Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2019 June;60(3) > The Journal of Cardiovascular Surgery 2019 June;60(3):364-8

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

ORIGINAL ARTICLE  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2019 June;60(3):364-8

DOI: 10.23736/S0021-9509.17.09862-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Preliminary experience with the Endurant II short form stent-graft system

Nicola TROISI 1 , Georgios PITOULIAS 2, Stefano MICHELAGNOLI 1, Giovanni TORSELLO 3, Arne STACHMANN 3, Theodosios BISDAS 3, Yukun LI 3, Konstantinos P. DONAS 3

1 Unit of Vascular and Endovascular Surgery, Department of Surgery, San Giovanni di Dio Hospital, Florence, Italy; 2 Division of Vascular Surgery, Second Department of Surgery, Aristotle University, Thessaloniki, Greece; 3 Department of Vascular Surgery, St. Franziskus Hospital Münster, Münster, Germany



BACKGROUND: The aim of this study was to evaluate our preliminary experience with the use of the Endurant II short form (IIs) stent-graft in the treatment of abdominal aortic aneurysms (AAAs).
METHODS: Between November 2014 and November 2015, 79 patients were consecutively treated with the Endurant IIs stent-graft at three European vascular centers. Early (30-day) results in terms of technical success, limb occlusion, major morbidity, and mortality were analyzed. Estimated 1-year outcomes in terms of survival, freedom from type I endoleak, freedom from limb occlusion, and freedom from any device-related reinterventions were assessed with Kaplan-Meyer method. Factors affecting 1-year freedom from type I endoleak were analyzed by log-rank test and by Cox regression test for multivariate analysis.
RESULTS: Intraoperative technical success was achieved in all cases. Thirty-day mortality was 1.3% (one death due to cardiac failure). Early type I endoleak was detected in three patients (3.8%). During the follow-up (mean duration 6.7 months; range 1-14), two type I endoleaks resolved spontaneously. No limb occlusions or aneurysm-related reinterventions were recorded. Estimated survival, freedom from type I endoleak, freedom from limb occlusions, and freedom from any device-related reinterventions rates at 1 year were 96%, 96.6%, 100%, and 100%, respectively. Adoption of chimney technique significantly affected 1-year freedom from type I endoleak (P≤0.001).
CONCLUSIONS: Preliminary use of the new Endurant IIs stent-graft is safe and effective in endovascular repair of AAAs (EVAR) without early limb occlusions. Further studies with larger population sizes and longer follow-up are needed to evaluate mid- and long-term results.


KEY WORDS: Abdominal aortic aneurysm; Vascular grafting; Endovascular procedures

top of page