European Multicentric Experience With Fenestrated-branched ENDOvascular Stent Grafting After Previous FAILed Infrarenal Aortic Repair The EU-FBENDO-FAIL Registry

被引：13

作者：

Budtz-Lilly, Jacob ^{[1
,2
]}

D'Oria, Mario ^{[1
,3
]}

Gallitto, Enrico ^{[4
]}

Bertoglio, Luca ^{[5
]}

Koelbel, Tilo ^{[6
]}

Lindstrom, David ^{[1
]}

Dias, Nuno ^{[7
,8
]}

Lundberg, Goran ^{[9
]}

Boeckler, Dittmar ^{[10
]}

Parlani, Gianbattista ^{[11
]}

Antonello, Michele ^{[12
]}

Veraldi, Gian F. ^{[13
]}

Tsilimparis, Nikolaos ^{[14
]}

Kotelis, Drosos ^{[15
,16
]}

Dueppers, Philip ^{[17
]}

Tinelli, Giovanni ^{[18
]}

Ippoliti, Arnaldo ^{[19
]}

Spath, Paolo

Logiacco, Antonino

Schurink, Geert Willem H. ^{[20
]}

Chiesa, Roberto ^{[5
]}

Grandi, Alessandro ^{[5
]}

Panuccio, Giuseppe ^{[6
]}

Rohlffs, Fiona ^{[6
]}

Wanhainen, Anders ^{[1
]}

Mani, Kevin ^{[1
]}

Karelis, Angelos ^{[7
]}

Sonesson, Bjorn ^{[7
]}

Jonsson, Magnus ^{[9
]}

Bresler, Alina-Marilena ^{[10
]}

Simonte, Gioele ^{[11
]}

Isernia, Giacomo ^{[11
]}

Xodo, Andrea ^{[12
]}

Mezzetto, Luca ^{[13
]}

Mastrorilli, Davide ^{[13
]}

Prendes, Carlota F. ^{[14
]}

Chaikhouni, Basel ^{[15
,16
]}

Zimmermann, Alexander ^{[17
]}

Lepidi, Sandro ^{[3
]}

Gargiulo, Mauro ^{[4
]}

Mees, Barend ^{[20
]}

Unosson, Jon ^{[1
]}

机构：

[1] Uppsala Univ, Sect Vasc Surg, Dept Surg Sci, Uppsala, Sweden

[2] Aarhus Univ Hosp, Div Vasc Surg, Dept Cardiovasc Surg, Aarhus, Denmark

[3] Univ Hosp Trieste ASUGI, Div Vasc & Endovas Surg, Cardiovasc Dept, Trieste, Italy

[4] Univ Bologna, IRCCS Univ Hosp Policlin S Orsola, Vasc Surg, DIMES, Bologna, Italy

[5] Univ Vita Salute San Raffaele, Div Vasc Surg, IRCCS San Raffaele Inst, Milan, Italy

[6] Univ Hosp Eppendorf, Dept Vasc Med, German Aort Ctr, Hamburg, Germany

[7] Lund Univ, Skane Univ Hosp, Dept Thorac Surg & Vasc Dis, Vasc Ctr Malmo, Malmo, Sweden

[8] Lund Univ, Dept Clin Sci Malmo, Malmo, Sweden

[9] Karolinska Inst, Karolinska Univ Hosp, Dept Mol Med & Surg, Dept Vasc Surg, Stockholm, Sweden

[10] Univ Hosp Heidelberg, Dept Vasc & Endovasc Surg, Heidelberg, Germany

[11] Univ Perugia, Hosp S M Misericordia, Unit Vasc & Endovasc Surg, Perugia, Italy

[12] Univ Padua, Dept Cardiac Thorac Vasc Sci & Publ Hlth, Vasc & Endovasc Surg Sect, Padua, Italy

[13] Univ Hosp & Trust Verona, Dept Vasc Surg, Verona, Italy

[14] Ludwig Maximilian Univ Hosp, Dept Vasc Surg, Munich, Germany

[15] Univ Hosp RWTH Aachen, Dept Vasc Surg, Aachen, Germany

[16] Bern Univ Hosp, Dept Vasc Surg, Bern, Switzerland

[17] Zurich Univ Hosp, Dept Vasc Surg, Zurich, Switzerland

[18] Univ Cattolica Sacro Cuore, Unit Vasc Surg, Fdn Policlin Univ Gemelli IRCCS, Rome, Italy

[19] Tor Vergata Univ, Dept Biomed & Prevent, Vasc Surg Unit, Rome, Italy

[20] Maastricht Heart & Vasc Ctr, Div Vasc Surg, Maastricht, Netherlands

来源：

ANNALS OF SURGERY | 2023年 / 278卷 / 02期

关键词：

fenestrated-branched endovascular repair; previous aortic surgery; failed endovascular aneurysm repair; thoracoabdominal; aortic disease; reintervention; ANEURYSM REPAIR; LEARNING-CURVE; OUTCOMES; EVAR;

D O I：

10.1097/SLA.0000000000005577

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective:To report the mid-term outcomes of fenestrated-branched endovascular aneurysm repair (F-BEVAR) following a failed previous endovascular aneurysm repair (pEVAR) or previous open aneurysm repair (pOAR). Methods:Data from consecutive patients who underwent F-BEVAR for pEVAR or pOAR from 2006 to 2021 from 17 European vascular centers were analyzed. Endpoints included technical success, major adverse events, 30-day mortality, and 5-year estimates of survival, target vessel primary patency, freedom from reinterventions, type I/III endoleaks, and sac growth >5 mm. Background:Treatment of a failed previous abdominal aortic aneurysm repair is a complex undertaking. F-BEVAR is becoming an increasingly attractive option, although comparative data are limited regarding associated risk factors, indications for treatment, and various outcomes. Results:There were 526 patients included, 268 pOAR and 258 pEVAR. The median time from previous repair to F-BEVAR was 7 (interquartile range, 4-12) years, 5 (3-8) for pEVAR, and 10 (6-14) for pOAR, P<0.001. Predominant indication for treatment was type Ia endoleak for pEVAR and progression of the disease for pOAR. Technical success was 92.8%, pOAR (92.2%), and pEVAR (93.4%), P=0.58. The 30-day mortality was 6.5% overall, 6.7% for pOAR, and 6.2% for pEVAR, P=0.81. There were 1853 treated target vessels with 5-year estimates of primary patency of 94.4%, pEVAR (95.2%), and pOAR (94.4%), P=0.03. Five-year estimates for freedom from type I/III endoleaks were similar between groups; freedom from reintervention was lower for pEVAR (38.3%) than for pOAR (56.0%), P=0.004. The most common indication for reinterventions was for type I/III endoleaks (37.5%). Conclusions:Repair of a failed pEVAR or pOARis safe and feasible with comparable technical success and survival rates. While successful treatment can be achieved, significant rates of reintervention should be anticipated, particularly for issues related to instability of target vessels/bridging stents.

引用

页码：E389 / E395

页数：7

共 32 条

[1] Repair of juxtarenal para-anastomotic aortic aneurysms after previous open repair with fenestrated and branched endovascular stent grafts [J].