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204. Editor's Choice - Current Options and Recommendations for the Treatment of Thoracic Aortic Pathologies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)

Author

Czerny, Martin, Schmidli, Jürg, Adler, Sabine, Van Den Berg, Josua Cornelis, Bertoglio, Luca, Carrel, Thierry, Chiesa, Roberto, Clough, Rachel E, Eberle, Balthasar, Etz, Christian, Grabenwöger, Martin, Haulon, Stephan, Jakob, Heinz, Kari, Fabian A, Mestres, Carlos A, Pacini, Davide, Resch, Timothy, Rylski, Bartosz, Schönhoff, Florian, Shrestha, Malakh, Von Tengg-Kobligk, Hendrik, Tsagakis, Konstantinos, Wyss, Thomas R., Chakfe, Nabil, Debus, Sebastian, De Borst, Gert J., Di Bartolome, Roberto, Lindholt, Jes, Ma, Wei-Guo, Suwalsk, Piotr, Vermassen, Frank, Wahba, Alexander, and Von Ballmoos, Moritz C. Wyler

Subjects
610 Medicine & health
Published
2019
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205. Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS)

Author

Czerny, Martin, Schmidli, Jürg, Adler, Sabine, van den Berg, Jos C, Bertoglio, Luca, Carrel, Thierry, Chiesa, Roberto, Clough, Rachel E, Eberle, Balthasar, Etz, Christian, Grabenwöger, Martin, Haulon, Stephan, Jakob, Heinz, Kari, Fabian A, Mestres, Carlos A, Pacini, Davide, Resch, Timothy, Rylski, Bartosz, Schoenhoff, Florian, Shrestha, Malakh, von Tengg-Kobligk, Hendrik, Tsagakis, Konstantinos, Wyss, Thomas R, University of Zurich, and Czerny, Martin

Subjects
2740 Pulmonary and Respiratory Medicine, 610 Medicine & health, 2705 Cardiology and Cardiovascular Medicine, 10020 Clinic for Cardiac Surgery, 2746 Surgery
Published
2019

206. European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms

Author

Wanhainen, Anders, Verzini, Fabio, Van Herzeele, Isabelle, Allaire, Eric, Bown, Matthew, Cohnert, Tina, Dick, Florian, van Herwaarden, Joost, Karkos, Christos, Koelemay, Mark, Kölbel, Tilo, Loftus, Ian, Mani, Kevin, Melissano, Germano, Powell, Janet, Szeberin, Zoltán, ESVS Guidelines Committee, Null, de Borst, Gert J., Chakfe, Nabil, Debus, Sebastian, Hinchliffe, Rob, Kakkos, Stavros, Koncar, Igor, Kolh, Philippe, Lindholdt, Jes, de Vega, Melina, Vermassen, Frank, Document reviewers, Null, Björck, Martin, Cheng, Stephen, Dalman, Ronald, Davidovic, Lazar, Donas, Konstantinos, Earnshaw, Jonothan, Eckstein, Hans-Henning, Golledge, Jonathan, Haulon, Stephan, Mastracci, Tara, Naylor, Ross, Ricco, Jean-Baptiste, Verhagen, Hence, Surgery, and ACS - Atherosclerosis & ischemic syndromes

Subjects
Surgery, Cardiology and Cardiovascular Medicine
Published
2019

216. Erratum to ‘Long-term Survival and Risk Analysis in 136 Consecutive Patients With Type B Aortic Dissection Presenting to a Single Centre Over an 11-year Period’ [European Journal of Vascular & Endovascular Surgery 57/5 (2019) 633–8]

Author

Clough, Rachel E., primary, Barillà, David, additional, Delsart, Pascal, additional, Ledieu, Guillaume, additional, Spear, Rafaelle, additional, Crichton, Siobhan, additional, Vehier, Claire M., additional, Peacock, Janet, additional, Sobocinski, Jonathan, additional, and Haulon, Stephan, additional

Published
2019
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219. Long Term Evaluation Should Be an Integral Part of the Clinical Implementation of New Vascular Treatments - an ESVS Executive Committee Position Statement

Author

Sillesen, Henrik, primary, Debus, Sebastian, additional, Dick, Florian, additional, Eiberg, Jonas, additional, Halliday, Alison, additional, Haulon, Stephan, additional, Jongkind, Vincent, additional, Verhagen, Hence, additional, Vikatmaa, Pirkka, additional, and Kolh, Philippe, additional

