Academic Journal
Mid-term results on a new self-expandable covered stent combined with branched stent-grafts: insights from a multicenter Italian registry
| العنوان: | Mid-term results on a new self-expandable covered stent combined with branched stent-grafts: insights from a multicenter Italian registry |
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| المؤلفون: | Bertoglio, Luca, Alessandro, Grandi, Franco, Veraldi Gian, Raffaele, Pulli, Michele, Antonello, Stefano, Bonvini, Giacomo, Isernia, Raffaello, Bellosta, Francesco, Buia, Roberto, Silingardi, Domenico, Angiletta, Roberto, Chiesa, Luca, Di Marzo, Loris, Flora, Stefano, Gennai, Rocco, Giudice, Massimo, Lenti, Nicola, Leone, Sandro, Lepidi, Andrea, Melloni, Luca, Mezzetto, Stefano, Michelagnoli, Bruno, Migliara, Domenico, Milite, Davide, Pacini, Enzo, Palazzo, Alberto, Pecchio, Alberto, Pegorer Matteo, Paolo, Perini, Michele, Piazza, Giovanni, Pratesi, Sonia, Ronchey, Nicola, Spadoni, Nicola, Tusini, Fabio, Verzini |
| المساهمون: | Luca, Bertoglio, Grandi, Alessandro, Veraldi Gian, Franco, Pulli, Raffaele, Antonello, Michele, Bonvini, Stefano, Isernia, Giacomo, Bellosta, Raffaello, Buia, Francesco, Silingardi, Roberto, Angiletta, Domenico, Chiesa, Roberto, Di Marzo, Luca, Flora, Lori, Gennai, Stefano, Giudice, Rocco, Lenti, Massimo, Leone, Nicola, Lepidi, Sandro, Melloni, Andrea, Mezzetto, Luca, Michelagnoli, Stefano, Migliara, Bruno, Milite, Domenico, Pacini, Davide, Palazzo, Enzo, Pecchio, Alberto, Pegorer Matteo, Alberto, Perini, Paolo, Piazza, Michele, Pratesi, Giovanni, Ronchey, Sonia, Spadoni, Nicola, Tusini, Nicola, Verzini, Fabio |
| سنة النشر: | 2023 |
| المجموعة: | Padua Research Archive (IRIS - Università degli Studi di Padova) |
| مصطلحات موضوعية: | Aorto-iliac aneurysm, Branched, Endovascular procedure, Thoracoabdominal Aortic Aneurysm, covered stent, instability, self-expandable |
| الوصف: | Objective: To investigate the technical periprocedural and mid-term outcomes of endovascular repairs with multibranched (BEVAR) or iliac-branch devices (IBD) combined with a new self-expanding covered stent. Methods: The COBRA (COvera in BRAnch) registry is a physician-initiated, multicenter, ambispective, observational registry (ClinicalTrials.gov Identifier: NCT04598802) enrolling patients receiving a BEVAR or IBD procedure mated with Bard Covera Plus (Tempe, Arizona, USA) covered stent, designed to evaluate the outcomes of the covered stent mated with patient-specific and off-the-shelf branched stent-graft. Primary endpoints were technical success, branch instability, and freedom from aortic and branch-related reintervention within 30 days and at follow-up. Preoperative characteristics, comorbidities, and outcomes definition were graded according to the Society for Vascular Surgery reporting standards. Results: Two hundred eighty-four patients [76 years (70-80); 79% males] in 24 centers were enrolled for a total of 708 target vessels treated. The CSs were mated with an off-the-shelf graft in 556 vessels (79%) and a custom-made graft in 152 (21%). Three-hundred-seven adjunctive relining stents in 277 vessels (39%) were deployed, of which 116 (38%) proximal, 66 (21%) intrastent and 125 (41%) distal. Adjunctive relining stent placement was more frequent when landing in a vessel branch instead of the main trunk (59%vs39%, p=.031), performing a percutaneous access (49%vs35%, p<.001), using a stent with a diameter ≥8mm (44%vs36%, p=.032) and a length ≥80mm (65%vs55%, p=.005), when a post-dilatation was not performed (45%vs29%, p<.001) and when an inner-branch configuration was used (55%vs35%, p<.001). Perioperative technical bridging success was 98%. Eight patients (3%) died in the perioperative period. Two deaths (1%) were associated with renal branch occlusion followed by acute kidney injury and paraplegia. Follow-up data were available for 638 vessels (90%) at a median of 32 months (Q1, Q3: 21,46). A ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/36822256; info:eu-repo/semantics/altIdentifier/wos/WOS:001019501200001; journal:JOURNAL OF VASCULAR SURGERY; https://hdl.handle.net/11577/3475002; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85153220710 |
| DOI: | 10.1016/j.jvs.2023.02.007 |
| الاتاحة: | https://hdl.handle.net/11577/3475002 https://doi.org/10.1016/j.jvs.2023.02.007 |
| رقم الانضمام: | edsbas.F372B6A7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jvs.2023.02.007 |
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