Chan, Hon-Lai; Papazoglou, Dimitrios D; Jungi, Silvan; Weiss, Salome; Becker, Daniel; Kotelis, Drosos; Makaloski, Vladimir (2023). Fenestrated Physician-Modified Endografts for Preservation of Main and Accessory Renal Arteries in Juxtarenal Aortic Aneurysms. Journal of clinical medicine, 12(14) MDPI 10.3390/jcm12144708
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BACKGROUND
There is a paucity of reporting outcomes of complex aortic aneurysm treatment such as juxtarenal abdominal aortic aneurysms, where additional techniques to preserve renal artery perfusion are required.
METHODS
Retrospective analysis of consecutive patients who underwent emergent and elective aortic repair with fenestrated PMEGs between March 2019 and January 2023. Endpoints were technical success, reinterventions, secondary reinterventions and target vessel patency.
RESULTS
Forty-seven target vessels in 37 patients (23 male, median age 75 years) were targeted, of which 44 were renal arteries (RAs) with a mean diameter of 5.4 ± 1.0 mm. Thirteen were accessory RAs and six had a diameter ≤ 4 mm. Technical success rate was 87% overall; 97% for main and 62% for accessory RAs respectively. Target vessel patency and freedom from secondary reintervention was 100% and 97% at 30 days and 96% and 91% at one year, respectively. There was no 30-day mortality.
CONCLUSION
Fenestrated physician-modified endografts are safe and effective for the treatment of patients with juxtarenal abdominal aortic aneurysms when incorporating main renal arteries. Limited technical success may be expected when targeting accessory renal arteries, especially when small in diameter. Long-term follow-up is needed to confirm durability of PMEGs for renal artery preservation.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Heart Surgery ?? 6D184FFAC2C24C138A39A142F263676A ?? 04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Vascular Surgery |
UniBE Contributor: |
Papazoglou, Dimitrios David, Jungi, Silvan, Weiss, Salome, Becker, Daniel, Kotelis, Drosos, Makaloski, Vladimir |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2077-0383 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
02 Aug 2023 09:26 |
Last Modified: |
27 Feb 2024 14:27 |
Publisher DOI: |
10.3390/jcm12144708 |
PubMed ID: |
37510822 |
Uncontrolled Keywords: |
endograft endovascular aortic repair fenestration juxtarenal physician-modified |
BORIS DOI: |
10.48350/185129 |
URI: |
https://boris.unibe.ch/id/eprint/185129 |
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