Published
2019
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221. Editor's Choice – Long-term Survival and Risk Analysis in 136 Consecutive Patients With Type B Aortic Dissection Presenting to a Single Centre Over an 11 Year Period

Author

Clough, Rachel E., primary, Barillà, David, additional, Delsart, Pascal, additional, Ledieu, Guillaume, additional, Spear, Rafaelle, additional, Crichton, Siobhan, additional, Mounier Vehier, Claire, additional, Peacock, Janet, additional, Sobocinski, Jonathan, additional, and Haulon, Stephan, additional

Published
2019
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222. Coexisting hypogastric aneurysms worsen the outcomes of endovascular treatment by the iliac branch devices within the pELVIS Registry

Author

Donas, Konstantinos P., primary, Taneva, Gergana T., additional, Pitoulias, Georgios A., additional, Torsello, Giovanni, additional, Veith, Frank J., additional, Austermann, Martin, additional, Inchingolo, Mirjam, additional, Bisdas, Theodosios, additional, Pratesi, Giovanni, additional, Barbante, Matteo, additional, Cao, Piergiorgio, additional, Ferrer, Ciro, additional, Verzini, Fabio, additional, Parlani, Gianbatista, additional, Simonte, Gioele, additional, Pratesi, Carlo, additional, Fargion, Aaron, additional, Masciello, Fabrizio, additional, Kölbel, Tilo, additional, Tsilimparis, Nikolaos, additional, Haulon, Stephan, additional, Branzan, Daniela, additional, Schmidt, Andrej, additional, and Scheinert, Dirk, additional

Published
2019
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230. Anatomical Suitability of the Aortic Arch Arteries for a 3-Inner-Branch Arch Endograft.

Author

Spanos, Konstantinos, Haulon, Stephan, Eleshra, Ahmed, Rohlffs, Fiona, Tsilimparis, Nikolaos, Panuccio, Giuseppe, and Kölbel, Tilo

Abstract

Purpose: To analyze aortic arch anatomy of patients who were already treated with a 2-inner-branch arch endograft (2-IBAE) in order to assess the anatomical suitability of the supra-aortic arteries as target vessels for a 3-IBAE. Materials and Methods: Three different configurations of the Cook Zenith Arch endograft were designed with distances of 110 mm (model 1), 90 mm (model 2), and 70 mm (model 3) between the orifices of the first and third inner branches. Preoperative measurements of the aortic arch anatomy from 104 consecutive patients treated electively with custom-made 2-IBAEs at 2 European centers between 2014 and 2019 were analyzed. A previously described standard methodology with a planning sheet was used. Data and measurements included the treatment indication for the aortic arch pathology, the type of landing zone, the type of arch, and the inner and outer lengths of the ascending aorta from the sinotubular junction to the innominate artery (IA). Additionally, the diameters and clock positions of the IA, left common carotid artery (LCCA), and left subclavian artery (LSA) were assessed, along with the distances between the IA and the LCCA, the IA and the LSA, and the distal landing zone. Results: Type I was the most common arch configuration (75/104, 72%). The mean clock positions were 12:30±00:28 for the IA, 12:00±00:23 for the LCCA, and 12:15±00:29 for the LSA. The mean diameters were 14.2±2.2 mm for the IA, 8.8±1.8 mm for the LCCA, and 10.5±2 mm for the LSA. The mean distances between the IA and LCCA and between the IA and LSA were 14.7±5.8 mm and 33±9.4 mm, respectively. Model 2 (branch distance 90 mm) had the highest suitability (79%), while models 1 and 3 showed suitability rates of 73% and 68%, respectively. The most frequent exclusion criterion in all models was the diameter of the LSA, followed by the IA to LSA distance. Conclusion: The suitability for a 3-IBAE among patients who had a 2-IBAE implanted is high, favoring a 90-mm distance between the retrograde LSA branch and baseline. [ABSTRACT FROM AUTHOR]

Published
2021
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233. Results of the multicenter pELVIS Registry for isolated common iliac aneurysms treated by the iliac branch device

Author

Fargion, Aaron T., primary, Masciello, Fabrizio, additional, Pratesi, Carlo, additional, Pratesi, Giovanni, additional, Torsello, Giovanni, additional, Donas, Konstantinos P., additional, Austermann, Martin, additional, Weiss, Kristin, additional, Bosiers, Michel, additional, Dorigo, Walter, additional, Cao, Piergiorgio, additional, Ferrer, Ciro, additional, Ippoliti, Arnaldo, additional, Barbante, Matteo, additional, Pitoulias, Georgios A., additional, Verzini, Fabio, additional, Parlani, Gianbattista, additional, Simonte, Gioele, additional, Kölbel, Tilo, additional, Tsilimparis, Nikolaos, additional, Haulon, Stephan, additional, Branzan, Daniela, additional, and Schmidt, Andrej, additional

