No difference in medium-term outcome between Zenith and Talent stent-grafts in endovascular aneurysm repair.

Abstract:

BACKGROUND:Many devices are available for endovascular aneurysm repair (EVAR). Our aim was to analyze morphological effects of the Zenith and Talent systems. METHODS:Patients included underwent EVAR from June 1999 to June 2005 using a Zenith or Talent stent-graft, with computed tomography follow-up. Aortic dimensions over time and clinical outcome were analyzed. RESULTS:Twenty-nine patients with Zenith stent-grafts and 33 with Talent devices were included. Mean preoperative age was similar (75.5+/-6.0 years vs 74.2+/-6.7 years; P=.29). Preoperative neck length was longer in the Zenith group (29.9+/-15.2 mm vs 25.5 +/- 10.8 mm; P=.10), and stent-graft oversizing was greater in the Talent patients (20.2%+/-7.9% vs 23.0% +/- 11.3%). There was proximal aortic dilatation and aneurysm sac shrinkage in each group. Complication rates were comparable, with 83% of both groups free from 10-mm migration. CONCLUSION:Although device designs differ, there is no difference in clinical outcome between Zenith and Talent stent-grafts. Migration rates were not influenced by suprarenal fixation.

journal_name

Vasc Endovascular Surg

authors

Badger SA,O'Donnell ME,Loan W,Hannon RJ,Lau LL,Lee B,Soong CV

doi

10.1177/1538574407307404

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

500-5

issue

6

eissn

1538-5744

issn

1938-9116

pii

41/6/500

journal_volume

41

pub_type

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