scholarly journals Correction: Unibody Endograft Using AFX 2 for Less Invasive and Faster Endovascular Aortic Repair: Protocol for a Multicenter Nonrandomized Study

10.2196/20698 ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. e20698
Author(s):  
Roberto Silingardi ◽  
Pasqualino Sirignano ◽  
Francesco Andreoli ◽  
Wassim Mansour ◽  
Mattia Migliari ◽  
...  
Keyword(s):  
Endovascular Aortic Repair ◽  
Nonrandomized Study ◽  
Less Invasive ◽  
Aortic Repair

scholarly journals Correction: Unibody Endograft Using AFX 2 for Less Invasive and Faster Endovascular Aortic Repair: Protocol for a Multicenter Nonrandomized Study (Preprint)

2020 ◽  
Author(s):  
Roberto Silingardi ◽  
Pasqualino Sirignano ◽  
Francesco Andreoli ◽  
Wassim Mansour ◽  
Mattia Migliari ◽  
...  
Keyword(s):  
Endovascular Aortic Repair ◽  
Nonrandomized Study ◽  
Less Invasive ◽  
Aortic Repair

INTERNATIONAL REGISTERED REPORT PRR1-10.2196/20698

scholarly journals Unibody Endograft Using AFX 2 for Less Invasive and Faster Endovascular Aortic Repair: Protocol for a Multicenter Nonrandomized Study

10.2196/16959 ◽  
2020 ◽  
Vol 9 (4) ◽  
pp. e16959
Author(s):  
Roberto Silingardi ◽  
Pasqualino Sirignano ◽  
Francesco Andreoli ◽  
Wassim Mansour ◽  
Mattia Migliari ◽  
...  
Keyword(s):  
Primary Endpoint ◽  
Clinical Success ◽  
Aortic Aneurysms ◽  
Endovascular Aortic Repair ◽  
Intraoperative Radiation ◽  
Nonrandomized Study ◽  
Aortic Repair ◽  
Number Of Patients

Background Since the introduction of endovascular aortic repair (EVAR) for treatment of abdominal aortic aneurysms (AAAs), progressive improvements in results have been achieved. However, conventional bifurcated stent grafts have been proven to have a nonnegligible risk of failure and secondary intervention, principally due to the lack of adequate proximal sealing. The unique AFX 2 Endovascular AAA System (Endologix, Irvine, CA) unibody device, which provides different sealing and fixation features compared with conventional devices, seems to overcome these limitations. Objective The aim of this study is to evaluate intraoperative, perioperative, and postoperative results in patients treated with the AFX 2 Endovascular AAA System endografts for elective AAA repair in a large cohort of consecutive patients. Methods All eligible EVAR patients will be included in this observational, multicenter, prospective, nonrandomized study. The number of patients to be enrolled is 500. Results The primary endpoint of the study is to evaluate the technical and clinical success of EVAR with unibody endografts in short- (90-day), mid- (1-year), and long-term (5-year) follow-up periods. The following secondary endpoints will also be addressed: operative time, intraoperative radiation exposure, contrast medium usage, AAA sac shrinkage at 12-month and 5-year follow-up, and any potential role of patients’ baseline characteristics and device configuration on primary endpoint. The actual start date of the investigation was November 2019. The final patient is expected to be treated by the end of December 2020, and the estimated study completion date is December 2025. Conclusions This study will provide verified real-world data on AAAs treated by AFX 2 endografts and followed for a long-term interval. International Registered Report Identifier (IRRID) PRR1-10.2196/16959

scholarly journals Thoracic endovascular aortic repair for aortobronchial fistula: a case series

2020 ◽  
Author(s):  
Rajesh Vijayvergiya ◽  
Ganesh Kasinadhuni ◽  
Pruthvi C Revaiah ◽  
Anupam Lal ◽  
Ashish Sharma ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Aortic Surgery ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Fistula Formation ◽  
Less Invasive ◽  
Post Surgery ◽  
Aortobronchial Fistula ◽  
Aortic Repair ◽  
Massive Haemoptysis

