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Experience with inner branch off the shelf device for thoracoabdominal aneurysms
Daniela Toro1,2, Thomas Ohrlander1,2, Timothy Resch3,2
1Department of Vascular Surgery, Copenhagen Aortic Center, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
The Journal of Cardiovascular Surgery
|June 29, 2023
Summary
A new off-the-shelf endovascular device for complex aortic aneurysms shows promising short-term results. While beneficial for urgent cases, long-term data is needed, and caution advised for extensive use due to potential risks.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Treatment
Background:
- Endovascular treatment of complex aortic aneurysms (cAAA) is increasing.
- Custom-made devices were previously standard, with limited off-the-shelf (OTS) options.
- The ENSIDE device by Artivion offers a new OTS solution.
Purpose of the Study:
- To describe the new inner branch OTS ENSIDE device.
- To present its clinical applications and the authors' experience.
- To evaluate the short-term outcomes of this novel device.
Main Methods:
- Literature review of the ENSIDE device.
- Presentation of the authors' clinical experience with the device.
- Analysis of anatomical suitability and device configuration benefits.
Main Results:
- The ENSIDE device demonstrates acceptable short-term outcomes.
- Its anatomical suitability is comparable to similar devices.
- The preloaded configuration may benefit complex anatomies.
Conclusions:
- New OTS devices offer timely treatment options for cAAA in urgent situations.
- Long-term follow-up is crucial for assessing the ENSIDE device's efficacy.
- Caution is advised against overuse in less extensive aneurysms due to spinal cord ischemia risk.
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