在肾下主动脉解剖结构复杂的患者中，使用两种不同的带肾上固定的血管内移植物系统进行腹主动脉瘤修复的结果。

Outcomes of endovascular aneurysm repair with 2 different endograft systems with suprarenal fixation in patients with hostile infrarenal aortic anatomy.

作者信息

Antoniou George A, Georgiadis George S, Glancz Laurence, Delbridge Michael, Murray David, Smyth J Vincent, Lazarides Miltos K, Serracino-Inglott Ferdinand

机构信息

Department of Vascular and Endovascular Surgery, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

出版信息

Vasc Endovascular Surg. 2013 Jan;47(1):9-18. doi: 10.1177/1538574412467859. Epub 2012 Nov 29.

DOI:10.1177/1538574412467859

PMID:23203596

Abstract

OBJECTIVE

To evaluate 2 different aortic endograft systems with suprarenal fixation in patients with unfavorable neck morphology.

METHODS

A prospective observational study assigning patients with abdominal aortic aneurysm with unfriendly neck anatomy treated with 2 different endograft systems (Endurant and Zenith) was conducted. The log-rank test was applied to investigate the differences in cumulative outcome parameters.

RESULTS

Successful endograft implantation was achieved in all patients. Requirement for troubleshooting techniques was similar in the 2 groups (P = .156 and P = .081, respectively). In-hospital procedure-related morbidity occurred in 7 patients (Zenith vs Endurant, P = .690). Freedom from any type of endoleak and overall mortality did not differ significantly between the groups (log-rank test, P = .068 and P = .087). Reinterventions were more commonly required in the Zenith group (log-rank rest, P = .041), and were all nongraft/aneurysm-related.

CONCLUSIONS

Similar performances of the Zenith and the Endurant endograft systems were demonstrated.

摘要

目的

评估两种不同的带肾上固定的主动脉内移植物系统在颈部形态不佳患者中的应用效果。

方法

进行一项前瞻性观察性研究，纳入接受两种不同内移植物系统（Endurant和Zenith）治疗的腹主动脉瘤且颈部解剖结构不佳的患者。应用对数秩检验来研究累积结局参数的差异。

结果

所有患者均成功植入内移植物。两组中故障排除技术的需求相似（分别为P = 0.156和P = 0.081）。7例患者发生了与住院期间手术相关的并发症（Zenith组与Endurant组相比，P = 0.690）。两组间无任何类型内漏的发生率和总体死亡率无显著差异（对数秩检验，P = 0.068和P = 0.087）。Zenith组更常需要再次干预（对数秩检验，P = 0.041），且均与移植物/动脉瘤无关。