Abstract Background Aortobronchial fistula (ABF) formation following the rupture of thoracic pseudoaneurysm is a rare clinical entity. Its aetiology includes atherosclerosis, infections, trauma, post-surgery, and post-endovascular aortic repair. The clinical presentation of ABF includes intermittent or massive haemoptysis, acute respiratory distress, hypotension, and even death. These patients require an emergency aortic intervention to stop active haemorrhage. Thoracic endovascular aortic repair (TEVAR) is a less invasive, safe, and effective treatment compared to conventional open surgical repair Case summary We hereby report three cases of ruptured descending thoracic aortic pseudoaneurysms resulting in a fistula formation. The first two cases had tuberculosis as their underlying aetiology, while the third case was the result of previous open post-aortic surgery. All patients presented with massive haemoptysis and were successfully treated by emergency TEVAR and had favourable outcomes. Discussion Thoracic endovascular aortic repair is a rapid, less invasive, and effective treatment for emergency management of ABF. It has more than 85% technical success rates in the reported literature. We had procedural success in all three cases. The short and midterm outcome of ABF following TEVAR is favourable and encouraging.

scholarly journals Unibody Endograft Using AFX 2 for Less Invasive and Faster Endovascular Aortic Repair: Protocol for a Multicenter Nonrandomized Study (Preprint)

2019 ◽  
Author(s):  
Roberto Silingardi ◽  
Pasqualino Sirignano ◽  
Francesco Andreoli ◽  
Wassim Mansour ◽  
Mattia Migliari ◽  
...  
Keyword(s):  
Primary Endpoint ◽  
Clinical Success ◽  
Aortic Aneurysms ◽  
Endovascular Aortic Repair ◽  
Intraoperative Radiation ◽  
Nonrandomized Study ◽  
Aortic Repair ◽  
Number Of Patients

BACKGROUND Since the introduction of endovascular aortic repair (EVAR) for treatment of abdominal aortic aneurysms (AAAs), progressive improvements in results have been achieved. However, conventional bifurcated stent grafts have been proven to have a nonnegligible risk of failure and secondary intervention, principally due to the lack of adequate proximal sealing. The unique AFX 2 Endovascular AAA System (Endologix, Irvine, CA) unibody device, which provides different sealing and fixation features compared with conventional devices, seems to overcome these limitations. OBJECTIVE The aim of this study is to evaluate intraoperative, perioperative, and postoperative results in patients treated with the AFX 2 Endovascular AAA System endografts for elective AAA repair in a large cohort of consecutive patients. METHODS All eligible EVAR patients will be included in this observational, multicenter, prospective, nonrandomized study. The number of patients to be enrolled is 500. RESULTS The primary endpoint of the study is to evaluate the technical and clinical success of EVAR with unibody endografts in short- (90-day), mid- (1-year), and long-term (5-year) follow-up periods. The following secondary endpoints will also be addressed: operative time, intraoperative radiation exposure, contrast medium usage, AAA sac shrinkage at 12-month and 5-year follow-up, and any potential role of patients’ baseline characteristics and device configuration on primary endpoint. The actual start date of the investigation was November 2019. The final patient is expected to be treated by the end of December 2020, and the estimated study completion date is December 2025. CONCLUSIONS This study will provide verified real-world data on AAAs treated by AFX 2 endografts and followed for a long-term interval. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/16959

Prospective nonrandomized study to evaluate cone beam computed tomography for technical assessment of standard and complex endovascular aortic repair

2020 ◽  
Vol 71 (6) ◽  
pp. 1982-1993.e5 ◽  
Author(s):  
Emanuel R. Tenorio ◽  
Gustavo S. Oderich ◽  
Giuliano A. Sandri ◽  
Pinar Ozbek ◽  
Jussi M. Kärkkäinen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Endovascular Aortic Repair ◽  
Cone Beam ◽  
Nonrandomized Study ◽  
Aortic Repair ◽  
Technical Assessment

scholarly journals THORACIC ENDOVASCULAR AORTIC REPAIR (TEVAR): THE LESS INVASIVE WAY TO GO

2015 ◽  
Vol 31 (10) ◽  
pp. S333 ◽  
Author(s):  
K. McLean ◽  
K. Murfitt ◽  
K. McPhail ◽  
M. Boodhwani
Keyword(s):  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Less Invasive ◽  
Aortic Repair

Distal Malperfusion in Acute Type I Aortic Dissection: The Value of Endovascular Aortic Repair

2015 ◽  
Vol 63 (S 01) ◽  
Author(s):  
K. Tsagakis ◽  
R. Jánosi ◽  
D. Dohle ◽  
J. Benedik ◽  
P. Kahlert ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Endovascular Aortic Repair ◽  
Type I ◽  
Acute Type ◽  
Aortic Repair
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