European Multicentric Experience With Fenestrated-branched ENDOvascular Stent Grafting After Previous FAILed Infrarenal Aortic Repair: The EU-FBENDO-FAIL Registry.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Budtz-Lilly Jacob, D'Oria Mario, Gallitto Enrico, Bertoglio Luca, Kölbel Tilo, Lindström David, Dias Nuno, Lundberg Goran, Böckler Dittmar, Parlani Gianbattista, Antonello Michele, Veraldi Gian F, Tsilimparis Nikolaos, Kotelis Drosos, Dueppers Philip, Tinelli Giovanni, Ippoliti Arnaldo, Spath Paolo, Logiacco Antonino, Schurink Geert Willem H, Chiesa Roberto, Grandi Alessandro, Panuccio Giuseppe, Rohlffs Fiona, Wanhainen Anders, Mani Kevin, Karelis Angelos, Sonesson Björn, Jonsson Magnus, Bresler Alina-Marilena, Simonte Gioele, Isernia Giacomo, Xodo Andrea, Mezzetto Luca, Mastrorilli Davide, Prendes Carlota F, Chaikhouni Basel, Zimmermann Alexander, Lepidi Sandro, Gargiulo Mauro, Mees Barend, Unosson Jon
Аннотация
METHODS: Data from consecutive patients who underwent F-BEVAR for pEVAR or pOAR from 2006 to 2021 from 17 European vascular centers were analyzed. Endpoints included technical success, major adverse events, 30-day mortality, and 5-year estimates of survival, target vessel primary patency, freedom from reinterventions, type I/III endoleaks, and sac growth >5 mm.
BACKGROUND: Treatment of a failed previous abdominal aortic aneurysm repair is a complex undertaking. F-BEVAR is becoming an increasingly attractive option, although comparative data are limited regarding associated risk factors, indications for treatment, and various outcomes.
RESULTS: There were 526 patients included, 268 pOAR and 258 pEVAR. The median time from previous repair to F-BEVAR was 7 (interquartile range, 4-12) years, 5 (3-8) for pEVAR, and 10 (6-14) for pOAR, P <0.001. Predominant indication for treatment was type Ia endoleak for pEVAR and progression of the disease for pOAR. Technical success was 92.8%, pOAR (92.2%), and pEVAR (93.4%), P =0.58. The 30-day mortality was 6.5% overall, 6.7% for pOAR, and 6.2% for pEVAR, P =0.81. There were 1853 treated target vessels with 5-year estimates of primary patency of 94.4%, pEVAR (95.2%), and pOAR (94.4%), P =0.03. Five-year estimates for freedom from type I/III endoleaks were similar between groups; freedom from reintervention was lower for pEVAR (38.3%) than for pOAR (56.0%), P =0.004. The most common indication for reinterventions was for type I/III endoleaks (37.5%).
CONCLUSIONS: Repair of a failed pEVAR or pOARis safe and feasible with comparable technical success and survival rates. While successful treatment can be achieved, significant rates of reintervention should be anticipated, particularly for issues related to instability of target vessels/bridging stents.