Early and Long-term Results of ePTFE (Gore TAG®) versus Dacron (Relay Plus® Bolton) Grafts in Thoracic Endovascular Aneurysm Repair.

The aim of the present paper is to evaluate the long-term outcomes of endovascular aneurysm repair (EVAR) for challenging aortic necks. Subgroup analyses were performed on 156 patients from the prospective multicenter Talent eLPS (enhanced Low Profile Stent Graft System) trial. Patients with high-risk aortic necks (length < 15 mm or diameter ≥28 mm) were compared with the remaining patients. Patients with high-risk ( n = 86) and low-risk necks ( n = 70) had similar age and gender distribution. Despite similar prevalences of co-morbidities, the high-risk group had higher Society for Vascular Surgery scores. The high-risk group also had larger maximum aneurysm diameters (56.6 versus 53.0 mm, P < 0.02). There were lower freedoms from major adverse events (MAEs) for the high-risk group at 30 days (84.9 versus 95.7%; P < 0.04) and 365 days (73.4 versus 89.2%; P = 0.02). Effectiveness endpoints at 12 m showed no significant differences. Freedom from all-cause mortality at 30 days (96.5 versus 100%) and aneurysm-related mortality at 365 days (96.0 versus 100%) were similar. At five years, there were no differences in endoleaks or change in aneurysm diameter. All migrations occurred in the high-risk group. The five-year freedom from aneurysm-related mortality for the high- and low-risk groups was 93.2 and 100%, respectively. In conclusion, despite a higher rate of MAEs within the first year and higher migration rates at five years, EVAR in aneurysms with challenging aortic necks can be treated with acceptable long-term results.

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TCT-399: Long-term Results Of Endovascular Aneurysm Repair (EVAR) Versus Open Repair In Patients With Large Abdominal Aortic Aneurysm: Results Of The UK EVAR Trial 1

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2010.08.468 ◽

2010 ◽

Vol 56 (13) ◽

pp. B92

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Open Repair ◽

Endovascular Aneurysm Repair ◽

Long Term Results ◽

Abdominal Aortic ◽

The Uk ◽

Aneurysm Repair

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Long-term Use of Preoperative Beta-Blockers Is Associated With Reduced Postoperative Stroke After Thoracic Endovascular Aneurysm Repair

Journal of Vascular Surgery ◽

10.1016/j.jvs.2021.06.291 ◽

2021 ◽

Vol 74 (3) ◽

pp. e195-e196

Author(s):

Kevin S. Yei ◽

Niloofar Radgoudarzi ◽

Rami Alhakim ◽

Jonathan Unkart ◽

Mahmoud B. Malas

Keyword(s):

Beta Blockers ◽

Endovascular Aneurysm Repair ◽

Postoperative Stroke ◽

Thoracic Endovascular Aneurysm Repair ◽

Aneurysm Repair

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Aortomonoiliac Endografting after Failed Endovascular Aneurysm Repair: Indications and Long-term Results

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2012.07.009 ◽

2012 ◽

Vol 44 (4) ◽

pp. 378-383 ◽

Cited By ~ 8

Author(s):

A.M. Prusa ◽

A.G. Wibmer ◽

M. Schoder ◽

M. Funovics ◽

J. Lammer ◽

...

Keyword(s):

Endovascular Aneurysm Repair ◽

Long Term Results ◽

Aneurysm Repair

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Long-term results of intra-arterial onyx injection for type II endoleaks following endovascular aneurysm repair

Vascular ◽

10.1177/1708538116671467 ◽

2016 ◽

Vol 25 (3) ◽

pp. 266-271 ◽

Cited By ~ 7

Author(s):

L Ribé ◽

CD Bicknell ◽

RG Gibbs ◽

N Burfitt ◽

MP Jenkins ◽

...

Keyword(s):

Endovascular Aneurysm Repair ◽

Long Term Results ◽

Type Ii ◽

Time Period ◽

Abdominal Aortic ◽

Liquid Embolic ◽

Internal Iliac ◽

One Year ◽

Aneurysm Repair

Purpose The aim of this paper is to report our experience of type II endoleak treatment after endovascular aneurysm repair with intra-arterial injection of the embolizing liquid material, Onyx liquid embolic system. Methods From 2005 to 2012, we performed a retrospective review of 600 patients, who underwent endovascular repair of an abdominal aortic aneurysm. During this period, 18 patients were treated with Onyx for type II endoleaks. Principal findings The source of the endoleak was the internal iliac artery in seven cases, inferior mesenteric artery in seven cases and lumbar arteries in four cases. Immediate technical success was achieved in all patients and no endoleak from the treated vessel recurred. During a mean follow-up of 19 months, no major morbidity or mortality occurred, and one-year survival was 100%. Conclusions Treatment of type II endoleaks with Onyx is safe and effective over a significant time period.

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Clinical impact of hypogastric artery occlusion in endovascular aneurysm repair

Vascular ◽

10.1177/1708538114560462 ◽

2014 ◽

Vol 23 (6) ◽

pp. 575-579 ◽

Cited By ~ 9

Author(s):

Manfred Kalteis ◽

Odo Gangl ◽

Florian Huber ◽

Peter Adelsgruber ◽

Manfred Kastner ◽

...

Keyword(s):

Iliac Artery ◽

Endovascular Aneurysm Repair ◽

External Iliac Artery ◽

Artery Occlusion ◽

Long Term Results ◽

Hypogastric Artery ◽

Artery Embolization ◽

Baseline Characteristics ◽

Aneurysm Repair

Purpose To report the long-term results for patients treated with endovascular aneurysm repair and additional embolization and coverage of the hypogastric artery compared with patients treated with simple endovascular aneurysm repair. Methods A database of our endovascular aneurysm repair patient cohort was reviewed to find patients with iliac artery aneurysms. The baseline characteristics, the procedural data and the results for patients treated with endovascular aneurysm repair and concomitant hypogastric artery embolization were compared with those for patients treated with simple endovascular aneurysm repair. The results were analyzed for significant differences. Results Of 106 endovascular aneurysm repair patients treated at our vascular unit from 2001 to 2010, 24 had undergone additional hypogastric artery embolization. The complication rate was significantly increased in this group (12.5% vs. 2.4%; p = 0.041), and the long-term results were significantly poorer. Additional hypogastric artery embolization resulted in late rupture (1.2% vs. 12.5%; p = 0.036), buttock claudication (8.6% vs. 43.8%; p = 0.001) and new onset erectile dysfunction (17.3% vs. 42.9%; p = 0.043). Conclusion Endovascular aneurysm repair with extension of the stent graft to the external iliac artery and embolization of the hypogastric artery was associated with more complications and worse long-term results compared with simple endovascular aneurysm repair.

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