Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries
Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneu...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Erben, Young [verfasserIn] Oderich, Gustavo S. [verfasserIn] Kalra, Manju [verfasserIn] Macedo, Thanila A. [verfasserIn] Gloviczki, Peter [verfasserIn] Bower, Thomas C. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: CardioVascular and interventional radiology - Berlin : Springer, 1978, 43(2020), 8 vom: 14. Mai, Seite 1143-1147 |
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| Übergeordnetes Werk: |
volume:43 ; year:2020 ; number:8 ; day:14 ; month:05 ; pages:1143-1147 |
| Links: |
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| DOI / URN: |
10.1007/s00270-020-02489-3 |
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| Katalog-ID: |
SPR040394557 |
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| 245 | 1 | 0 | |a Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries |
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| 520 | |a Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. | ||
| 650 | 4 | |a Endovascular abdominal aortic aneurysm repair |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a EVAR |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Type 1b endoleak |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Iliac artery ectasia |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Iliac artery aneurysm |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Bell-bottom stents |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Flared iliac stents |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Aneurysm sac enlargement |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Retrograde flow |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Rupture |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Stent migration |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Oderich, Gustavo S. |e verfasserin |4 aut | |
| 700 | 1 | |a Kalra, Manju |e verfasserin |4 aut | |
| 700 | 1 | |a Macedo, Thanila A. |e verfasserin |4 aut | |
| 700 | 1 | |a Gloviczki, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Bower, Thomas C. |e verfasserin |4 aut | |
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10.1007/s00270-020-02489-3 doi (DE-627)SPR040394557 (SPR)s00270-020-02489-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.85 bkl Erben, Young verfasserin aut Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. Endovascular abdominal aortic aneurysm repair (dpeaa)DE-He213 EVAR (dpeaa)DE-He213 Type 1b endoleak (dpeaa)DE-He213 Iliac artery ectasia (dpeaa)DE-He213 Iliac artery aneurysm (dpeaa)DE-He213 Bell-bottom stents (dpeaa)DE-He213 Flared iliac stents (dpeaa)DE-He213 Aneurysm sac enlargement (dpeaa)DE-He213 Retrograde flow (dpeaa)DE-He213 Rupture (dpeaa)DE-He213 Stent migration (dpeaa)DE-He213 Oderich, Gustavo S. verfasserin aut Kalra, Manju verfasserin aut Macedo, Thanila A. verfasserin aut Gloviczki, Peter verfasserin aut Bower, Thomas C. verfasserin aut Enthalten in CardioVascular and interventional radiology Berlin : Springer, 1978 43(2020), 8 vom: 14. Mai, Seite 1143-1147 (DE-627)253390451 (DE-600)1458490-6 1432-086X nnns volume:43 year:2020 number:8 day:14 month:05 pages:1143-1147 https://dx.doi.org/10.1007/s00270-020-02489-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.85 ASE AR 43 2020 8 14 05 1143-1147 |
| spelling |
10.1007/s00270-020-02489-3 doi (DE-627)SPR040394557 (SPR)s00270-020-02489-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.85 bkl Erben, Young verfasserin aut Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. Endovascular abdominal aortic aneurysm repair (dpeaa)DE-He213 EVAR (dpeaa)DE-He213 Type 1b endoleak (dpeaa)DE-He213 Iliac artery ectasia (dpeaa)DE-He213 Iliac artery aneurysm (dpeaa)DE-He213 Bell-bottom stents (dpeaa)DE-He213 Flared iliac stents (dpeaa)DE-He213 Aneurysm sac enlargement (dpeaa)DE-He213 Retrograde flow (dpeaa)DE-He213 Rupture (dpeaa)DE-He213 Stent migration (dpeaa)DE-He213 Oderich, Gustavo S. verfasserin aut Kalra, Manju verfasserin aut Macedo, Thanila A. verfasserin aut Gloviczki, Peter verfasserin aut Bower, Thomas C. verfasserin aut Enthalten in CardioVascular and interventional radiology Berlin : Springer, 1978 43(2020), 8 vom: 14. Mai, Seite 1143-1147 (DE-627)253390451 (DE-600)1458490-6 1432-086X nnns volume:43 year:2020 number:8 day:14 month:05 pages:1143-1147 https://dx.doi.org/10.1007/s00270-020-02489-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.85 ASE AR 43 2020 8 14 05 1143-1147 |
| allfields_unstemmed |
10.1007/s00270-020-02489-3 doi (DE-627)SPR040394557 (SPR)s00270-020-02489-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.85 bkl Erben, Young verfasserin aut Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. Endovascular abdominal aortic aneurysm repair (dpeaa)DE-He213 EVAR (dpeaa)DE-He213 Type 1b endoleak (dpeaa)DE-He213 Iliac artery ectasia (dpeaa)DE-He213 Iliac artery aneurysm (dpeaa)DE-He213 Bell-bottom stents (dpeaa)DE-He213 Flared iliac stents (dpeaa)DE-He213 Aneurysm sac enlargement (dpeaa)DE-He213 Retrograde flow (dpeaa)DE-He213 Rupture (dpeaa)DE-He213 Stent migration (dpeaa)DE-He213 Oderich, Gustavo S. verfasserin aut Kalra, Manju verfasserin aut Macedo, Thanila A. verfasserin aut Gloviczki, Peter verfasserin aut Bower, Thomas C. verfasserin aut Enthalten in CardioVascular and interventional radiology Berlin : Springer, 1978 43(2020), 8 vom: 14. Mai, Seite 1143-1147 (DE-627)253390451 (DE-600)1458490-6 1432-086X nnns volume:43 year:2020 number:8 day:14 month:05 pages:1143-1147 https://dx.doi.org/10.1007/s00270-020-02489-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.85 ASE AR 43 2020 8 14 05 1143-1147 |
