A 10-Year Single-Center Prospective Study of Endovascular Abdominal Aortic Aneurysm Repair With the Talent Stent-Graft

Abstract

Endovascular aneurysm treatment with the Talent stent-graft has proven to be effective in the prevention of AAA rupture into the long term.

The Endurant Stent Graft System: 15-month follow-up report in patients with challenging abdominal aortic anatomies

“…This 30-day outcome in terms of type I endoleak compares well with results recently reported for other EVAR devices [26][27][28][29][30][31]. Even in midterm follow-up, the Endurant stent graft achieved excellent outcomes (1.3% type I endoleak and freedom from type I endoleak of 97%) in patients with a short aortic or severely angulated neck.…”

Long-term results of Talent endografts for endovascular abdominal aortic aneurysm repair

“…12,13 Although long-term all-cause mortality is high in the current study, the 30-day mortality data of our cohort are good and even lower than in other series for EVAR and substantially lower than open repair. 1,2,8,12 The EVAR-1 and DREAM trials showed an operative (30-day) mortality rate for the open-repair group of 4.7 and 4.6%, respectively. 1,2 Aneurysm-related death and rupture in our study were limited and at least comparable to results reported in the randomized trials and registries.…”

“…5,12 Through the years, indications for EVAR have changed. In the beginning, EVAR was more likely to be used as a therapy in patients who were unfit for open surgery.…”

“…Our data are consistent with other publications. 5,12 During the follow-up years, reinterventions had to be performed consistently through all years. Regarding the Kaplan-Meier curve, a substantial increase in reinterventions could be observed in later years of follow-up.…”

A ruptured aneurysm after stent graft puncture during computed tomography-guided thrombin injection

“…Type II endoleaks occur in about 5% to 10% of patients who are treated by EVAR. 2,3 An aggressive approach was adopted in the early days of EVAR, and all type II endoleaks were treated in fear of aneurysm rupture. 4 Most large series assessing type II endoleaks have demonstrated a relationship between persistent type II endoleaks and aneurysm sac expansion, reinterventions, and even rupture.…”