Anna Maria Ierardi1, Elias Kehagias2, Gabriele Piffaretti3, Filippo Piacentino1, Giuseppe De Marchi1, Matteo Tozzi3, Christos Ioannou4, Massimo Tonolini5, Alberto Magenta Biasina6, Gianpaolo Carrafiello7, Dimitrios Tsetis2. 1. Unit of Interventional Radiology, Department of Radiology, University of Insubria, 71110, Heraklion, Crete, Greece. 2. Unit of Interventional Radiology, Department of Radiology, Faculty of Medicine, University Hospital of Heraklion, University of Crete, 71110, Heraklion, Crete, Greece. 3. Vascular Surgery Department, University of Insubria, Viale Borri, 57, 21100, Varese, VA, Italy. 4. Unit of Vascular Surgery, Faculty of Medicine, University Hospital of Heraklion, University of Crete, Heraklion, Greece. 5. Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157, Milan, MI, Italy. 6. Department of Diagnostic and Interventional Radiology, San Paolo Hospital, University of Milan, Via A. Di Rudinì 8, 20142, Milan, Italy. 7. Unit of Interventional Radiology, Department of Radiology, University of Insubria, 71110, Heraklion, Crete, Greece. gcarraf@gmail.com.
Abstract
PURPOSE: We report our experience regarding use of Fluency stent graft (Bard, Murray Hill, NJ, USA) for the treatment of peripheral aneurysms, pseudoaneurysms, arteriovenous fistulae, dissections and arterial ruptures, lacerations or perforations. METHODS AND MATERIALS: This two-center study included 59 patients (40 M, 19 F) with a mean age of 64.37 years (range 20-91 years). In total 61 lesions were treated, so subdivided: 10 true aneurysms, 26 pseudoaneurysms, 5 iatrogenic arteriovenous fistulae, 20 arterial ruptures, lacerations or perforations. RESULTS: Immediate technical success was obtained in 60 of 61 lesions (98.3 %); in 1 case (pseudoaneurysm of hepatic artery) additional embolization of the gastroduodenal artery with microcoils was needed. Follow-up was available for 57 patients and 59 lesions; mean period was 23.52 months (range 1-60 months). At 1-year primary patency was 89.47 %, whereas secondary patency was 96.4 %. CONCLUSION: Endovascular application of Fluency stent graft seems to offer an effective, and durable less invasive alternative to standard surgical techniques for the treatment of peripheral aneurysms, pseudoaneurysms, iatrogenic arteriovenous fistulae and arterial ruptures, or penetrating injuries.
PURPOSE: We report our experience regarding use of Fluency stent graft (Bard, Murray Hill, NJ, USA) for the treatment of peripheral aneurysms, pseudoaneurysms, arteriovenous fistulae, dissections and arterial ruptures, lacerations or perforations. METHODS AND MATERIALS: This two-center study included 59 patients (40 M, 19 F) with a mean age of 64.37 years (range 20-91 years). In total 61 lesions were treated, so subdivided: 10 true aneurysms, 26 pseudoaneurysms, 5 iatrogenic arteriovenous fistulae, 20 arterial ruptures, lacerations or perforations. RESULTS: Immediate technical success was obtained in 60 of 61 lesions (98.3 %); in 1 case (pseudoaneurysm of hepatic artery) additional embolization of the gastroduodenal artery with microcoils was needed. Follow-up was available for 57 patients and 59 lesions; mean period was 23.52 months (range 1-60 months). At 1-year primary patency was 89.47 %, whereas secondary patency was 96.4 %. CONCLUSION: Endovascular application of Fluency stent graft seems to offer an effective, and durable less invasive alternative to standard surgical techniques for the treatment of peripheral aneurysms, pseudoaneurysms, iatrogenic arteriovenous fistulae and arterial ruptures, or penetrating injuries.
Authors: R Guillon; J M Garcier; A Abergel; R Mofid; V Garcia; T Chahid; A Ravel; D Pezet; L Boyer Journal: Cardiovasc Intervent Radiol Date: 2003 May-Jun Impact factor: 2.740
Authors: Joseph J DuBose; Ravi Rajani; Ramy Gilani; Zachary A Arthurs; Jonathan J Morrison; William D Clouse; Todd E Rasmussen Journal: Injury Date: 2012-08-22 Impact factor: 2.586