| allfieldsGer |
10.1007/s00270-020-02489-3 doi (DE-627)SPR040394557 (SPR)s00270-020-02489-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.85 bkl Erben, Young verfasserin aut Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. Endovascular abdominal aortic aneurysm repair (dpeaa)DE-He213 EVAR (dpeaa)DE-He213 Type 1b endoleak (dpeaa)DE-He213 Iliac artery ectasia (dpeaa)DE-He213 Iliac artery aneurysm (dpeaa)DE-He213 Bell-bottom stents (dpeaa)DE-He213 Flared iliac stents (dpeaa)DE-He213 Aneurysm sac enlargement (dpeaa)DE-He213 Retrograde flow (dpeaa)DE-He213 Rupture (dpeaa)DE-He213 Stent migration (dpeaa)DE-He213 Oderich, Gustavo S. verfasserin aut Kalra, Manju verfasserin aut Macedo, Thanila A. verfasserin aut Gloviczki, Peter verfasserin aut Bower, Thomas C. verfasserin aut Enthalten in CardioVascular and interventional radiology Berlin : Springer, 1978 43(2020), 8 vom: 14. Mai, Seite 1143-1147 (DE-627)253390451 (DE-600)1458490-6 1432-086X nnns volume:43 year:2020 number:8 day:14 month:05 pages:1143-1147 https://dx.doi.org/10.1007/s00270-020-02489-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.85 ASE AR 43 2020 8 14 05 1143-1147 |
| allfieldsSound |
10.1007/s00270-020-02489-3 doi (DE-627)SPR040394557 (SPR)s00270-020-02489-3-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.85 bkl Erben, Young verfasserin aut Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. Endovascular abdominal aortic aneurysm repair (dpeaa)DE-He213 EVAR (dpeaa)DE-He213 Type 1b endoleak (dpeaa)DE-He213 Iliac artery ectasia (dpeaa)DE-He213 Iliac artery aneurysm (dpeaa)DE-He213 Bell-bottom stents (dpeaa)DE-He213 Flared iliac stents (dpeaa)DE-He213 Aneurysm sac enlargement (dpeaa)DE-He213 Retrograde flow (dpeaa)DE-He213 Rupture (dpeaa)DE-He213 Stent migration (dpeaa)DE-He213 Oderich, Gustavo S. verfasserin aut Kalra, Manju verfasserin aut Macedo, Thanila A. verfasserin aut Gloviczki, Peter verfasserin aut Bower, Thomas C. verfasserin aut Enthalten in CardioVascular and interventional radiology Berlin : Springer, 1978 43(2020), 8 vom: 14. Mai, Seite 1143-1147 (DE-627)253390451 (DE-600)1458490-6 1432-086X nnns volume:43 year:2020 number:8 day:14 month:05 pages:1143-1147 https://dx.doi.org/10.1007/s00270-020-02489-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.85 ASE AR 43 2020 8 14 05 1143-1147 |
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Enthalten in CardioVascular and interventional radiology 43(2020), 8 vom: 14. Mai, Seite 1143-1147 volume:43 year:2020 number:8 day:14 month:05 pages:1143-1147 |
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Endovascular abdominal aortic aneurysm repair EVAR Type 1b endoleak Iliac artery ectasia Iliac artery aneurysm Bell-bottom stents Flared iliac stents Aneurysm sac enlargement Retrograde flow Rupture Stent migration |
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CardioVascular and interventional radiology |
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Erben, Young @@aut@@ Oderich, Gustavo S. @@aut@@ Kalra, Manju @@aut@@ Macedo, Thanila A. @@aut@@ Gloviczki, Peter @@aut@@ Bower, Thomas C. @@aut@@ |
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Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). 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| author |
Erben, Young |
| spellingShingle |
Erben, Young ddc 610 bkl 44.85 misc Endovascular abdominal aortic aneurysm repair misc EVAR misc Type 1b endoleak misc Iliac artery ectasia misc Iliac artery aneurysm misc Bell-bottom stents misc Flared iliac stents misc Aneurysm sac enlargement misc Retrograde flow misc Rupture misc Stent migration Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries |
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1432-086X |
| topic_title |
610 ASE 44.85 bkl Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries Endovascular abdominal aortic aneurysm repair (dpeaa)DE-He213 EVAR (dpeaa)DE-He213 Type 1b endoleak (dpeaa)DE-He213 Iliac artery ectasia (dpeaa)DE-He213 Iliac artery aneurysm (dpeaa)DE-He213 Bell-bottom stents (dpeaa)DE-He213 Flared iliac stents (dpeaa)DE-He213 Aneurysm sac enlargement (dpeaa)DE-He213 Retrograde flow (dpeaa)DE-He213 Rupture (dpeaa)DE-He213 Stent migration (dpeaa)DE-He213 |
| topic |
ddc 610 bkl 44.85 misc Endovascular abdominal aortic aneurysm repair misc EVAR misc Type 1b endoleak misc Iliac artery ectasia misc Iliac artery aneurysm misc Bell-bottom stents misc Flared iliac stents misc Aneurysm sac enlargement misc Retrograde flow misc Rupture misc Stent migration |
| topic_unstemmed |
