Outcomes Following Limb Crossing in Endovascular Aneurysm Repairs-Reference-Cited by-同舟云学术

Outcomes Following Limb Crossing in Endovascular Aneurysm Repairs

Published:2015-04 Issue:3-4 Volume:49 Page:52-57
ISSN:1538-5744
Container-title:Vascular and Endovascular Surgery
language:en
Short-container-title:Vasc Endovascular Surg

Author:

Dattani Nikesh¹,Wild John¹,Sidloff David¹,Fishwick Guy²,Bown Matthew¹,Choke Edward¹,Sayers Robert²

Affiliation:

1. Department of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom

2. Department of Interventional Radiology, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom

Abstract

Background: Crossing the limbs of the stent during endovascular aneurysm repair (EVAR) is often used to aid cannulation of the contralateral limb. This study assessed outcomes following the use of this technique. Methods: Retrospective review of crossed (n = 43) and uncrossed (n = 269) EVARs was performed at a tertiary vascular center over 5 years. Primary end points were graft limb occlusion (GLO), endoleak, and sac expansion rates. Indications for limb crossing were also assessed. Results: Two-year GLO ( P = .34) and type 1 endoleak ( P = .413) rates were similar between groups. Patients undergoing crossed EVAR experienced more type 2 endoleaks ( P = .002) at 24 months but no increase in sac expansion rates was observed ( P = .275). Thirty-day ( P = .57) and late ( P = .268) mortalities were similar between groups. The main indication for limb crossing was distal aortic angulation (48.8%). Conclusions: Crossed EVAR does not increase the risk of GLOs or clinically significant endoleaks. Further studies are needed to determine the effect on type 2 endoleak rates.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/1538574415587512

Reference22 articles.

1. Paradigm shifts in the treatment of abdominal aortic aneurysm: Trends in 721 patients between 1996 and 2008

2. Transfemoral Intraluminal Graft Implantation for Abdominal Aortic Aneurysms

3. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial

4. Endovascular versus Open Repair of Abdominal Aortic Aneurysm

5. EVAR Technical Tip – Confirmation of Contralateral Limb Gate Cannulation Using a Moulding Balloon

Cited by 8 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Impact of Cross-Limb Stent-Graft Configuration on Hemodynamics in Abdominal Aortic Aneurysm Interventional Therapy;Cardiovascular Engineering and Technology;2023-11-20

2. DANCER: Study protocol of a prospective, non-randomized controlled trial for crossed limb versus standard limb configuration in endovascular abdominal aortic aneurysm repair;Frontiers in Cardiovascular Medicine;2022-11-09

3. A Comparative Study on the Hemodynamic Performance Within Cross and Non-cross Stent-Grafts for Abdominal Aortic Aneurysms With an Angulated Neck;Frontiers in Physiology;2021-12-02

4. Meta-Analysis of the Crossed Versus Standard Limb Configuration in Endovascular Aneurysm Repair;Annals of Vascular Surgery;2021-11

5. The Crossed Legs, “Ballerina” (or “Johnnie Walker”) Configuration: A Solution or Bottle Neck in Endovascular Aneurysm Repair?;European Journal of Vascular and Endovascular Surgery;2021-04