The english version of the website is under development. Wherever text appears in Greek, it means it has not been translated yet.

Δημοσίευση

Outcomes of total endovascular treatment of juxtarenal aortic aneurysms in octogenarians.

TitleOutcomes of total endovascular treatment of juxtarenal aortic aneurysms in octogenarians.
Publication TypeJournal Article
Year of Publication2016
AuthorsSilveira, D., Pitoulias G., Torsello G., & Donas K. P.
JournalJ Vasc Surg
Volume63
Issue4
Pagination909-14
Date Published2016 Apr
ISSN1097-6809
KeywordsAge Factors, Aged, 80 and over, Aortic Aneurysm, Abdominal, Aortography, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Disease-Free Survival, Endoleak, Endovascular Procedures, Female, Humans, Kaplan-Meier Estimate, Male, Prosthesis Design, Retreatment, Risk Factors, Stents, Time Factors, Tomography, X-Ray Computed, Treatment Outcome
Abstract

OBJECTIVE: We set out to present the late 3-year performance of total endovascular treatment of juxtarenal aortic aneurysms in octogenarians by the chimney/snorkel technique.METHODS: At one center, between January 2009 and December 2014, chimney/snorkel technique-endovascular aortic aneurysm repair was performed in 35 high-risk unfit-for-open-repair octogenarian patients with juxtarenal aortic aneurysms. Twenty-five patients were asymptomatic (71.4%), and 10 patients were treated in an urgent care setting. The median follow-up was 36 months (range, 1-69). The primary endpoint was the survival rate.RESULTS: Technical success was 100%. A single chimney-graft placement was performed in 22 patients (62.9%), double chimneys in 10 patients (28.6%), and triple chimneys were performed in 3 (8.5%) patients. Overall, 51 renovisceral vessels (22 right renal arteries, 23 left renal arteries, and 6 superior mesenteric arteries) were involved. The thirty-day mortality rate was 2.9% (n = 1). Early morbidity was 14.3%, predominantly due to access-related complications. Major adverse events were observed in 5.7% (n = 2) of the present cohort. No early reinterventions for endoleaks were registered. The midterm reintervention rate was 12.1% due to type Ib endoleak (n = 1), type II endoleak (n = 1), and high-grade chimney-graft stenosis (n = 2). Estimated survival was 91.9% at 1 year and 72.8% at 3 years. Freedom from reintervention at 1 and 3 years was 94% and 91%, respectively.CONCLUSIONS: Juxtarenal aortic aneurysm treatment with chimney/snorkel technique-endovascular aortic aneurysm repair in octogenarians is associated with low perioperative mortality and morbidity as well as acceptable midterm survival and secondary procedures.

DOI10.1016/j.jvs.2015.10.094
Alternate JournalJ. Vasc. Surg.
PubMed ID26794899

Contact

Secretariat of the School of Medicine
 

Connect

School of Medicine's presence in social networks
Follow Us or Connect with us.