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  • Fenestrated and branched endografts for the treatment of thoracoabdominal aortic aneurysms: a systematic review
  • Bakoyiannis CN; Economopoulos KP; Georgopoulos S; Klonaris C; Shialarou M; Kafeza M; Papalambros E
  • J Endovasc Ther 2010[Apr]; 17 (2): 201-9
  • PURPOSE: To offer a critical review of the current literature on the use of fenestrated and branched stent-grafts in patients with thoracoabdominal aortic aneurysms (TAAA). METHODS: A thorough search of the English-language literature published between January 2000 and September 2009 identified reports of endovascular procedures using fenestrated and/or branched endografts as the intended repair strategy in patients with TAAA. Studies were selected based on specific inclusion criteria: (1) >3 high-risk patients with preoperative diagnosis of TAAA, (2) the intended treatment strategy was an endovascular repair using a fenestrated or branched endograft or both, and (3) patient demographics and outcome data (technical success rate, 30-day mortality, and follow-up length) were clearly stated. From 47 articles initially identified, 7 studies were included in the statistical analysis encompassing 155 patients (mean age 74.4 years, range 41-86) with TAAA averaging 69.2 mm in diameter. The mean follow-up was 11.8 months, and the majority of patients had Crawford type IV aneurysms. Outcome measures of eligible studies were tabulated and then analyzed cumulatively. RESULTS: Technical success was achieved in 94.2% (n = 146) of the 155 patients. Twenty-three (18.4%) primary endoleaks were reported. The 30-day mortality was 7.1% (n = 11), while the 1-year survival rate was 82.6% (n = 128). Three (1.9%) patients developed permanent paraplegia and 2 (1.3%) developed permanent paraparesis; renal failure was reported in 9 (5.8%). Overall follow-up mortality was 16.1% (n = 25). CONCLUSION: Endovascular treatment with fenestrated or/and branched stent-grafts is a new therapeutic option with encouraging results for patients considered unfit for conventional open repair. However, prolonged follow-up studies are needed in order to draw robust conclusions.
  • |*Angioplasty[MESH]
  • |*Blood Vessel Prosthesis[MESH]
  • |*Blood Vessel Prosthesis Implantation[MESH]
  • |*Stents[MESH]
  • |Aortic Aneurysm, Thoracic/etiology/pathology/*therapy[MESH]
  • |Humans[MESH]
  • |Patient Selection[MESH]
  • |Prosthesis Design[MESH]
  • |Prosthesis Fitting[MESH]
  • |Treatment Outcome[MESH]





  • *{{pmid20426638}}
    *<b>[http://www.kidney.de/mlpefetch.php?search=20426638 Fenestrated and branched endografts for the treatment of thoracoabdominal aortic aneurysms: a systematic review ]</b> J Endovasc Ther 2010; 17(2) ; 201-9 Bakoyiannis CN; Economopoulos KP; Georgopoulos S; Klonaris C; Shialarou M; Kafeza M; Papalambros E

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    J Endovasc Ther

    201 2.17 2010