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Early Results of Fenestrated Endovascular Repair of Juxtarenal Aortic Aneurysms in the United Kingdom

2012; Lippincott Williams & Wilkins; Volume: 125; Issue: 22 Linguagem: Inglês

10.1161/circulationaha.111.070334

1524-4539

Graeme K. Ambler, J.R. Boyle, Claire Cousins, Paul D. Hayes, Trupti P Metha, Teik Choon See, K. Varty, Andrew Winterbottom, D.J. Adam, Andrew W. Bradbury, Mike Clarke, Ralph Jackson, John Rose, Aliya Sharif, Vera Wealleans, Robin Williams, L Wilson, Mike Wyatt, Irfan Ahmed, Rachel E. Bell, T. Carrell, Panos Gkoutzios, Tarun Sabharwal, R. Salter, Matthew Waltham, Colin Bicknell, Patricia Bourke, N.J.W. Cheshire, I J Franklin, Adam James, Michael Jenkins, Mark Tyrrell, C. Jason Wilkins, Matthew J. Bown, Edward Choke, Mark I. McCarthy, Shu Ye, A. Tamberaja, Finn Farquharson, Ferdinand Serracino‐Inglott, Meryl Davis, George Hamilton, John A. Brennan, Rana Canavati, Robert K. Fisher, Richard G. McWilliams, Jitendra Naik, S. Rao Vallabhaneni, John Hardman, Stephen Black, Robert J. Hinchliffe, Peter Holt, I.M. Loftus, T M Loosemore, Robert Morgan, M.M. Thompson, Obiekezie Agu, Cassandra Santaella. Bishop, Dee Boardley, Jane Cross, Julian Hague, Peter L. Harris, Krassi Ivancev, Jowad Raja, Toby Richards, Dominic Simring, A.C. Fisher, D. Smith, G P Copeland,

Infectious Aortic and Vascular Conditions

Fenestrated endovascular repair of abdominal aortic aneurysms has been proposed as an alternative to open surgery for juxtarenal and pararenal abdominal aortic aneurysms. At present, the evidence base for this procedure is predominantly limited to single-center or single-operator series. The aim of this study was to present nationwide early results of fenestrated endovascular repair in the United Kingdom.All patients who underwent fenestrated endovascular repair between January 2007 and December 2010 at experienced institutions in the United Kingdom(>10 procedures) were retrospectively studied by use of the GLOBALSTAR database. Site-reported data relating to patient demographics, aneurysm morphology, procedural details, and outcome were recorded. Data from 318 patients were obtained from 14 centers. Primary procedural success was achieved in 99% (316/318); perioperative mortality was 4.1%, and intraoperative target vessel loss was observed in 5 of 889 target vessels (0.6%). The early reintervention ( 30 days) was 90% (0.02), 86% (0.03), and 70% (0.08) at 1, 2, and 3 years.In this national sample, fenestrated endovascular repair has been performed with a high degree of technical and clinical success. Late survival and target vessel patency are satisfactory. These results support continued use and evaluation of this technique for juxtarenal aneurysms, but illustrate the need for a more robust evidence base.