European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 6 , Pages 653-660, December 2008

Results of Endovascular Abdominal Aortic Aneurysm Repair with the Zenith stent-graft

  • W.T.G.J. Bos

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, P.O. Box 30 001, 9700 RB Groningen, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31 50 361 33 82; fax: +31 50 361 17 45.
    • ,
  • I.F.J. Tielliu

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, P.O. Box 30 001, 9700 RB Groningen, The Netherlands
    • ,
  • C.J. Zeebregts

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, P.O. Box 30 001, 9700 RB Groningen, The Netherlands
    • ,
  • T.R. Prins

      Affiliations

    • Department of Radiology, University Medical Center Groningen, Groningen, The Netherlands
    • ,
  • J.J.A.M. van den Dungen

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, P.O. Box 30 001, 9700 RB Groningen, The Netherlands
    • ,
  • E.L.G. Verhoeven

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, P.O. Box 30 001, 9700 RB Groningen, The Netherlands
    • EV has received consulting fees and research funding from W.L. Gore & Associates and William Cook Europe.

Received 5 May 2008; accepted 12 July 2008. published online 09 September 2008.

Abstract 

Objective

To evaluate single center results of the Zenith stent-graft for elective abdominal aortic aneurysm repair.

Methods

Data from all patients treated with a Zenith graft between March 1999 and December 2006 were retrospectively analyzed from a prospective database. Outcome measures were technical success, all-cause and aneurysm related mortality, late complications, and re-interventions.

Results

A total of 234 patients were included, of which 216 were male. Mean age was 72.1±6.9 years. Mean diameter of the aneurysm was 60.9±10mm. Technical success rate was 98.3%. Thirty day mortality was 1.7%. Median follow-up was 26.9 months (range, 1–104). Overall survival was 92.2±1.8% at 1 year, 87.2±2.3% at 2 years, and 69.9±4.6% at 5 years. During follow-up, one aneurysm ruptured due to limb disconnection, which was treated by bridging stent-grafting. Re-interventions were performed in 9.2% of the patients, with 79% by endovascular means. There was no mortality related to re-intervention.

Conclusions

Endovascular abdominal aortic aneurysm repair with the Zenith device provides excellent results with a low risk for aneurysm-related death and rupture, and a low re-intervention rate in the mid-term.

Keywords: Abdominal aneurysm, Endovascular, Zenith, Mid-term, Re-interventions

 

PII: S1078-5884(08)00414-0

doi:10.1016/j.ejvs.2008.07.010

European Journal of Vascular & Endovascular Surgery
Volume 36, Issue 6 , Pages 653-660, December 2008

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