ddc 610 bkl 44.85 misc Endovascular abdominal aortic aneurysm repair misc EVAR misc Type 1b endoleak misc Iliac artery ectasia misc Iliac artery aneurysm misc Bell-bottom stents misc Flared iliac stents misc Aneurysm sac enlargement misc Retrograde flow misc Rupture misc Stent migration |
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ddc 610 bkl 44.85 misc Endovascular abdominal aortic aneurysm repair misc EVAR misc Type 1b endoleak misc Iliac artery ectasia misc Iliac artery aneurysm misc Bell-bottom stents misc Flared iliac stents misc Aneurysm sac enlargement misc Retrograde flow misc Rupture misc Stent migration |
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CardioVascular and interventional radiology |
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CardioVascular and interventional radiology |
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(DE-627)253390451 (DE-600)1458490-6 |
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Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries |
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(DE-627)SPR040394557 (SPR)s00270-020-02489-3-e |
| title_full |
Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries |
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Erben, Young |
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CardioVascular and interventional radiology |
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CardioVascular and interventional radiology |
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eng |
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2020 |
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Erben, Young Oderich, Gustavo S. Kalra, Manju Macedo, Thanila A. Gloviczki, Peter Bower, Thomas C. |
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43 |
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610 ASE 44.85 bkl |
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Elektronische Aufsätze |
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Erben, Young |
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10.1007/s00270-020-02489-3 |
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610 |
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verfasserin |
| title_sort |
impact of compliance with anatomical guidelines of “bell-bottom” iliac stent grafts for ectatic or aneurysmal iliac arteries |
| title_auth |
Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries |
| abstract |
Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. |
| abstractGer |
Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. |
| abstract_unstemmed |
Objective To evaluate the impact of compliance with anatomical guidelines on outcomes of endovascular aortic aneurysm repair using “bell-bottom” stent grafts (BBSGs). Methods This is a retrospective review from January 1999 to May 2012 of patients who underwent endovascular infrarenal abdominal aneurysm repair and whose iliac limbs were greater than 18 mm in diameter. Computed tomography angiography was utilized for compliance with anatomical guidelines as stated in manufacturer’s instructions for use (IFU). The primary outcome observed was iliac limb events. The secondary outcome observed was the need for re-intervention due to BBSG failure. Results Of the 376 BBSGs, 55 (15%) in 27 patients met IFU. Aneurysm exclusion was achieved in all patients. The mean follow-up was 44 ± 30 months. Twenty-eight patients (11%) had 29 iliac limb events (12 type 1b endoleaks, 4 aneurysm sac growth, 4 stenosis/kink, 4 retrograde migrations, 2 component separations, 2 ruptures and 1 limb occlusion); all among patients treated outside of IFU (p < 0.04). The rate of aneurysm sac enlargement was similar between both groups, at 56%, respectively, between those treated within and those treated outside of IFU. On multivariate regression analysis, larger common iliac artery (CIA) (HR 1.088, 95% CI 1.016–1.166, p = 0.016), greater CIA tortuosity (HR 2.352, 95% CI 1.004–5.509, p = 0.048) and limbs with more than two characteristics that did not meet IFU criteria (HR 3.84, 95% CI 1.15–12.83, p = 0.03) were associated with higher rates of BBSG events and re-interventions. Conclusions BBSGs effectively seal ectatic CIAs. But rates of iliac limb events and re-interventions are higher among patients who do not meet IFU criteria. The larger CIA diameter, the greater CIA tortuosity and more than two criteria not met by IFU were associated with BBSG failure and re-intervention. |
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Impact of Compliance with Anatomical Guidelines of “Bell-Bottom” Iliac Stent Grafts for Ectatic or Aneurysmal Iliac Arteries |
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https://dx.doi.org/10.1007/s00270-020-02489-3 |
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Oderich, Gustavo S. Kalra, Manju Macedo, Thanila A. Gloviczki, Peter Bower, Thomas C. |
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Oderich, Gustavo S. Kalra, Manju Macedo, Thanila A. Gloviczki, Peter Bower, Thomas C. |
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10.1007/s00270-020-02489-3 |
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2024-07-03T15:42:49.895Z |
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|
| score |
7.40077 |