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Multicentre experience with an iliac fenestrated device.

Fadi Taher1, Stephan Langer2, Juergen Falkensammer1

  • 1Department of Vascular and Endovascular Surgery, Klinik Ottakring, Vienna, Austria.

Interactive Cardiovascular and Thoracic Surgery
|May 16, 2021
PubMed
Summary

This study shows custom-made fenestrated devices offer effective treatment for iliac aneurysms and endoleaks. Mid-term follow-up demonstrates high technical success and survival rates, preserving vital artery blood flow.

Keywords:
Custom-made deviceFenestrated endovascular aneurysm repairIliac aneurysmIliac deviceType I endoleak

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Area of Science:

  • Vascular Surgery
  • Endovascular Repair
  • Medical Device Technology

Background:

  • Iliac aneurysms and endoleaks pose significant treatment challenges.
  • Preserving internal iliac artery (IIA) patency is crucial for preventing pelvic ischemia.
  • Current endovascular options may not always be suitable for complex iliac pathologies.

Purpose of the Study:

  • To evaluate the multicenter experience with a custom-made iliac fenestrated device.
  • To assess the technical results and mid-term outcomes of treating iliac aneurysms and endoleaks.
  • To determine the device's efficacy in maintaining flow through the internal iliac artery.

Main Methods:

  • Retrospective analysis of 22 patients from 3 European institutions.
  • Inclusion criteria: iliac artery aneurysm or endoleak treated with a custom-made fenestrated device.
  • Data collection focused on technical success, complications, and mid-term follow-up.

Main Results:

  • Primary technical success rate of 91.7% (22/24 devices).
  • Primary assisted technical success rate of 95.8% with one IIA covered.
  • 90.9% survival rate at a mean follow-up of 15.2 months.
  • One patient required relining due to stenosis at the fenestration.

Conclusions:

  • Custom-made fenestrated devices are effective for endovascular repair of iliac aneurysms and endoleaks.
  • This technique facilitates repair without compromising flow in critical branch vessels like the IIA.
  • It offers a viable alternative to coil-and-cover techniques when standard devices are not feasible.