single center experience with advantav12 covered stent in ... · single center experience with...
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SinglecenterexperiencewithAdvanta V12coveredstentintheendovasculartreatmentofocclusive
aorto-iliacdiseaseDr L. Briner, Dr F. Marra, Dr. C. Dubuis, Dr F. Saucy , Prof J-M. Corpataux , Dr S. Déglise
Dpt of Vascular Surgery, CHUV Lausanne,
Background• Open surgery: excellent and durable results for aorto-iliac occlusive disease• Endovascular: high technical success and low complications rates
è Role of covered stents to increase mid and long-term patency?
• Material and Methods• Retrospective analysis of prospective data retrieved from 1
center January 2013 - September 2015 • All consecutive patients with aorto-iliac occlusive disease• Endpoints:
o patency rateso postoperative morbidity o re-interventions
Results• 31 patients:
o Mean age 64.5 years (range 50-86)o H:F : 5:26
• Technical success: 100%• No death• Characteristics of stents:
• N = 52• Mean diameter 9.3 mm• Mean length: 49.9 mm
Conclusion:The endovascular treatment of aorto-iliac occlusive disease using Advanta V12 stents is a safe and useful strategy. It seems to offer satisfactory results in term of immediate success and mid-term patency rates. It could be a valid alternative to open surgery but larger trials and registries are needed to draw definitive conclusions..
N(%)Indications
ClaudicationCriticalischemiaAcuteischemia
3125(81)5(16)1 (3)
TASCIIclassificationABCD
312(6)18(58)6(18)5(16)
N(%)Operative time(min) 110 (25-200)
Contrastvolume(ml) 92(30-150)
ReconstructionCERABBilat CIAUnilat CIA
315(16)10(32)16(52)
Percutaneous 14(45)
N(%)Post-op complications
FalseaneurysmWound infectionDistalembolization
3(9)1(3)1(3)1(3)
F-UcomplicationsIn-stentrestenosisIn-stentocclusion
3(9)2(6)1(3)
Re-interventionThombectomyAngioplasty
4 (12)2(6)2(6)
CoveredEndovascularReconstructionAorticBifurcation