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- W2912263634 abstract "To evaluate the outcomes of EVAR performed with a new generation of bifurcated endografts and limbs. Prospectively collected data from fifty consecutive patients with abdominal aortic aneurysms (AAA) treated at our institution with a Low Profile Zenith® bifurcated body/Zenith® Spiral-Z legs combo were analysed. AngioCT scans and Ultrasound exams were performed prior to discharge. Ultrasound examination was repeated 6 months after the procedure to assess endograft patency and to depict endoleaks. Median age was 70.6 years [50-88] and median ASA score was 3 [2-4]. Median aortic diameter was 56B mm [49-81]. Of the 100 external iliac access vessels, 14 had a diameter of 6 mm or lower. All endografts were successfully implanted. Post-operative Ultrasound examination and angioCT scan depicted both 1 type Ia, and 10 and 19 type 2 endoleaks respectively. An asymptomatic thrombosis of the left external iliac artery distal to the endograft limb was also depicted. 30-day mortality rate was 0%. Two patients died respectively three and four months after EVAR. Both deaths were not aneurysm related. All patients underwent an ultrasound exam 6-12 months after EVAR. All endografts main bodies and limbs were patent. Five endoleaks were depicted, all were type II endoleaks (the early type Ia endoleak had sealed spontaneously; it was confirmed by an angioCT scan). One patient presented a significant stenosis of the left iliac limb at the level of a narrow and calcified aortic bifurcation. It was successfully treated by bilateral iliac angioplasty and kissing balloon stenting. EVAR performed with the Zenith LP main body in combination with Spiral-Z Iliac Legs is safe and effective. No limb occlusions were diagnosed at the 6 month follow up even in challenging iliac anatomies usually considered as contra indications for EVAR. Our first results are most satisfying and calling to be completed by a longer follow up." @default.
- W2912263634 created "2019-02-21" @default.
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- W2912263634 date "2013-07-01" @default.
- W2912263634 modified "2023-10-14" @default.
- W2912263634 title "An Optimal Combination for EVAR: Low Profile Endograft Body and Continuous Spiral Stent Limbs" @default.
- W2912263634 doi "https://doi.org/10.1016/j.jvs.2013.05.015" @default.
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