Unibody bifurcated aortic endograft: device description, review of the literature and future perspectives

2020 ◽  
Author(s):  
Pasqualino Sirignano ◽  
Roberto Silingardi ◽  
Wassim Mansour ◽  
Francesco Andreoli ◽  
Mattia Migliari ◽  
...  
Keyword(s):  
Real Life ◽  
Aortic Aneurysms ◽  
Main Body ◽  
Future Perspectives ◽  
Review Of The Literature ◽  
Unselected Patient ◽  
Abdominal Aortic ◽  
Real Life Data ◽  
Anatomical Fixation ◽  
Unselected Patient Population

The unibody (Powerlink/AFX/AFX2) Endovascular AAA device (Endologix Inc., CA, USA) presents a unique design with its long main body and two innate limbs. The device is designed to be deployed and sits on the native aortoiliac bifurcation and represents the only one-piece bifurcated endograft designed to use anatomical fixation for endograft stabilization. According to published literature, the unibody device seems to represent a valid choice in the treatment of abdominal aortic aneurysms. This particular device would seem to satisfactorily perform even in the treatment of more compressed aneurysms (also in off-label association with parallel grafts) and in occlusive pathologies. Ongoing studies will provide new real-life data in a large and unselected patient population to better understand the device’s advantages and limitations.

scholarly journals Rupture Rates of Small Abdominal Aortic Aneurysms: A Systematic Review of the Literature

2011 ◽  
Vol 53 (1) ◽  
pp. 249
Author(s):  
J.T. Powell ◽  
S.M. Gotensparre ◽  
M.J. Sweeting ◽  
L.C. Brown ◽  
F.G.R. Fowkes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Review Of The Literature ◽  
Abdominal Aortic

Τhe AFX unibody bifurcated unibody aortic endograft for the treatment of abdominal aortic aneurysms: current evidence and future perspectives

2019 ◽  
Vol 17 (1) ◽  
pp. 5-15
Author(s):  
Efstratios Georgakarakos ◽  
Georgios Ioannidis ◽  
Andreas Koutsoumpelis ◽  
Nikolaos Papatheodorou ◽  
Christos Argyriou ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Current Evidence ◽  
Future Perspectives ◽  
Abdominal Aortic

The ovation abdominal stent graft for the treatment of abdominal aortic aneurysms: current evidence and future perspectives

2016 ◽  
Vol 13 (3) ◽  
pp. 253-262 ◽  
Author(s):  
Efstratios Georgakarakos ◽  
Christos V. Ioannou ◽  
George S. Georgiadis ◽  
Martin Storck ◽  
George Trellopoulos ◽  
...  
Keyword(s):  
Stent Graft ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Current Evidence ◽  
Future Perspectives ◽  
Abdominal Aortic

Contemporary Results of Endovascular Repair of Abdominal Aortic Aneurysms: Effect of Anatomical Fixation on Outcomes

2010 ◽  
Vol 17 (2) ◽  
pp. 153-162 ◽  
Author(s):  
Jeffrey P. Carpenter ◽  
Mark J. Garcia ◽  
Stuart A. Harlin ◽  
William D. Jordan ◽  
Matthew T. Jung ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Anatomical Fixation

scholarly journals Abdominal aortic aneurysms that have ruptured or are at imminent risk of rupture

2019 ◽  
Vol 52 (3) ◽  
pp. 182-186
Author(s):  
Ingrid Braga Corrêa ◽  
Bruna Leal Torres Alves ◽  
Tarcísio Angelo de Oliveira Sobrinho ◽  
Laura Filgueiras Mourão Ramos ◽  
Renata Lopes Furletti Caldeira Diniz ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Emergency Setting ◽  
Imaging Findings ◽  
Review Of The Literature ◽  
Abdominal Aortic ◽  
Risk Of Rupture ◽  
Pictorial Essay ◽  
Imminent Risk

Abstract The rupture of an abdominal aortic aneurysm (AAA) is considered a high-risk surgical emergency, given the catastrophic consequences and high mortality rate. The objective of this pictorial essay is to illustrate the radiological signs that indicate rupture or imminent rupture. To that end, we describe cases treated at our facility and present a brief review of the literature on the topic. The clinical diagnosis of imminent AAA rupture can be difficult, because patients are usually asymptomatic or have nonspecific pain complaints. In the subsequent follow-up, it is possible to identify radiological signs that indicate instability or rupture itself and thus change the prognosis. Computed tomography is the modality of choice for evaluating an AAA and abdominal pain in the emergency setting. It is therefore essential that the radiologist immediately identify the imaging findings that indicate AAA rupture or the imminent risk of such rupture.

scholarly journals Techniques and future perspectives for the prevention and treatment of endoleaks after endovascular repair of abdominal aortic aneurysms

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Gianluigi Orgera ◽  
Marcello Andrea Tipaldi ◽  
Florindo Laurino ◽  
Pierleone Lucatelli ◽  
Alberto Rebonato ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Future Perspectives ◽  
Endovascular Embolisation ◽  
Abdominal Aortic ◽  
Prevention And Treatment ◽  
The Future

Abstract The presence of endoleaks remains one of the main drawbacks of endovascular repair of abdominal aortic aneurysms leading to the increase of the size of the aneurysmal sac and in most of the cases to repeated interventions. A variety of devices and percutaneous techniques have been developed so far to prevent and treat this phenomenon, including sealing of the aneurysmal sac, endovascular embolisation, and direct sac puncture. The aim of this review is to analyse the indications, the effectiveness, and the future perspectives for the prevention and treatment of endoleaks after endovascular repair of abdominal aortic aneurysms.

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