Suitability study of current endovascular aortic repair devices based on real-life anatomic data.

Published

Journal Article

BACKGROUND:There are a number of stent-grafts in the market, designed to handle difficult anatomies during endovascular aortic repair. The aim of this study is to determine which stent-graft is the most appropriate to accommodate the majority of infra-renal aortic aneurysms cases. An additional aim is to determine what stent-graft characteristics influence the suitability of the stent-graft. RESEARCH DESIGN AND METHODS:Retrospective cohort study on the suitability of available stent-grafts for infrarenal aneurysm (AAA) repair based on real-life anatomic data. The anatomical characteristics of 235 AAA were measured manually using specialized software. All measurements were compared to the official instructions-for-use (IFU) using a purpose-specific server-side script. The proper function of the script was additionally confirmed. RESULTS:The highest suitability rate was achieved by Medtronic Endurant. The majority of stent-grafts failed to meet the respective AAA anatomy by one IFU characteristic. Stent-grafts that failed by only one IFU characteristic by ≥80% of unsuitable cases tend to have higher suitability rates. Neck dimensions and CIA diameter are the two characteristics significantly influencing the suitability rate. CONCLUSIONS:Any stent-graft with high suitability rates should be available off-the-shelf in any vascular department in order to cover the majority of cases. For challenging cases, special advantages of the stent-grafts should be taken under consideration.

Full Text

Duke Authors

Cited Authors

  • Patelis, ND; Malli, A; Mylonas, KS; Schizas, D; Papa, N; Economopoulos, KP; Damaskos, C; Moulakakis, K; Katsargyris, A; Georgopoulos, S; Klonaris, C; Liakakos, T

Published Date

  • February 2019

Published In

Volume / Issue

  • 16 / 2

Start / End Page

  • 165 - 171

PubMed ID

  • 30569766

Pubmed Central ID

  • 30569766

Electronic International Standard Serial Number (EISSN)

  • 1745-2422

International Standard Serial Number (ISSN)

  • 1743-4440

Digital Object Identifier (DOI)

  • 10.1080/17434440.2019.1561268

Language

  • eng