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Título
Combination of BeGraft and Solaris stent grafts for the covered endovascular reconstruction of aortic bifurcation—BS-CERAB technique
Autor
Año del Documento
2024
Editorial
MDPI
Descripción
Producción Científica
Documento Fuente
Journal of Clinical Medicine, 2024, Vol. 13, Nº. 7, 1925
Resumen
Background: This study examines the impact of the use of the combination of BeGraft and Solaris stent grafts on the outcomes during the covered endovascular reconstruction of aortic bifurcation (BS-CERAB) technique and extension to the iliac arteries. Methods: Consecutive patients with aortoiliac occlusive disease who underwent endovascular treatment using BS-CERAB between January 2020 and December 2023 were included. Patient demographics, symptoms, lesion characteristics, and procedural and follow-up details were collected and analyzed. Perioperative complications and reinterventions were also identified. Results: A total of 42 patients met the inclusion criteria (32 men, 76.2%, median age 72 years, range 59–85). Indications for treatment were intermittent claudication (42.9%) and critical limb ischemia (57.1%). Procedure success was achieved in all cases. The median patient follow-up time was 14 months (1–36). One patient died at a 10-month follow-up due to lung cancer. The mean pre-operative ABI increased from 0.37 ± 0.19 before intervention to 0.71 ± 1.23 post-operatively at 12 months (p = 0.037). The estimated primary patency rates at 3, 6, and 12 months were 90.5%, 85.7%, and 81.0% and primary assisted patency rates were 90.5%, 90.5%, and 85.7%, respectively. Secondary patency was 95.2% at 3 and 6 months and 90.5% at a 12-month follow-up. Active cancer (p = 0.023, OR 2.12 95%CI 1.14–3.25) was a risk factor for restenosis. Conclusions: This mid-term experience shows that the CERAB technique using the combination of BeGraft and Solaris stents grafts, for the endovascular treatment of severe aortoiliac atherosclerotic disease, may allow an effective reconstruction of the aortic bifurcation and iliac arteries related to high-patency and lower-reintervention rates.
Materias (normalizadas)
Cardiovascular system - Diseases
Sistema cardiovascular - Enfermedades
Blood-vessels - Diseases
Vasos sanguíneos - Enfermedades
Stents (Surgery)
Angioplasty
Angioplastia
Coronary heart disease - Surgery
Arterias coronarias - Enfermedades
Heart - Diseases
Corazón - Enfermedades
Cardiology
Clinical Medicine
Materias Unesco
3205.01 Cardiología
3207.04 Patología Cardiovascular
3213.17 Cirugía Vascular
3201 Ciencias Clínicas
ISSN
2077-0383
Revisión por pares
SI
Patrocinador
Junta de Castilla y León, Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León (IESCYL) - (grant PIP0277) (project VA171P20)
Version del Editor
Propietario de los Derechos
© 2024 The authors
Idioma
eng
Tipo de versión
info:eu-repo/semantics/publishedVersion
Derechos
openAccess
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