and 79.2% (SE, 2.0%), respectively. Overall target vessel patency at 12 and 24 months was 98.6% (SE, 0.3%) and 96.8% (SE, 0.4%), respectively, and was 97.9% (SE, 0.4%) and 95.3% (SE, 0.8%) for arteries stented from below using the MPDS, respectively. Conclusions: The MPDS is safe and effective. Overall benefits include a decrease in contralateral sheath size in the treatment of complex anatomies with favorable results.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Aortic aneurysm
- Fenestrated aortic repair
- FEVAR
- Modified delivery system
- Preloaded
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Tsilimparis, Nik ...
-
Gouveia e Melo, ...
-
Schanzer, Andres
-
Sobocinski, Jona ...
-
Austermann, Mart ...
-
Chiesa, Roberto
-
visa fler...
-
Resch, Timothy
-
Gargiulo, Mauro
-
Timaran, Carlos
-
Maurel, Blandine
-
Adam, Donald
-
Dias, Nuno
-
Oderich, Gustavo ...
-
Kölbel, Tilo
-
Gomez Palones, F ...
-
Simonte, Gioele
-
Giudice, Rocco
-
Mesnard, Thomas
-
Loschi, Diletta
-
Leone, Nicola
-
Gallito, Enrico
-
Spath, Paolo
-
Porras Cólon, Je ...
-
Elboushi, Amro
-
Wachtmeister, Me ...
-
Sonesson, Bjorn
-
Tenorio, Emanuel
-
Panuccio, Giusep ...
-
Isernia, Giacomo
-
Bertoglio, Luca
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kirurgi
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kardiologi
- Artiklar i publikationen
-
Journal of Vascu ...
- Av lärosätet
-
Lunds universitet