Prospective study of the E-liac Stent Graft System in patients with common iliac artery aneurysms: 30-Day results
- 23 July 2018
- journal article
- research article
- Published by SAGE Publications in Vascular
- Vol. 26 (6) , 647-656
Abstract
Objectives: To study the safety and feasibility of the E-liac Stent Graft System® in patients with aorto/iliac aneurysms. Methods: A prospective multicentric European registry of patients receiving the E-liac Stent Graft System® was conducted. Endpoints of the study included the technical success as well as periprocedural events and 30-day endoleaks, reinterventions, internal and external iliac artery patency and mortality. Results: Between July 2014 and June 2016, a total of 45 patients (93% men, mean age 72 years, range 53–90 years) were enrolled at 11 sites in four European countries. Five patients received an isolated iliac treatment. Thirty-seven patients were treated with a combination of an abdominal stent graft and a unilateral E-liac and three in combination with bilateral E-liac. All E-liac Stent Grafts (48) were implanted in the intended position and the internal iliac arteries were successfully bridged. Two patients did not receive clinical success, due to endoleak type Ia of the aortic stent graft. At 30-day follow-up, clinical success rate was 96%. Three successful endovascular reinterventions were performed within the 30-day follow-up: one due to a type Ia endoleak in the common iliac artery, one due to type Ia endoleak of the aortic stent graft, and one due to bilateral lower limb claudication provoked by stent graft limb stenosis. At 30-day, a 100% survival rate and complete absence of pelvic or buttock ischemia/claudication were reported. Primary patency at 30 days was 100% for the internal iliac artery and 98% for the external iliac artery with an assisted patency of 100% in the latter. Conclusions: The high clinical success rate, low rates of device-related reinterventions (2%), and excellent patency rate demonstrate the safety and feasibility of the E-liac Stent Graft System. Long-term results are awaited to state efficacy and durability. Clinical Trials.gov. Identifier no. NCT02209194.Keywords
This publication has 15 references indexed in Scilit:
- Treatment of iliac artery bifurcation aneurysms with the second-generation straight iliac bifurcated deviceJournal of Vascular Surgery, 2015
- Endovascular Aneurysm Repair of Aortoiliac Aneurysms with an Iliac Side-branched Stent graft: Studying the Morphological Applicability of the Cook DeviceEuropean Journal of Vascular and Endovascular Surgery, 2015
- Smoking, sex, risk factors and abdominal aortic aneurysms: a prospective study of 18 782 persons aged above 65 years in the Southern Community Cohort StudyJournal of Epidemiology and Community Health, 2015
- Long-term Results of Iliac Aneurysm Repair with Iliac Branched Endograft: A 5-Year Experience on 100 Consecutive CasesEuropean Journal of Vascular and Endovascular Surgery, 2012
- Management of Abdominal Aortic Aneurysms Clinical Practice Guidelines of the European Society for Vascular SurgeryEuropean Journal of Vascular and Endovascular Surgery, 2011
- Endovascular Aneurysm Repair with Preservation of the Internal Iliac Artery Using the Iliac Branch Graft DeviceEuropean Journal of Vascular and Endovascular Surgery, 2010
- Endovascular treatment of iliac aneurysm: Concurrent comparison of side branch endograft versus hypogastric exclusionJournal of Vascular Surgery, 2009
- Contemporary Management of Aorto-iliac Aneurysms in the Endovascular EraEuropean Journal of Vascular and Endovascular Surgery, 2009
- Endovascular Repair of Abdominal Aortic Aneurysms With Concomitant Common Iliac Artery Aneurysm:Outcome Analysis of the EUROSTAR ExperienceJournal of Endovascular Therapy, 2008
- Comparison of morphologic features of intact and ruptured aneurysms of infrarenal abdominal aorta1 1Competition of interest: none.Published online May 29, 2003.Journal of Vascular Surgery, 2003