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Real-world Performa...
Real-world Performance of the New C3 Gore Excluder Stent-Graft : 1-year Results from the European C3 Module of the Global Registry for Endovascular Aortic Treatment (GREAT)
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- Verhoeven, E. L. G. (author)
- Dept Vasc & Endovasc Surg, Paracelsus Med Univ, Nürnberg, Germany
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- Katsargyris, A. (author)
- Dept Vasc & Endovasc Surg, Paracelsus Med Univ, Nürnberg, Germany
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- Bachoo, P. (author)
- Dept Vasc Surg, Aberdeen Royal Infirm, Aberdeen, UK
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- Larzon, Thomas (author)
- Region Örebro län,Dept Cardiothorac & Vasc Surg, Örebro University Hospital, Örebro, Sweden
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- Fisher, R. (author)
- Liverpool Vasc & Endovasc Serv, Royal Liverpool Univ Hosp, Liverpool, England
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- Ettles, D. (author)
- Dept Radiol, Hull Royal Infirm, Kingston Upon Hull, England
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- Boyle, J. R. (author)
- Dept Vasc Surg, Cambridge Univ Hosp NHS Fdn Trust, Cambridge, England
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- Brunkwall, J. (author)
- Univ Clin, Dept Vasc & Endovasc Surg, Univ Cologne, Cologne, Germany
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- Boeckler, D. (author)
- Dept Vasc & Endovasc Surg, Univ Heidelberg Hosp, Heidelberg, Germany
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- Florek, H-J (author)
- Dept Vasc & Endovasc Surg, Weisseritztal Kliniken, Freital, Germany
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- Stella, A. (author)
- Dept Vasc Surg, Policlin S Orsola Malpighi, Univ Bologna, Bologna, Italy
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- Kasprzak, P. (author)
- Dept Surg Vasc Surg & Endovasc Surg, Univ Hosp, Univ Regensburg, Regensburg, Germany
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- Verhagen, H. (author)
- Med Ctr, Dept Vasc Surg, Erasmus Univ, Rotterdam, Netherlands
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- Riambau, V. (author)
- Hosp Clin, Thorax Inst, Vasc Surg Div,Dept Cardiovasc Surg, Univ Barcelona, Barcelona, Spain
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(creator_code:org_t)
- Elsevier BV, 2014
- 2014
- English.
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In: European Journal of Vascular and Endovascular Surgery. - : Elsevier BV. - 1078-5884 .- 1532-2165. ; 48:2, s. 131-137
- Related links:
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http://www.ejves.com...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Objectives: The European C3 module of the Global Registry for Endovascular Aortic Treatment (GREAT) provides "real-world" outcomes for the new C3 Gore Excluder stent-graft, and evaluates the new deployment mechanism. This report presents the 1-year results from 400 patients enrolled in this registry. Methods: Between August 2010 and December 2012, 400 patients (86.8% male, mean age 73.9 +/- 7.8 years) from 13 European sites were enrolled in this registry. Patient demographics, treatment indication, case planning, operative details including repositioning and technical results, and clinical outcome were analyzed. Results: Technical success was achieved in 396/400 (99%) patients. Two patients needed intraoperative open conversion, one for iliac rupture, the second because the stent-graft was pulled down during a cross-over catheterization in an angulated anatomy. Two patients required an unplanned chimney renal stent to treat partial coverage of the left renal artery because of upward displacement of the stent-graft. Graft repositioning occurred in 192/399 (48.1%) patients, most frequently for level readjustment with regard to the renal arteries, and less commonly for contralateral gate reorientation. Final intended position of the stent-graft below the renal arteries was achieved in 96.2% of patients. Thirty-day mortality was two (0.5%) patients. Early reintervention (<= 30 days) was required in two (0.5%) patients. Mean follow-up duration was 15.9 +/- 8.8 months (range 0-37 months). Late reintervention (>30 days) was required in 26 (6.5%) patients. Estimated freedom from reintervention at 1 year was 95.2% (95% CI 92.3-97%), and at 2 years 91.5% (95% CI 86.8-94.5%). Estimated patient survival at 1 year was 96% (95% CI 93.3-97.6%) and at 2 years 90.6% (95% CI 85.6-93.9%). Conclusions: Early real-world experience shows that the new C3 delivery system offers advantages in terms of device repositioning resulting in high deployment accuracy. Longer follow-up is required to confirm that this high deployment accuracy results in improved long-term durability.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Abdominal aortic aneurysm
- Endovascular aneurysm repair
- Gore Excluder
- Repositioning
- Proximal deployment
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Verhoeven, E. L. ...
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Katsargyris, A.
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Bachoo, P.
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Larzon, Thomas
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Fisher, R.
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Ettles, D.
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show more...
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Boyle, J. R.
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Brunkwall, J.
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Boeckler, D.
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Florek, H-J
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Stella, A.
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Kasprzak, P.
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Verhagen, H.
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Riambau, V.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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European Journal ...
- By the university
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Örebro University