Use of proximal aortic cuffs as an adjunctive procedure during endovascular aortic aneurysm repair.

Abstract:

: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.

journal_name

Vascular

journal_title

Vascular

authors

Biebl M,Hakaim AG,Lau LL,Oldenburg WA,Klocker J,Neuhauser B,Paz-Fumagalli R,McKinney JM,Stockland A

doi

10.1258/rsmvasc.13.1.16

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

16-22

issue

1

eissn

1708-5381

issn

1708-539X

journal_volume

13

pub_type

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