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ORIGINAL ARTICLES  AN UPDATE ON AVAILABLE STENTS FOR THE MANAGEMENT OF ABDOMINAL AORTIC ANEURYSMS 

The Journal of Cardiovascular Surgery 2009 April;50(2):139-43

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

The advantages of Aorfix™ for endovascular repair of abdominal aortic aneurysm

Balasubramaniam K., Hardman J., Horrocks M., Bulbulia R.

Royal United Hospital, Bath, United Kingdom


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Aim. The aim of this paper was to review the use of the Aorfix™ stent-graft in the endovascular repair of abdominal aortic aneurysms and to report the early results of a multicenter study conducted on patients receiving this endograft.
Methods. A retrospective review of 40 patients having the Aorfix™ stent-grafts for their aneurysm repair was undertaken at two centers. Patient notes and imaging findings were used to identify technical success, 30 day mortality, rupture rates during follow-up, postoperative complications including endoleaks, graft migration and any secondary interventions.
Results. All patients were treated successfully. Four patients required the use of proximal extensions due to severe neck angulation. There were neither deaths nor secondary interventions in the follow-up period. No incidence of graft migration or endoleaks was identified at 12 months after the procedure.
Conclusion. Early data with the Aorfix™ stent-graft shows favorable results. The device’s flexible design allows safe and accurate aneurysm sac exclusion in patients with highly challenging anatomy. This is likely to increase the number of patients considered suitable for endovascular aneurysm repair, who were previously excluded from this type of treatment and also reduce the levels of endoleaks.

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