Ventana Fenestrated Stent-Graft System for Endovascular Repair of Juxtarenal Aortic Aneurysms

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dc.contributor.authorMertens, Renato
dc.contributor.authorBergoeing, Michel
dc.contributor.authorMarine, Leopoldo
dc.contributor.authorValdes, Francisco
dc.contributor.authorKraemer, Albrecht
dc.contributor.authorVergara, Jeanette
dc.date.accessioned2024-01-10T13:44:10Z
dc.date.available2024-01-10T13:44:10Z
dc.date.issued2012
dc.description.abstractPurpose: To describe the initial use of an off-the-shelf fenestrated stent-graft system for endovascular repair of juxtarenal abdominal aortic aneurysms.
dc.description.abstractTechnique: The off-the-shelf Ventana fenestrated stent-graft system consists of a 25-mm IntuiTrak self-expanding bifurcated stent-graft implanted at the aortic bifurcation. A Ventana self-expanding fenestrated proximal extension stent-graft is overlapped with the bifurcated body distally and sealed proximally in the visceral segment with a 4-cm-long scallop below and around the SMA and celiac artery, obviating the need for an infrarenal neck. Movable, non-reinforced, 3-mm fenestrations for the renal arteries can be expanded to 10 mm. The 22-F delivery system includes 6.5-F guide sheaths pre-inserted through the stent-graft fenestrations so that the renal arteries are cannulated before the fenestrated stent-graft is deployed. The Xpand renal stent-grafts, with a proximal segment intended for flaring in the aorta, are delivered on 5-F or 6-F balloon catheters through the 6.5-F guide sheaths.
dc.description.abstractThe technique is illustrated in 2 patients (76 and 77 years of age) with significant comorbidities and juxtarenal aortic aneurysms measuring 5.9 and 7.4 mm, respectively, who were enrolled in an ongoing prospective trial (www.ClinicalTrials.gov identifier NCT01348828) of this new device. Patient 1 had a 28-mm fenestrated stent-graft system with the aligned fenestration configuration deployed, while the stent-graft in Patient 2 was 32 mm in diameter and had offset fenestrations to accommodate the renal artery geometry. Mean fluoroscopy times were 27 and 35 minutes, and the contrast volumes were 72 and 67 m L. Total procedure times were 84 and 71 minutes. The aneurysms were effectively excluded in uneventful procedures, with no migration, endoleak, or renal dysfunction at 6-month follow-up. Conclusion: There exists an unmet clinical need for a broadly applicable endovascular option for repair of more complex juxtarenal or pararenal aortic aneurysms. These cases suggest that endovascular repair of such aneurysms using the Ventana fully integrated offthe-shelf stent-graft system is safe and feasible. J Endovasc Ther. 2012;19:173-178
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1583/11-3706.1
dc.identifier.issn1526-6028
dc.identifier.pubmedidMEDLINE:22545881
dc.identifier.uri10.1583/11-3706.1
dc.identifier.wosidWOS:000303644300008
dc.information.autorucMedicina;Bergoeing M ;S/I;92603
dc.information.autorucMedicina;Kramer A;S/I;98256
dc.information.autorucMedicina;Marine L ;S/I;4085
dc.information.autorucMedicina;Mertens R;S/I;75745
dc.information.autorucDerecho;Valdes F ;S/I;163939
dc.information.autorucMedicina;Vergara J;S/I;115926
dc.issue.numero2
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final178
dc.pagina.inicio173
dc.publisherALLIANCE COMMUNICATIONS GROUP DIVISION ALLEN PRESS
dc.revistaJOURNAL OF ENDOVASCULAR THERAPY
dc.rightsacceso restringido
dc.subjectabdominal aortic aneurysm
dc.subjectendovascular aneurysm repair
dc.subjectstent-graft
dc.subjectfenestrated endograft
dc.subjectrenal stent
dc.subjectjuxtarenal aortic aneurysm
dc.subjectOUTCOMES
dc.subjectENDOGRAFT
dc.subjectTRIAL
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleVentana Fenestrated Stent-Graft System for Endovascular Repair of Juxtarenal Aortic Aneurysms
dc.typeartículo
dc.volumen19
sipa.codpersvinculados92603
sipa.codpersvinculados98256
sipa.codpersvinculados4085
sipa.codpersvinculados75745
sipa.codpersvinculados163939
sipa.codpersvinculados115926
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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