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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
365

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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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Mid-Term Outcomes Following Endovascular Aneurysm Repair Using the INCRAFT Stent-Graft System.

Dashuai Wang1,2,3, Yuxuan Li1,2,3, Shaojie Li4

  • 1Center for Interventional Medicine, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.

Surgical Innovation
|February 23, 2026
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Summary

The INCRAFT Stent-Graft System demonstrated safe and effective midterm outcomes for endovascular aneurysm repair (EVAR) in patients with abdominal aortic aneurysms (AAAs), including those with challenging anatomy. This low-profile device showed no aneurysm-related deaths and sustained success during follow-up.

Keywords:
efficacyendovascular aneurysm repairinfrarenal abdominal aortic aneurysmlow-profile stent graft

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A New Murine Model of Endovascular Aortic Aneurysm Repair
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Area of Science:

  • Vascular Surgery
  • Medical Devices
  • Aortic Aneurysm Treatment

Background:

  • Abdominal aortic aneurysms (AAAs) pose significant health risks.
  • Endovascular Aneurysm Repair (EVAR) is a common treatment modality.
  • Low-profile stent-grafts aim to improve EVAR accessibility, especially in challenging anatomies.

Purpose of the Study:

  • To evaluate the midterm durability and clinical outcomes of the INCRAFT Stent-Graft System for EVAR in infrarenal AAAs.
  • To assess the safety and efficacy of this low-profile device in a real-world setting.
  • To analyze reintervention rates and long-term survival in patients treated with INCRAFT.

Main Methods:

  • Retrospective analysis of patients undergoing elective EVAR with the INCRAFT device (August 2017 - March 2023).
  • Inclusion criteria: infrarenal AAAs.
  • Data collected: baseline characteristics, procedural details, and clinical outcomes including endoleaks and reinterventions.

Main Results:

  • 100% immediate technical and clinical success in 32 patients (mean age 72.7 years).
  • 84.4% had hostile iliac accesses.
  • 15.6% intraprocedural endoleak rate (resolved).
  • No aneurysm-related deaths, stent-graft migration, or ruptures at 32-month median follow-up.
  • 3-year freedom from all-cause mortality: 93.8%; freedom from secondary intervention: 84.4%.

Conclusions:

  • The INCRAFT Stent-Graft System offers sustained success and a low reintervention rate for EVAR in infrarenal AAAs.
  • It is a safe and effective option, particularly for patients with hostile iliac accesses.
  • Midterm outcomes indicate no aneurysm-related mortality, supporting its use in clinical practice.