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- W2912264122 abstract "The aim of this study is to investigate the 1-year safety and efficacy of a new iliac side-branched device (IBD) for revascularization of hypogastric arteries. Patients receiving the E-liac (Jotec GmbH, Hechigen, Germany) side-branched device at six German vascular centers as a standalone procedure or in combination with abdominal aortic aneurysm exclusion were included in a prospectively created databank. Collected data were analyzed for baseline characteristics, procedural events, and clinical follow-up; variables included endoleaks, reinterventions, and internal iliac artery (IIA) patency. Between January 2012 and January 2015, 70 patients (69 males, 98.6%), with a median age of 74 years (range, 51-87 years), were consecutively treated; 66 patients had commin iliac artery (CIA) aneurysmatic disease, 2 had a para-anastomotic aneurysm after aortobiiliac reconstruction, and 2 had a type Ib endoleak after EVAR. A total of 82 IIAs were revascularized, out of which 12 were bilateral. Technical success was achieved in 100% (82 of 82) of the revascularized IIAs. All IBDs were patent at the end of the procedure. No myocardial infarctions, strokes, conversions to open repair, mesenteric or spinal cord infarcts, or buttock necrosis were observed. There was one perioperative death (1.4%) in a 70-year-old patient with intraoperative gastrointestinal bleeding leading to a multiple organ failure, which resulted in the patient's death on the postoperative day 5. Within 30 days, one symptomatic occlusion of a treated CIA was observed. In two further patients an asymptomatic kinking of the CIA segment of the IBD was revealed in the predischarge follow-up duplex ultrasonography and corrected with relining. Median follow-up was 12 months (range, 6-16). One patient was lost during the follow-up period. Survival at 1 year was 98.5% with all IIAs remaining patent, whereas two CIA and two EIA iliac limb occlusions occurred. Thus freedom from occlusion was 92% at 1 year. During the follow-up period, four new type I endoleaks were revealed. Freedom from endoleak was 87% at 1 year. This first ever 1-year results report with the new E-iliac device shows that it can be safely applied for the treatment of aortoiliac aneurysmatic disease with low reintervention rates and high patency rates. Long-term data are needed to confirm the efficacy of the device." @default.
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- W2912264122 date "2016-06-01" @default.
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- W2912264122 title "FT15. A Multicenter 12-Month Experience With a New Iliac Side-Branched Device for Revascularization of Hypogastric Arteries" @default.
- W2912264122 doi "https://doi.org/10.1016/j.jvs.2016.03.197" @default.
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