Impact of stent-graft complexity on mid-term results in fenestrated endovascular aortic repair of juxtarenal and suprarenal abdominal aortic aneurysms.
Humans
Blood Vessel Prosthesis
/ adverse effects
Endovascular Aneurysm Repair
Blood Vessel Prosthesis Implantation
/ adverse effects
Stents
/ adverse effects
Retrospective Studies
Endovascular Procedures
Risk Factors
Postoperative Complications
Prosthesis Design
Time Factors
Aortic Aneurysm, Abdominal
/ diagnostic imaging
Treatment Outcome
Intraoperative Complications
Journal
The Journal of cardiovascular surgery
ISSN: 1827-191X
Titre abrégé: J Cardiovasc Surg (Torino)
Pays: Italy
ID NLM: 0066127
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
medline:
2
6
2023
pubmed:
16
9
2022
entrez:
15
9
2022
Statut:
ppublish
Résumé
The impact of stent-graft complexity on clinical outcome after fenestrated endovascular aortic aneurysm repair (FEVAR) has been conflicting in the literature. The objective of this study was to compare mid-term results of stent-grafts with renal fenestrations alone with more complex stent-grafts including mesenteric fenestrations. A single center retrospective study was conducted on 154 patients, who underwent FEVAR from 2006 to 2020 at our institution. There were 54 (35.1%) patients in the renal FEVAR group and 100 (64.9%) patients in the complex FEVAR group. Median follow-up of the total group was 25 months (IQR 7-45). There were no significant differences in technical success and perioperative mortality. Intraoperative complications (4% vs. 18%, P=0.001), operative time (145 min vs. 191 min, P=0.001), radiation dose (119372 mGy*cm In this single center retrospective study, renal FEVAR was a safe and effective treatment for patients with juxtarenal AAA demonstrating fewer intraoperative complications and similar mid-term outcomes as complex FEVAR. If the anatomy is compatible for renal FEVAR, it might be unnecessary to expose patients to potentially more complications by choosing a complex FEVAR strategy.
Sections du résumé
BACKGROUND
BACKGROUND
The impact of stent-graft complexity on clinical outcome after fenestrated endovascular aortic aneurysm repair (FEVAR) has been conflicting in the literature. The objective of this study was to compare mid-term results of stent-grafts with renal fenestrations alone with more complex stent-grafts including mesenteric fenestrations.
METHODS
METHODS
A single center retrospective study was conducted on 154 patients, who underwent FEVAR from 2006 to 2020 at our institution.
RESULTS
RESULTS
There were 54 (35.1%) patients in the renal FEVAR group and 100 (64.9%) patients in the complex FEVAR group. Median follow-up of the total group was 25 months (IQR 7-45). There were no significant differences in technical success and perioperative mortality. Intraoperative complications (4% vs. 18%, P=0.001), operative time (145 min vs. 191 min, P=0.001), radiation dose (119372 mGy*cm
CONCLUSIONS
CONCLUSIONS
In this single center retrospective study, renal FEVAR was a safe and effective treatment for patients with juxtarenal AAA demonstrating fewer intraoperative complications and similar mid-term outcomes as complex FEVAR. If the anatomy is compatible for renal FEVAR, it might be unnecessary to expose patients to potentially more complications by choosing a complex FEVAR strategy.
Identifiants
pubmed: 36106397
pii: S0021-9509.22.12311-6
doi: 10.23736/S0021-9509.22.12311-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM