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Sökning: WFRF:(Tsilimparis Nikolaos) > (2023) > Transatlantic multi...

  • Tsilimparis, NikolaosUniversity Hospital Munich (författare)

Transatlantic multicenter study on the use of a modified preloaded delivery system for fenestrated endovascular aortic repair

  • Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

  • 2023

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:affae640-3d09-46c6-ba9b-49c2c30004ce
  • https://lup.lub.lu.se/record/affae640-3d09-46c6-ba9b-49c2c30004ceURI
  • https://doi.org/10.1016/j.jvs.2023.05.043DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Gouveia e Melo, RyanUniversity Hospital Munich (författare)
  • Schanzer, AndresUniversity of Massachusetts Medical School (författare)
  • Sobocinski, JonathanUniversity of Lille (författare)
  • Austermann, MartinUniversity of Münster (författare)
  • Chiesa, RobertoVita-Salute San Raffaele University (författare)
  • Resch, TimothyCopenhagen University Hospital,University of Copenhagen (författare)
  • Gargiulo, MauroSt. Orsola-Malpighi University Hospital (författare)
  • Timaran, CarlosUniversity of Texas Southwestern Medical Center (författare)
  • Maurel, BlandineNantes University Hospital (författare)
  • Adam, DonaldUniversity Hospitals Birmingham (författare)
  • Dias, NunoLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)ront-ndi (författare)
  • Oderich, Gustavo S.Mayo Clinic Minnesota,University of Texas Health Science Center at Houston (författare)
  • Kölbel, TiloUniversity Heart Center Hamburg (författare)
  • Gomez Palones, FranciscoHospital Universitario Doctor Peset (författare)
  • Simonte, GioeleOspedale Santa Maria della Misericordia (författare)
  • Giudice, RoccoSan Giovanni Addolorata Hospital (författare)
  • Mesnard, ThomasUniversity of Lille (författare)
  • Loschi, DilettaVita-Salute San Raffaele University (författare)
  • Leone, NicolaCopenhagen University Hospital,University of Copenhagen (författare)
  • Gallito, EnricoSt. Orsola-Malpighi University Hospital (författare)
  • Spath, PaoloSt. Orsola-Malpighi University Hospital,University Hospital Munich (författare)
  • Porras Cólon, JesusUniversity of Texas Southwestern Medical Center (författare)
  • Elboushi, AmroUniversity Hospitals Birmingham (författare)
  • Wachtmeister, MelkerSkåne University Hospital (författare)
  • Sonesson, BjornLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)kir-bso (författare)
  • Tenorio, EmanuelMayo Clinic Minnesota,University of Texas Health Science Center at Houston (författare)
  • Panuccio, GiuseppeUniversity Heart Center Hamburg (författare)
  • Isernia, GiacomoOspedale Santa Maria della Misericordia (författare)
  • Bertoglio, LucaSpedali Civili Di Brescia (författare)
  • University Hospital MunichUniversity of Massachusetts Medical School (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Vascular Surgery78:4, s. 3-8730741-5214

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