Use of EndoAnchors during index endovascular aortic aneurysm repair in patients with hostile proximal aortic neck anatomy

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F24%3A73628268" target="_blank" >RIV/61989592:15110/24:73628268 - isvavai.cz</a>

Result on the web

<a href="https://www.elis.sk/download_file.php?product_id=8270&session_id=jk26emg9mng8e6qubsrsdd5012" target="_blank" >https://www.elis.sk/download_file.php?product_id=8270&session_id=jk26emg9mng8e6qubsrsdd5012</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4149/BLL_2024_52" target="_blank" >10.4149/BLL_2024_52</a>

Result language

angličtina

Original language name

Use of EndoAnchors during index endovascular aortic aneurysm repair in patients with hostile proximal aortic neck anatomy

Original language description

PURPOSE: Standard endovascular aortic aneurysm repair ( EVAR) is sometimes the only treatment option for patients with hostile aortic neck anatomy, but it carries an increased risk of both early and late procedurerelated complications. The aim of this study was to report on single -center experience with the Heli-FX EndoAnchors (Medtronic, Santa Rosa, CA) as an adjunctive procedure to endovascular aneurysm repair (EVAR) for prevention and perioperative treatment of proximal neck complications in patients with hostile neck anatomy. MATERIALS AND METHODS: A single -centre, retrospective study evaluating 24 consecutive patients treated with EndoAnchors during the index EVAR procedure between November 2018 and August 2021. EndoAnchor implantation was indicated for cases with hostile proximal aortic neck anatomy characterised by the presence of at least one of the following parameters: length of &lt;15 mm, diameter of &gt;28 mm, angle of &gt;60 degrees, circumferential thrombus/calcification involving &gt;= 50%, and reverse taper. RESULTS: Median follow-up period was 22.5 months (IQR 2-31.5 months) with no aneurysm -related death, rupture, or conversion to open surgical repair during the follow-up. The procedural success rate was 100%, with no type Ia endoleak at the completion angiography. A mean of 7 EndoAnchors was used per patient (range 4-12). There were no EndoAnchor fractures and dislocations or stent graft fabric damage due to anchor implants. Twenty-three patients (95.8%) remained free of type Ia endoleak and migration on follow-up imaging. Aneurysm sac regression was observed in 13 patients (54.1%), while in 8 patients (33.3%) the sac remained stable. Sac enlargement was present in 1 patient (4.2%) due to late type Ia endoleak. Two patients were lost to the follow-up immediately after the procedure. Between two groups of patients (sac regression versus failure to regress), the larger initial diameter of the proximal neck was the only significant independent factor associated with a lower possibility of sac regression (p= 0,021). CONCLUSIONS: The use of EndoAnchors during the index EVAR procedure in cases with challenging aortic neck anatomy with or without perioperative type Ia endoleak was associated with good midterm results and led to sac regression in most of the patients (Tab. 4, Fig. 3, Ref. 31) . Text in PDF www.elis.sk

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30224 - Radiology, nuclear medicine and medical imaging

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Bratislava Medical Journal

ISSN

0006-9248

e-ISSN

1336-0345

Volume of the periodical

125

Issue of the periodical within the volume

6

Country of publishing house

SK - SLOVAKIA

Number of pages

7

Pages from-to

347-353

UT code for WoS article

001235481100003

EID of the result in the Scopus database

2-s2.0-85193536772