Vasc Spec Int.  2019 Mar;35(1):10-15. 10.5758/vsi.2019.35.1.10.

Endovascular Aneurysm Repair by Combining Different Endografts: the Zenith Body and Endurant Limbs

Affiliations
  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, College of Medicine, Daegu Catholic University, Daegu, Korea. khpark@cu.ac.kr

Abstract

PURPOSE
There are several commercially approved stent grafts in Korea for the treatment of abdominal aortic aneurysms (AAAs). Each device has its advantages and disadvantages based on the patient's anatomy and the clinical situation. The Zenith device allows accurate and precise endograft placement, whereas the Endurant device has improved flexibility and trackability. We reviewed 5 cases in which a combination of the Zenith main body and the Endurant iliac limb was used.
MATERIALS AND METHODS
From January 2010 to February 2015, 90 patients with AAA underwent endovascular aneurysm repair (EVAR) using the Zenith body at Daegu Catholic University Hospital. Among them, 5 patients who underwent EVAR with the Zenith body and Endurant iliac limb were included in this study.
RESULTS
The mean age of the patients was 74.20±3.35 years. All patients were men. The main reason for use of the Endurant iliac limb was aortoiliac angulation. Type III endoleak, stent migration, and stent kinking were not noted. Comparing 85 patients who received a Zenith endograft with 5 patients who received the hybrid endograft, there were no statistical differences in clinical characteristics, intraoperative details and post procedural complications. The mean admission duration was 19.00±13.60 days, and the mean follow-up duration was 1,018.11±925.34 days. In the hybrid endograft group, there was no mortality during the follow-up duration.
CONCLUSION
Although the material, radial force, diameter, and length of the overlap zone differ between the two devices, EVAR with the hybrid endograft is safe and effective.

Keyword

Abdominal aortic aneurysm; Endovascular procedures; Stents; Postoperative complications

MeSH Terms

Aneurysm*
Aortic Aneurysm, Abdominal
Blood Vessel Prosthesis
Daegu
Endoleak
Endovascular Procedures
Extremities*
Follow-Up Studies
Humans
Korea
Male
Mortality
Pliability
Postoperative Complications
Stents
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