Published
2018
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234. A modified procedure for percutaneous pulmonary valve implantation of the SAPIEN 3 valve using a delivery sheath

Author

Hascoet, Sébastien, primary, Karsenty, Clément, additional, Tortigue, Marine, additional, Riou, Jean-Yves, additional, Boet, Angèle, additional, Tahhan, Nabil, additional, Houyel, Lucile, additional, Acar, Philippe, additional, Haulon, Stephan, additional, Fabre, Dominique, additional, Brenot, Philippe, additional, and Petit, Jérôme, additional

Published
2018
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241. Bilateral Use of Iliac Branch Devices for Aortoiliac Aneurysms Is Safe and Feasible, and Procedural Volume Does Not Seem to Affect Technical or Clinical Effectiveness: Early and Midterm Results From the pELVIS International Multicentric Registry

Author

D’Oria, Mario, Pitoulias, Georgios A., Torsello, Giovanni F., Pitoulias, Apostolos G., Fazzini, Stefano, Masciello, Fabrizio, Verzini, Fabio, Donas, Konstantinos P., Taneva, Gergana T., Austermann, Martin, Bosiers, Michel, Dorigo, Walter, Cao, Piergiorgio, Ferrer, Ciro, Ippoliti, Arnaldo, Barbante, Matteo, Parlani, Gianbattista, Simonte, Gioele, Kölbel, Tilo, Tsilimparis, Nikolaos, Haulon, Stephan, Branzan, Daniela, Schmidt, Andrej, Pratesi, Carlo, Fargion, Aaron, and Pratesi, Giovanni

Abstract

Objective To evaluate early and follow-up outcomes following bilateral use of iliac branch devices (IBD) for aortoiliac endografting and assess the impact of center volume. We used data from the pELVIS international multicentric registry.Methods For the purpose of this study, only those patients receiving concomitant bilateral IBD implantation were analyzed. To assess the impact that procedural volume of bilateral IBD implantation could have on early and follow-up outcomes, participating institutions were classified as Site(s) A if they had performed >10 and/or >20% concomitant bilateral IBD procedure, otherwise they were classified as Site(s) B. Endpoints of the analysis included early (ie, 30-day) mortality and morbidity, as well as all-cause and aneurysm-related mortality during follow-up. Additional endpoints that were evaluated included IBD-related reinterventions, IBD occlusion or stenosis requiring reintervention (ie, loss of primary patency), and IBD-related type I endoleak.Results Overall, 96 patients received bilateral IBD implantation (out of 910 procedures collected in the whole pELVIS cohort), of whom 65 were treated at Site A (ie, Group A) and 31 were treated at Site(s) B (ie, Group B). In total, only 1 death occurred within 30 days from bilateral IBD implantation, and 9 patients experienced at least 1 major complication without any significant difference between subjects in Group A versus those in Group B (10.8% vs 6.5%, p=0.714). In the overall cohort, the 2-year freedom from IBD-related type I endoleaks and IBD primary patency were 96% and 92%, respectively; no significant differences were seen in those rates between Group A or Group B (95% vs 100%, p=0.335; 93% vs 88%, p=0.470). Freedom from any IBD-related reinterventions was 83% at 2 years, with similar rates between study groups (85% vs 83%, p=0.904).Conclusions Within the pELVIS registry, concomitant bilateral IBD implantation is a safe and feasible technique for management of aortoiliac aneurysms in patients with suitable anatomy. Despite increased technical complexity, effectiveness of the repair is satisfactory with low rates of IBD-related adverse events at mid-term follow-up. Procedural volume does not seem to affect technical or clinical outcomes after bilateral use of IBD, which remains a favorable treatment option in selected patients.

