Results of fenestrated and branched endovascular aortic aneurysm repair after failed infrarenal endovascular aortic aneurysm repair.

Journal of Vascular Surgery
Andres SchanzerU.S. Multicenter Fenestrated/Branched Aortic Research Consortium

Abstract

Failure of infrarenal endovascular aneurysm repair (EVAR) due to loss of proximal seal is increasingly common. Open surgical conversion can be challenging and has been associated with significant morbidity and mortality. The aim of this study was to evaluate the use of fenestrated-branched EVAR (F/BEVAR) for the treatment of patients with prior EVAR failure. Consecutive patients enrolled as part of the Aortic Research Consortium in six prospective, nonrandomized, physician-sponsored investigational device exemption studies evaluating F/BEVAR between 2012 and 2018 were included in this study. The cohort was stratified according to whether the F/BEVAR procedure was performed after EVAR failure. Demographics, operative details, perioperative complications, and length of stay were compared between groups. Postprocedural survival, type I or type III endoleak, target artery patency, target artery instability, and reintervention rates were calculated using Kaplan-Meier method and compared between groups. A total of 893 patients underwent F/BEVAR; 161 (18%) were treated after failed EVAR and 732 (82%) were treated without prior EVAR. Patients with failed EVAR were more often men (84% vs 66%; P < .01) with larger aneurysms (6.9 cm vs 6....Continue Reading

Citations

Mar 30, 2021·Journal of Vascular Surgery·Natasha I EdmanUNKNOWN U.S. Fenestrated and Branched Aortic Research Consortium
Apr 20, 2021·Vascular and Endovascular Surgery·Andrew H Smith, Behzad S Farivar
May 28, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Paul GhalyMehtab Ahmad
May 26, 2021·The Journal of Thoracic and Cardiovascular Surgery·UNKNOWN Trans-Atlantic Aortic Research Consortium Investigators
Aug 9, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Aurélien HostalrichUNKNOWN Association Universitaire de Recherche en Chirurgie (AURC)
Sep 4, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Maciej JuszczakDonald J Adam
Oct 28, 2021·The New England Journal of Medicine·Andres Schanzer, Gustavo S Oderich

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.