1. Outcomes of endovascular aneurysm repair with 2 different endograft systems with suprarenal fixation in patients with hostile infrarenal aortic anatomy.
- Author
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Antoniou GA, Georgiadis GS, Glancz L, Delbridge M, Murray D, Smyth JV, Lazarides MK, and Serracino-Inglott F
- Subjects
- Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal diagnostic imaging, Aortic Aneurysm, Abdominal mortality, Aortography methods, Blood Vessel Prosthesis Implantation mortality, Chi-Square Distribution, Endoleak etiology, Endovascular Procedures mortality, England, Female, Greece, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Prospective Studies, Prosthesis Design, Time Factors, Tomography, X-Ray Computed, Treatment Outcome, Aortic Aneurysm, Abdominal surgery, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation instrumentation, Endovascular Procedures instrumentation, Stents
- Abstract
Objective: To evaluate 2 different aortic endograft systems with suprarenal fixation in patients with unfavorable neck morphology., Methods: A prospective observational study assigning patients with abdominal aortic aneurysm with unfriendly neck anatomy treated with 2 different endograft systems (Endurant and Zenith) was conducted. The log-rank test was applied to investigate the differences in cumulative outcome parameters., Results: Successful endograft implantation was achieved in all patients. Requirement for troubleshooting techniques was similar in the 2 groups (P = .156 and P = .081, respectively). In-hospital procedure-related morbidity occurred in 7 patients (Zenith vs Endurant, P = .690). Freedom from any type of endoleak and overall mortality did not differ significantly between the groups (log-rank test, P = .068 and P = .087). Reinterventions were more commonly required in the Zenith group (log-rank rest, P = .041), and were all nongraft/aneurysm-related., Conclusions: Similar performances of the Zenith and the Endurant endograft systems were demonstrated.
- Published
- 2013
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