Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

The Utrecht endovascular technologies (EVT) experience

J D Blankensteijn¹, W P Mali, B C Eikelboom

¹Department of Surgery, University Hospital Utrecht, The Netherlands.

Journal Des Maladies Vasculaires

|January 23, 1999

Summary

This study evaluated the Endovascular Grafting System (EGS) for abdominal aortic aneurysm repair. Early EGS use showed complications, leading to redesign and improved outcomes with the EGS-II in later patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Endovascular Repair of Juxtarenal and Pararenal Abdominal Aortic Aneurysms Using a Novel Low-Profile Fenestrated Custom-Made Endograft: Technical Details and Short-Term Outcomes.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists·2024

Same author

Intragraft Obstructive Thrombus Two Years After Endovascular Repair of Traumatic Aortic Injury: A Case Report and Review of the Literature.

EJVES vascular forum·2021

Same author

Editor's Choice - Nationwide Analysis of Patients Undergoing Iliac Artery Aneurysm Repair in the Netherlands.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2020

Same author

Individual Differences in Heparin Sensitivity and Their Effect on Heparin Anticoagulation During Arterial Vascular Surgery.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2017

Same author

Higher 30 Day Mortality in Patients with Familial Abdominal Aortic Aneurysm after EVAR.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2017

Same author

Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years.

The British journal of surgery·2017

Area of Science:

Vascular Surgery
Endovascular Interventions
Medical Device Technology

Background:

The Endovascular Grafting System (EGS) was introduced for abdominal aortic aneurysm (AAA) repair.
Initial clinical experience with the first-generation EGS in the Netherlands revealed significant challenges.
Device modifications led to the development of the redesigned EGS-II system.

Purpose of the Study:

To review the single-center clinical experience with the Endovascular Grafting System (EGS) in the Netherlands.
To evaluate the outcomes and complications associated with both the original EGS and the redesigned EGS-II.
To assess the safety and efficacy of endovascular AAA repair using the EGS.

Main Methods:

Prospective follow-up of 35 patients undergoing elective infrarenal AAA repair with EGS.

Related Experiment Videos

Two treatment groups: Group I (original EGS, n=11) and Group II (redesigned EGS-II, n=24).

Postoperative monitoring included duplex ultrasound, X-rays, and CT angiography (CTA) at regular intervals.

Main Results:

Group I experienced explantations due to proximal leaks and hook breaks; 4 out of 11 patients were alive with excluded aneurysms at 3 years.
Group II (EGS-II) showed fewer explantations, but complications included graft tears and endoleaks requiring conversion or observation.
Overall, 35 patients were treated with 4 cases of common femoral artery injury at the introduction site.

Conclusions:

The initial EGS demonstrated significant complications, necessitating redesign.
The redesigned EGS-II showed potential for improved outcomes, though challenges like endoleaks persisted.
Continued monitoring and potential for conversion to open repair remain critical aspects of endovascular AAA repair.