TY - JOUR
T1 - Use of proximal aortic cuffs as an adjunctive procedure during endovascular aortic aneurysm repair
AU - Biebl, Matthias
AU - Hakaim, Albert G.
AU - Lau, Luk L.
AU - Oldenburg, W. Andrew
AU - Klocker, Josef
AU - Neuhauser, Beate
AU - Paz-Fumagalli, Ricardo
AU - McKinney, J. Mark
AU - Stockland, Andrew
N1 - Funding Information:
M. Biebl, L. L. Lau, J. Klocker, and B. Neuhauser were supported by a grant from the William J. von Liebig Foundation.
PY - 2005
Y1 - 2005
N2 - The purpose of this study was to evaluate the incidence and durability of additional proximal cuffs during endovascular abdominal aortic aneurysm repair (EVAR). A retrospective review of 90 EVAR patients was conducted. Postoperative survival, proximal sealing zone-related complications, and secondary procedures were analyzed. Additional proximal cuffs were used in 11%. Their use did not affect postoperative survival (p = .58), type I endoleak rate (4.4%; p = .19), or the need for sealing zone-related secondary procedures (6.3%; p = .38) compared with patients without cuff placement but was related to a higher cumulative graft migration rate (2.2% overall p = .02). Two patients (2.5%; p = .79) underwent conversion to open surgery, both for proximal sealing zone-related complications. Application of proximal cuffs appears to be an effective intraoperative adjunctive procedure to achieve a proximal seal during EVAR, with favorable midterm results. However, the risk of late endograft migrations may be elevated in this group.
AB - The purpose of this study was to evaluate the incidence and durability of additional proximal cuffs during endovascular abdominal aortic aneurysm repair (EVAR). A retrospective review of 90 EVAR patients was conducted. Postoperative survival, proximal sealing zone-related complications, and secondary procedures were analyzed. Additional proximal cuffs were used in 11%. Their use did not affect postoperative survival (p = .58), type I endoleak rate (4.4%; p = .19), or the need for sealing zone-related secondary procedures (6.3%; p = .38) compared with patients without cuff placement but was related to a higher cumulative graft migration rate (2.2% overall p = .02). Two patients (2.5%; p = .79) underwent conversion to open surgery, both for proximal sealing zone-related complications. Application of proximal cuffs appears to be an effective intraoperative adjunctive procedure to achieve a proximal seal during EVAR, with favorable midterm results. However, the risk of late endograft migrations may be elevated in this group.
KW - Abdominal aortic aneurysm
KW - Aortic extender cuff
KW - Endovascular aortic aneurysm repair
KW - Graft migration
KW - Proximal endoleak
KW - Proximal sealing zone
UR - http://www.scopus.com/inward/record.url?scp=14644412373&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=14644412373&partnerID=8YFLogxK
U2 - 10.1258/rsmvasc.13.1.16
DO - 10.1258/rsmvasc.13.1.16
M3 - Article
C2 - 15895670
AN - SCOPUS:14644412373
SN - 1708-5381
VL - 13
SP - 16
EP - 22
JO - Vascular
JF - Vascular
IS - 1
ER -