Published
2021
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242. Results of Iliac Branch Devices in Octogenarians Within the pELVIS Registry

Author

Fargion, Aaron Thomas, Masciello, Fabrizio, Pratesi, Giovanni, Torsello, Giovanni, Donas, Konstantinos P., Pratesi, Carlo, Austermann, Martin, Inchingolo, Mirjam, Bisdas, Theodosios, Pitoulias, Georgios A., Taneva, Gergana T., Dorigo, Walter, Ippoliti, Arnaldo, Barbante, Matteo, Cao, Piergiorgio, Ferrer, Ciro, Verzini, Fabio, Parlani, Gianbattista, Simonte, Gioele, Kölbel, Tilo, Tsilimparis, Nikolaos, Haulon, Stephan, Branzan, Daniela, Schmidt, Andrej, and Scheinert, Dirk

Abstract

Purpose:To evaluate if the elderly could benefit from the implantation of iliac branch devices (IBDs) to preserve the patency of the internal iliac artery (IIA) in aneurysms involving the iliac bifurcation. Materials and Methods:From January 2005 to April 2017, 804 patients enrolled in the pELVIS registry underwent endovascular aneurysm repair with 910 IBDs due to aneurysmal involvement of the iliac bifurcation. Among the 804 patients, 157 (19.5%) were octogenarians (mean age 82.9±2.5 years; 157 men) with 171 target IIAs for preservation. Outcomes at 30 days included technical success, death, conversion to open surgery, and major complications. Outcomes evaluated in follow-up were patency of the IBD and target vessels, type I and type III endoleaks, aneurysm-related reinterventions, aneurysm-related death, and overall patient survival. Kaplan-Meier analyses were employed to evaluate the late outcome measures; the estimates are presented with the 95% confidence interval (CI). Results:Technical success was 99.4% with no intraoperative conversions or deaths (1 bridging stent could not be implanted, and the IIA was sacrificed). Perioperative mortality was 1.9%. The overall perioperative aneurysm-related complication rate was 8.9% (14/157), with an early reintervention rate of 5.1% (8/157). Median postoperative radiological and clinical follow-up were 21.8 months (range 1–127) and 29.3 months (range 1–127), respectively. Estimated rates of freedom from occlusion of the IBD, the IIA, and the external iliac artery at 60 months were 97.7% (95% CI 96.1% to 99.3%), 97.3% (95% CI 95.7% to 98.9%), and 98.6% (95% CI 97% to 99.9%), respectively. Estimated rates of freedom from type I and type III endoleaks and device migration at 60 months were 90.9% (95% CI 87% to 94.3%), 98.7% (95% CI 97.5% to 99.8%), and 98% (95% CI 96.4% to 99.6%), respectively. Freedom from all cause reintervention at 60 months was 87.4% (95% CI 82.6% to 92.2%). The estimated overall survival rate at 60 months was 59% (95% CI 52.4% to 65.6%). Conclusion:IBD implantation in octogenarians provided acceptable perioperative mortality and morbidity rates, with satisfying long-term freedom from IBD-related complications and should be considered a feasible repair option for selected elderly patients affected by aneurysms involving the iliac bifurcation.

Published
2021
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246. Iliac Branch Devices in Women: Results From the pELVIS Registry

Author

Austermann, M., Inchingolo, M., Bisdas, T., Pratesi, G., Barbante, M., Cao, P., Ferrer, C., Verzini, F., Parlani, G., Simonte, G., Pratesi, C., Fargion, A., Masciello, F., Kölbel, T., Tsilimparis, N., Haulon, S., Branzan, D., Schmidt, A., Scheinert, D., Soler, Raphael, Charbonneau, Philippe, Sobocinski, Jonathan, Mougin, Justine, Donas, Konstantinos P., Torsello, Giovanni, Fabre, Dominique, and Haulon, Stéphan

Published
2020
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247. Corrigendum to ‘European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms’ [European Journal of Vascular & Endovascular Surgery 57/1 (2019) 8–93]

Author

Wanhainen, Anders, Verzini, Fabio, Van Herzeele, Isabelle, Allaire, Eric, Bown, Matthew, Cohnert, Tina, Dick, Florian, van Herwaarden, Joost, Karkos, Christos, Koelemay, Mark, Kölbel, Tilo, Loftus, Ian, Mani, Kevin, Melissano, Germano, Powell, Janet, Szeberin, Zoltán, ESVS Guidelines Committee, de Borst, Gert J., Chakfe, Nabil, Debus, Sebastian, Hinchliffe, Rob, Kakkos, Stavros, Koncar, Igor, Kolh, Philippe, Lindholt, Jes S., Vega de Ceniga, M., Vermassen, Frank, Document reviewers, Björck, Martin, Cheng, Stephen, Dalman, Ronald, Davidovic, Lazar, Donas, Konstantinos, Earnshaw, Jonothan, Eckstein, Hans-Henning, Golledge, Jonathan, Haulon, Stephan, Mastracci, Tara, Naylor, Ross, Ricco, Jean-Baptiste, and Verhagen, Hence

Published
2020
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