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Multicentre Experience with Novel Bidirectional Double Cuffed Inner Branches for Complex Endovascular Aortic Repair
Márton Berczeli1, Tilo Kölbel2, Nikolaos Tsilimparis3
1Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden; Vascular Centre, Department of Thoracic Surgery and Vascular Diseases, Skåne University Hospital, Malmö, Sweden; Department of Vascular and Endovascular Surgery, Semmelweis University, Budapest, Hungary.
This study shows promising results for a new bidirectional double cuff inner branch in complex aortic repairs. The technique achieved high success with no short-term complications, potentially expanding endovascular aortic repair options.
Area of Science:
- Vascular Surgery
- Endovascular Repair
- Aortic Aneurysm Treatment
Background:
- Fenestrated and branched endovascular aortic repair (F/BEVAR) is complex.
- Incorporating visceral and renal arteries requires specialized graft designs.
Purpose of the Study:
- To evaluate the initial clinical experience with a novel bidirectional double cuff inner branch design.
- To assess its safety and efficacy in F/BEVAR procedures.
Main Methods:
- Retrospective review of 13 patients undergoing F/BEVAR with the novel branch design.
- Data collected included baseline characteristics, operative details, and follow-up outcomes.
- Median follow-up was seven months.
Main Results:
- Fifteen bidirectional double cuff inner branches were used in 13 patients.
- Successful target vessel incorporation was achieved in all cases.
- High technical success (23/30 cuffs used) with no short-term branch-related complications observed.
Conclusions:
- The bidirectional double cuff inner branch shows promising initial results for F/BEVAR.
- This design may enhance the applicability of branch endografting for complex aortic repairs.
- Long-term outcomes require further investigation.
