Journal of Vascular Surgery
Volume 48, Issue 4 , Pages 795-801 , October 2008

Endovascular treatment of abdominal aortic aneurysms with the Powerlink Endograft System: Influence of placement on the bifurcation and use of a proximal extension on early and late outcomes

  • Gioacchino Coppi, MD

      Affiliations

    • Department of Vascular Surgery, Nuovo Ospedale di S. Agostino-Estense, Modena, Italy
    • Corresponding Author InformationReprint requests: Gioacchino Coppi, MD, Department of Vascular Surgery, Nuovo Ospedale di S. Agostino-Estense, Via Giardini 1355, 41100 Baggiovara (MO), Italy
    • ,
  • Roberto Silingardi, MD

      Affiliations

    • Department of Vascular Surgery, Nuovo Ospedale di S. Agostino-Estense, Modena, Italy
    • ,
  • Sebastiano Tasselli, MD

      Affiliations

    • Department of Vascular Surgery, Nuovo Ospedale di S. Agostino-Estense, Modena, Italy
    • ,
  • Stefano Gennai, MD

      Affiliations

    • Department of Vascular Surgery, Nuovo Ospedale di S. Agostino-Estense, Modena, Italy
    • ,
  • Giuseppe Saitta, MD

      Affiliations

    • Department of Vascular Surgery, Nuovo Ospedale di S. Agostino-Estense, Modena, Italy
    • ,
  • Gian Franco Veraldi, MD

      Affiliations

    • First Division of General Surgery-Section of Vascular Surgery, Civile Maggiore Hospital of Verona, Verona, Italy

Received 25 April 2008 ,Accepted 4 May 2008.

