One-year multicenter results of 100 abdominal aortic aneurysm patients treated with the Endurant stent graft

Abstract

The treatment of patients with AAAs with the Endurant stent graft seems to be successful and durable during the first year after EVAR. Despite the wider inclusion criteria for the Endurant, and with 19% of our patients treated outside the IFU, the AAA-related mortality, number of type I or III endoleaks, and reintervention rates are comparable to the results of other stent grafts.

A comparative study of the bell-bottom technique vs hypogastric exclusion for the treatment of aneurysmal extension to the iliac bifurcation

“…16,18 Recently this technique has been superseded by the introduction of commercially available large diameter iliac extension limbs of up to 28 mm diameter. 19 …”

Preliminary Results from a National Enquiry of Infection in Abdominal Aortic Endovascular Repair (Registry of Infection in EVAR - R.I.EVAR)

“…Among them, endograft infection can be considered one of the most 4 serious and devastating one, with mortality rates following diagnosis ranging from 16% in 5 surgically-treated patients 1 to 100% in conservatively-treated patients 2 . Risk factors for such an 6 occurrence are usually considered an urgent setting, the employment of a radiology suite instead of 7 the operating theatre, a redo operation, and a too short prophylactic antibiotic therapy before any 8 invasive procedures performed in a patient previously submitted to EVAR 1 . The incidence of 9 abdominal endograft infection is reported between 0.25% 3 and 1% 4 , even if its exact magnitude is 10 difficult to estimate because many of those cases are underreported.…”

Initial Single-Center Experience with the Ovation Stent-Graft System in the Treatment of Abdominal Aortic Aneurysms: Application to Challenging Iliac Access Anatomies

“…Gandini et al 12 reported a case of successful use of the Ovation stent graft in a challenging case of aortoiliac anatomy combining a narrow (14 mm) calcified bifurcation with a calcified, narrow iliac 21 The combination of these features enhances the flexibility of the iliac limbs and may attribute to the optimal clinical performance of Ovation to confront challenging iliac anatomies, providing better stent interlocking during bending and, thus, lower luminal reduction. 22,23 Therefore, although the IFU of the particular endograft suggest an inner iliac wall diameter of 8 mm, the reported results in the literature advocate the use in much smaller diameters.…”