Your browser doesn't support javascript.
loading
The Ultra-Low-Profile Minos Endograft in Abdominal Aortic Aneurysms with Standard and Hostile Anatomy. A Multicenter Retrospective Study.
Marone, Enrico Maria; Cognolato, Diego; Perkmann, Reinhold; Brioschi, Chiara; Molon, Elena; Coppi, Giovanni; Rinaldi, Luigi Federico.
Afiliación
  • Marone EM; Vascular Surgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy; Vascular Surgery Department, Ospedale Policlinico di Monza, Monza, Italy.
  • Cognolato D; Vascular Surgery Department, San Bassiano Hospital, Bassano del Grappa, Italy.
  • Perkmann R; Vascular Surgery Department, Bozen Hospital, Südtiroler Sanitätsbetrieb, Bozen, Italy.
  • Brioschi C; Vascular Surgery Department, Ospedale Policlinico di Monza, Monza, Italy.
  • Molon E; Vascular Surgery Department, San Bassiano Hospital, Bassano del Grappa, Italy.
  • Coppi G; Vascular Surgery Department, Bozen Hospital, Südtiroler Sanitätsbetrieb, Bozen, Italy.
  • Rinaldi LF; Vascular Surgery Department, Ospedale Policlinico di Monza, Monza, Italy. Electronic address: luigif.rinaldi@gmail.com.
Ann Vasc Surg ; 108: 219-227, 2024 Nov.
Article en En | MEDLINE | ID: mdl-39025219
ABSTRACT

BACKGROUND:

Narrow and tortuous iliac axes are the second most common reason the feasibility of endovascular aortic repair (EVAR), and low-profile endografts were conceived to overcome the limitation of narrow and tortuous iliac axes. This study aims to report the initial results of EVAR performed with the ultra-low-profile Minos® abdominal endograft through a retrospective study conducted across 3 high-volume centers.

METHODS:

We retrospectively reviewed a prospectively maintained database collecting all consecutive EVAR performed with the Minos endograft across 3 Centers of Vascular Surgery between 2020 and 2023. Patients' clinical and operative data, perioperative, and postoperative outcomes were recorded.

RESULTS:

Ninety patients received EVAR with the Minos endograft. Assisted technical success was 100%, with 6 unplanned adjunctive procedures. Two perioperative complications required re

interventions:

1 access site surgical bleeding and an iliac limb occlusion. All unplanned adjunctive procedures and early reinterventions (8 in 7 patients) occurred in abdominal aortic aneurysms with hostile iliac arteries or narrow carrefour. Over a mean follow-up of 14.2 ± 9.6 months, no deaths were observed, and all patients completed the scheduled surveillance protocol. Late reinterventions were 6 (6.7%) 2 type IA endoleaks (ELs), 1 type IB EL, 1 type II EL, and 2 limb occlusions. There was no significant difference in reintervention rates between aneurysms with hostile and standard anatomy.

CONCLUSIONS:

The Minos endograft is safe and effective in treating aneurysms with hostile and standard anatomy, and its results are maintained at a mean follow-up of 14 months. A larger sample size and a longer follow-up are necessary to assess the results on the longer term.
Asunto(s)
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: Complicaciones Posoperatorias / Diseño de Prótesis / Prótesis Vascular / Bases de Datos Factuales / Aneurisma de la Aorta Abdominal / Implantación de Prótesis Vascular / Procedimientos Endovasculares Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos
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: Complicaciones Posoperatorias / Diseño de Prótesis / Prótesis Vascular / Bases de Datos Factuales / Aneurisma de la Aorta Abdominal / Implantación de Prótesis Vascular / Procedimientos Endovasculares Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos