Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > Articles online first > The Journal of Cardiovascular Surgery 2020 Nov 13

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi PROMO
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo

 

 

The Journal of Cardiovascular Surgery 2020 Nov 13

DOI: 10.23736/S0021-9509.20.11544-1

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Experience with physician-modified Ankura Endografts for endovascular repair of thoracoabdominal aortic aneurysms

Guangmin YANG, Ming ZHANG, Yepeng ZHANG, Tong QIAO, Min ZHOU , Xiaoqiang LI

Department of Vascular Surgery, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, Nanjing, Jiangsu, China


PDF


BACKGROUND: To evaluate the early results of fenestrated/branched endovascular aortic repair (F/B-EVAR) of thoracoabdominal aortic aneurysms (TAAAs) using physician-modified Ankura endografts (PMEGs).
METHODS: Sixteen consecutive patients who underwent F/B-EVAR using PMEGs between July 2017 and December 2018 were retrospectively reviewed. The perioperative mortality and morbidity of the PMEG technique were assessed, and the early results of follow-up were evaluated.
RESULTS: The median age of the patients was 75.3 years old (range, 48-83 years), and 12 (75.0%) patients were male. The median TAAA diameter was 7.1±1.5 cm (range 5.1-11 cm). The initial technical success rate of vessel revascularization was 98.2% (55 of 56). Target vessel patency was 98.1% (52/53), and freedom from reintervention was 98.1% (52/53) at follow-up. The 30-day mortality rates 6.3%. There was no death during follow-up.
CONCLUSIONS: In conclusion, PMEGs represent an important innovation, with favorable initial results, in the treatment of patients with complex TAAAs who may be unfit for open repair. In addition, they remain a promising option for high-risk patients in need of urgent repair who cannot wait for a custom-made device.


KEY WORDS: Fenestrated/branched endovascular aortic repair (F/B-EVAR); Physicianmodified endografts (PMEGs); Thoracoabdominal aortic aneurysms (TAAAs); Branches, fenestrations

inizio pagina