Your browser doesn't support javascript.
loading
Endovascular Popliteal Artery Aneurysm Repair Using an "Off-Label" Abdominal Endograft Limb-Module with Nitinol-Ring Structure: A Single Centre Experience.
Nagar, H J; Bungay, P; Podlasek, A; Pollock, J G.
Afiliación
  • Nagar HJ; Department of Vascular and Interventional Radiology, University Hospitals of Derby and Burton NHS Trust, Derbyshire, UK.
  • Bungay P; Department of Vascular and Interventional Radiology, University Hospitals of Derby and Burton NHS Trust, Derbyshire, UK.
  • Podlasek A; Department of Vascular and Interventional Radiology, University Hospitals of Derby and Burton NHS Trust, Derbyshire, UK.
  • Pollock JG; Department of Vascular and Interventional Radiology, University Hospitals of Derby and Burton NHS Trust, Derbyshire, UK. graham.pollock@nhs.net.
Cardiovasc Intervent Radiol ; 46(11): 1562-1570, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37759089
PURPOSE: To evaluate endovascular popliteal artery aneurysm repair using a an "off-label" abdominal endograft limb-module with nitinol-ring structure. MATERIALS AND METHODS: Retrospective observational study of 14 popliteal artery aneurysms in 12 male patients (mean age 76 years and median ASA grade 3) treated electively using the Anaconda™ endograft limb (Terumo Aortic) at a single teaching hospital. Eight limbs were treated percutaneously and 6 limbs required surgical arterial exposure. The mean popliteal artery aneurysm diameter treated was 3.6 cm (range 2.1-5.3 cm). Stent-graft diameters and lengths used were 10-15 and 60-140 mm, respectively. The median covered stented length was 218 mm (range 160-270 mm) and median duration of follow-up was 3.7 years. Outcomes assessed included technically successful aneurysm exclusion, primary patency, re-intervention and survival. RESULTS: All patients had successful stent-graft deployment and aneurysm exclusion, with no early complications or mortality at 30 days. Primary stent-graft patency at 1, 3 and 4 years was 93%, 75%, and 64%. By 8 years, patency had declined with 29% (2/14) stent-grafts patent. 7/14 limbs occluded; 3 underwent re-intervention (2 surgical, 1 endovascular). There were no deaths related to the procedure. Freedom from re-intervention and survival at 1/5 years was 93%/84% and 93%/67%, respectively. CONCLUSION: The Anaconda™ endograft limb for endovascular popliteal artery aneurysm repair offers good mid-term patency and acceptable long-term patency up to 4 years when compared with other grafts and open surgery. It may be considered in older comorbid patients unfit for surgery and can be performed percutaneously under local anaesthesia when anatomically feasible.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantación de Prótesis Vascular / Procedimientos Endovasculares / Aneurisma de la Arteria Poplítea / Aneurisma Tipo de estudio: Observational_studies Límite: Aged / Humans / Male Idioma: En Revista: Cardiovasc Intervent Radiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantación de Prótesis Vascular / Procedimientos Endovasculares / Aneurisma de la Arteria Poplítea / Aneurisma Tipo de estudio: Observational_studies Límite: Aged / Humans / Male Idioma: En Revista: Cardiovasc Intervent Radiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos