Outcomes of total endovascular treatment of juxtarenal aortic aneurysms in octogenarians

Journal of Vascular Surgery
Diogo SilveiraKonstantinos P Donas

Abstract

We set out to present the late 3-year performance of total endovascular treatment of juxtarenal aortic aneurysms in octogenarians by the chimney/snorkel technique. At one center, between January 2009 and December 2014, chimney/snorkel technique-endovascular aortic aneurysm repair was performed in 35 high-risk unfit-for-open-repair octogenarian patients with juxtarenal aortic aneurysms. Twenty-five patients were asymptomatic (71.4%), and 10 patients were treated in an urgent care setting. The median follow-up was 36 months (range, 1-69). The primary endpoint was the survival rate. Technical success was 100%. A single chimney-graft placement was performed in 22 patients (62.9%), double chimneys in 10 patients (28.6%), and triple chimneys were performed in 3 (8.5%) patients. Overall, 51 renovisceral vessels (22 right renal arteries, 23 left renal arteries, and 6 superior mesenteric arteries) were involved. The thirty-day mortality rate was 2.9% (n = 1). Early morbidity was 14.3%, predominantly due to access-related complications. Major adverse events were observed in 5.7% (n = 2) of the present cohort. No early reinterventions for endoleaks were registered. The midterm reintervention rate was 12.1% due to type Ib endoleak (n = 1),...Continue Reading

References

Oct 26, 2005·Journal of Vascular Surgery·Conrad LangeUNKNOWN EUROSTAR collaborators
Jan 22, 2008·Journal of Vascular Surgery·Margot HenebiensMark J W Koelemay
Mar 25, 2008·Journal of Vascular Surgery·David PaoliniAnthony J Comerota
Mar 30, 2010·Journal of Vascular Surgery·Stuart B PrennerPeter L Faries
Jul 14, 2010·Journal of Vascular Surgery·Rodrigo FonsecaMark Adelman
Apr 26, 2011·Journal of Vascular Surgery·Raphael CoscasJean-Pierre Becquemin
Sep 13, 2011·Journal of Vascular Surgery·Philipp GeisbüschJames F Benenati
Sep 18, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J ConstantinouK Ivancev
Feb 18, 2014·Annals of Vascular Surgery·Adrien HertaultStéphan Haulon

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Citations

Feb 23, 2020·The Journal of Cardiovascular Surgery·Igor B KončarStefan M Dučič

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