References 

  1. May J, White GH, Waugh R, Stephen MS, Chaufour X, Arulchelvam M, et al. Comparison of first- and second-generation prostheses for endoluminal repair of abdominal aortic aneurysms: a 6-year study with life table analysis. J Vasc Surg. 2000;32:124–129
  2. May J, White GH, Waugh R, Ly CN, Stephen MS, Jones MA, et al. Improved survival after endoluminal repair with second-generation prostheses compared with open repair in the treatment of abdominal aortic aneurysms: a 5-year concurrent comparison using life table method. J Vasc Surg. 2001;33(2 suppl):S21–S26
  3. May J, White GH, Harris JP. Endoluminal repair of abdominal aortic aneurysms—state of the art. Eur J Radiol. 2001;39:16–21
  4. Leurs LJ, Buth J, Laheij RJ. Long-term results of endovascular abdominal aortic aneurysm treatment with the first generation of commercially available stent grafts. Arch Surg. 2007;142:33–41
  5. Brewster DC, Jones JE, Chung TK, Lamuraglia GM, Kwolek CJ, Watkins MT, et al. Long-term outcomes after endovascular abdominal aortic aneurysm repair: the first decade. Ann Surg. 2006;244:426–438
  6. Engellau L, Albrechtsson U, Norgren L, Larsson EM. Long-term results after endovascular repair of abdominal aortic aneurysms with the Stentor and Vanguard stent-graft. Acta Radiol. 2004;45:275–283
  7. Becquemin JP, Kelley L, Zubilewicz T, Desgranges P, Lapeyre M, Kobeiter H. Outcomes of secondary interventions after abdominal aortic aneurysm endovascular repair. J Vasc Surg. 2004;39:298–305
  8. Hölzenbein TJ, Kretschmer G, Thurnher S, Schoder M, Aslim E, Lammer J, et al. Midterm durability of abdominal aortic aneurysm endograft repair: a word of caution. J Vasc Surg. 2001;33(2 suppl):S46–S54
  9. Chaikof EL, Lin PH, Brinkman WT, Dodson TF, Weiss VJ, Lumsden , et al. Endovascular repair of abdominal aortic aneurysms: risk stratified outcomes. Ann Surg. 2002;235:833–841
  10. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG EVAR trial participants. 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. Lancet. 2004;364:843–848
  11. The EVAR trial participants. Endovascular aneurysm reapir and outcome in patients unfit for open rtepair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. Lancet. 2005;365:2187–2192
  12. Brown LC, Greenhalgh RM, Kwong GP, Powell JT, Thompson SG, Wyatt MG. Secondary interventions and mortality following endovascular aortic aneurysm repair: device-specific results from the UK EVAR trials. Eur J Vasc Endovasc Surg. 2007;34:281–290
  13. Greenberg RK, Chuter TA, Sternbergh WC, Fearnot NE Zenith Investigators. Zenith AAA endovascular graft: intermediate-term results of the US multicenter trial. J Vasc Surg. 2004;39:1209–1218
  14. Matsumara JS, Brewster DC, Makaroun MS, Naftel DC. A multicenter controlled clinical trial of open versus endovascular treatment of abdominal aortic aneurysms. J Vasc Surg. 2003;37:262–271
  15. Torsello G, Osada N, Florek HJ, Horsch S, Kortmann H, Luska G, et al. Talent AAA Retrospective Longterm Study Group Long-term outcome after Talent endograft implantation for aneurysms of the abdominal aorta: a multicenter retrospective study. J Vasc Surg. 2006;43:277–284
  16. Criado FJ, Fairman RM, Becker GJ Talent LPS Pivotal Clinical Trial investigators. Talent LPS AAA stent graft: results of a pivotal clinical trial. J Vasc Surg. 2003;37:709–715
  17. Zarins CK AneuRx Clinical Investigators. The US AneuRx Clinical Trial: 6-year clinical update 2002. J Vasc Surg. 2003;37:904–908
  18. Carpenter JP Endologix Investigators. The Powerlink bifurcated system for endovascular aortic aneurysm repair: four-year results of the US multicenter trial. J Cardiovasc Surg. 2006;47:239–243
  19. Albertini JN, Lahlou Z, Magnan PE, Branchereau A French Powerlink Multicenter Trial Investigators. Endovascular Repair of Abdominal Aortic Aneurysms With a Unibody Stent-Graft: 3-year results of the French Powerlink Multicenter Trial. J Endovasc Ther. 2005;12:629–637
  20. Qu L, Hetzel G, Raithel D. Seven years single centre experience of Powerlink unibodz bifurcated endograft for endovascular aortic anuerysm repair. J cardiovasc Surg. 2007;48:13–19
  21. Carpenter JP Endologix Investigators. Midterm results of the multicenter trial of the Powerlink bifurcated system for endovascular aortic aneurysm repair. J Vasc Surg. 2004;40:849–859
  22. Hansen CJ, Aziz I, Kim BB, Donayre CE, White RA Endologix Investigators. Results from the Endologix Powerlink Multicenter Trial. Sem Vasc Surg. 2003;16:166–170
  23. Carpenter JP Endologix Investigators. Multicenter trial of the Powerlink bifurcated system for endovascular aortic aneurysm repair. J Vasc Surg. 2002;36:1129–1137
  24. Chaikof EL, Fillinger MF, Matsumara JS, Rutherford RB, White GH, Blankensteijn JD, et al. Identifying and grading factors that modify the outcome of endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1061–1066
  25. Ouriel K, Clair DG, Greenberg RK, Lyden SP, O'Hara PJ, Sarac TP, et al. Endovascular repair of abdominal aortic aneurysm: device-specific outcome. J Vasc Surg. 2003;37:991–998
  26. Hobo R, Buth J EUROSTAR collaborators. Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts (A EUROSTAR report). J Vasc Surg. 2006;43:896–902
  27. Faries PL, Cadot H, Agarwal G, Kent KC, Hollier LH, Marin ML. Management of endoleak after endovascular aneurysm repair: cuffs, coils, and conversion. J Vasc Surg. 2003;37:1155–1161
  28. Velazquez OC, Woo EY, Carpenter JP, Golden MA, Barker CF, Fairman RM. Decreased use of iliac extensions and reduced graft junctions with software-assisted centerline measurements in selection of endograft components for endovascular aneurysm repair. J Vasc Surg. 2004;40:222–227
  29. Wolf YG, Hill BB, Fogarty TJ, Cipriano PR, Zarins CK. Late endoleak after endovascular repair of an abdominal aortic aneurysm with multiple proximal extender cuffs. J Vasc Surg. 2002;35:580–583
  30. Biebl M, Hakaim AG, Lau LL, Oldenburg WA, Klocker J, Neuhauser B, et al. Use of proximal aortic cuffs as an adjunctive procedure during endovascular aortic aneurysm repair. Vascular. 2005;13:16–22
  31. Franks SC, Sutton AJ, Bown MJ, Sayers RD. Systematic review and meta-analysis of 12 years of endovascular abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2007;33:154–171
  32. Liffman K, Lawrence-Brown MM, Semmens JB, Bui A, Rudman M, Hartley DE. Analytical modeling and numerical simulation of forces in an endoluminal graft. J Endovasc Ther. 2001;8:358–371
  33. Zarins CK, Bloch DA, Crabtree T, Matsumoto AH, White RA, Fogarty TJ. Aneurysm enlargement following endovascular aneurysm repair: AneuRx clinical trial. J Vasc Surg. 2004;39:109–117
  34. Du Toit DF, Saaiman JA, Carpenter JP, Geldenhuys KM. Endovascular aortic aneurysm repair by a multidisciplinary team: lessons learned and six-year clinical update. Cardiovasc J South Afr. 2005;16:36–47

 Competition of interest: none.

PII: S0741-5214(08)00722-2

doi: 10.1016/j.jvs.2008.05.011

Journal of Vascular Surgery
Volume 48, Issue 4 , Pages 795-801 , October 2008

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