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Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction
This study aims to assess the mid-term results of fenestrated endovascular aneurysm repair (FEVAR) for the treatment of proximal aortic pathology after previous open surgical repair (OSR). All patients with a previous history of OSR of an abdominal aortic aneurysm undergoing a FEVAR procedure betwee...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9571734/ https://www.ncbi.nlm.nih.gov/pubmed/36233467 http://dx.doi.org/10.3390/jcm11195596 |
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author | Marques de Marino, Pablo Abu Jiries, Melad Tesinsky, Pavel Ibraheem, Anas Katsargyris, Athanasios Verhoeven, Eric L. |
author_facet | Marques de Marino, Pablo Abu Jiries, Melad Tesinsky, Pavel Ibraheem, Anas Katsargyris, Athanasios Verhoeven, Eric L. |
author_sort | Marques de Marino, Pablo |
collection | PubMed |
description | This study aims to assess the mid-term results of fenestrated endovascular aneurysm repair (FEVAR) for the treatment of proximal aortic pathology after previous open surgical repair (OSR). All patients with a previous history of OSR of an abdominal aortic aneurysm undergoing a FEVAR procedure between October 2010 and November 2021 were included. The endpoints of the study were technical success, mortality, target vessel patency and reinterventions during follow-up. Thirty-five patients (34 male, mean age 72.9 ± 7 years) were included. The median interval from the primary surgery to the FEVAR procedure was 136 months (range 47–261). The indication for treatment was a para-anastomotic aneurysm in 18 (51%) patients and a true aneurysm due to progression of disease in 17 (49%) patients. Technical success was achieved in 33 (94%) patients. There was one (3%) early death due to postoperative bleeding from a renal artery. Estimated survival at 12, 24 and 36 months was 89.1% ± 6%, 84.4% ± 7.3% and 84.4% ± 7.3%, respectively. There was no aneurysm-related mortality. One (3%) target vessel occluded during follow-up and three (9%) patients underwent late reinterventions. In conclusion, FEVAR is a safe and effective alternative for the endovascular treatment of para-anastomotic aneurysms/pseudoaneurysms after OSR showing high technical success, low mortality and morbidity, and good mid-term outcomes. |
format | Online Article Text |
id | pubmed-9571734 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95717342022-10-17 Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction Marques de Marino, Pablo Abu Jiries, Melad Tesinsky, Pavel Ibraheem, Anas Katsargyris, Athanasios Verhoeven, Eric L. J Clin Med Article This study aims to assess the mid-term results of fenestrated endovascular aneurysm repair (FEVAR) for the treatment of proximal aortic pathology after previous open surgical repair (OSR). All patients with a previous history of OSR of an abdominal aortic aneurysm undergoing a FEVAR procedure between October 2010 and November 2021 were included. The endpoints of the study were technical success, mortality, target vessel patency and reinterventions during follow-up. Thirty-five patients (34 male, mean age 72.9 ± 7 years) were included. The median interval from the primary surgery to the FEVAR procedure was 136 months (range 47–261). The indication for treatment was a para-anastomotic aneurysm in 18 (51%) patients and a true aneurysm due to progression of disease in 17 (49%) patients. Technical success was achieved in 33 (94%) patients. There was one (3%) early death due to postoperative bleeding from a renal artery. Estimated survival at 12, 24 and 36 months was 89.1% ± 6%, 84.4% ± 7.3% and 84.4% ± 7.3%, respectively. There was no aneurysm-related mortality. One (3%) target vessel occluded during follow-up and three (9%) patients underwent late reinterventions. In conclusion, FEVAR is a safe and effective alternative for the endovascular treatment of para-anastomotic aneurysms/pseudoaneurysms after OSR showing high technical success, low mortality and morbidity, and good mid-term outcomes. MDPI 2022-09-23 /pmc/articles/PMC9571734/ /pubmed/36233467 http://dx.doi.org/10.3390/jcm11195596 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Marques de Marino, Pablo Abu Jiries, Melad Tesinsky, Pavel Ibraheem, Anas Katsargyris, Athanasios Verhoeven, Eric L. Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction |
title | Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction |
title_full | Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction |
title_fullStr | Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction |
title_full_unstemmed | Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction |
title_short | Mid-Term Results of Fenestrated Endovascular Repair after Prior Open Aortic Reconstruction |
title_sort | mid-term results of fenestrated endovascular repair after prior open aortic reconstruction |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9571734/ https://www.ncbi.nlm.nih.gov/pubmed/36233467 http://dx.doi.org/10.3390/jcm11195596 |
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