Early results of expanding the anatomical indications for using a Gore Iliac branch endoprosthesis to treat aortoiliac and iliac aneurysms

Early results of expanding the anatomical indications for using a Gore Iliac branch endoprosthesis to treat aortoiliac and iliac aneurysms
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扩大使用戈尔髂支内置假体治疗主髂动脉瘤的解剖适应症的早期结果

DOI:
10.1007/s00595-020-02183-4
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发表时间:
2020
期刊:
影响因子:
2.5
通讯作者:
Itoh Manabu
Itoh Manabu
中科院分区:
医学4区
文献类型:
--
作者:
Yunoki Junji;Kamohara Keiji;Koga Shugo;Tanaka Atsuhisa;Takeuchi Yuki;Uchino Motonori;Nogami Eijiro;Morokuma Hiroyuki;Koga Yuichi;Yoshitake Syuichiro;Itoh Manabu

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目的评价戈尔髂动脉分支人工血管(IBE)在主动脉瘤和髂动脉瘤治疗中的安全性和解剖学适宜性。方法2017-2020年间,20例患者在扩大使用指南( )标准后,应用戈尔-IBE装置(双侧IBE,n=IFU 1)行血管内动脉瘤修补术(EVAR)。结果6例患者(30%)符合所有IFU标准。符合IFU标准的21条IBE肢体中,10条(47.6%)为髂总动脉,21条(100%)为髂外动脉,18条(85.7%)为髂内动脉,15例(71.8%)为最低肾动脉至髂骨分叉的长度。所有采用不同解救技术的患者均取得了初步技术上的成功。1名患者(5%)在EVAR后7天需要裸露支架置入,原因是小的末端主动脉导致同侧肢体严重狭窄。结论在符合IFU标准的情况下,Gore IBES能安全、有效地植入日本患者的主-髂动脉瘤和髂动脉瘤。
PurposeTo assess the safety and anatomical suitability of using a Gore Iliac Branch Endoprosthesis (IBE) in aortoiliac and iliac aneurysm repair.MethodsBetween 2017 and 2020, 20 patients underwent endovascular aneurysm repair (EVAR) with a Gore IBE device (bilateral IBE,n= 1) after expanding the instructions for use (IFU) criteria. We evaluated the early clinical outcomes and suitability of the IFU criteria, retrospectively.ResultsSix patients (30%) met all the IFU criteria. Anatomical suitability according to the IFU criteria for the collective total of 21 IBE limbs was confirmed for 10 (47.6%) proximal common iliac arteries, 21 (100%) external iliac arteries, 18 (85.7%) internal iliac arteries, and in the length from the lowest renal artery to the iliac bifurcation in 15 (71.8%) patients. Assisted primary technical success was achieved in all patients with various bail-out techniques. One patient (5%) required a bare-stent insertion 7 days after EVAR for severe stenosis in the ipsilateral limb caused by a small terminal aorta. There was no case of occlusion of an iliac branch component device.ConclusionsGore IBEs were implanted safely and effectively with various bail-out techniques to repair aortoiliac and iliac aneurysms in our Japanese patients with a low rate of inclusion IFU criteria.
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