Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 537-544.e2, March 2010

Five-year results for the Talent enhanced Low Profile System abdominal stent graft pivotal trial including early and long-term safety and efficacy

  • Irene C. Turnbull, MD

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Frank J. Criado, MD

      Affiliations

    • Vascular Surgery and Endovascular Intervention, Union Memorial Hospital-MedStar Health, Baltimore, Md
    • ,
  • Luis Sanchez, MD

      Affiliations

    • Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Mo
    • ,
  • Mikel Sadek, MD

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Rajesh Malik, MD

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Sharif H. Ellozy, MD

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Michael L. Marin, MD

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Peter L. Faries, MD

      Affiliations

    • Department of Surgery, Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY
    • Corresponding Author InformationCorrespondence: Peter L. Faries, MD, FACS, Chief, Division of Vascular Surgery, Professor of Surgery and Radiology, Mount Sinai School of Medicine, 5 E 98th St, Box 1273, New York, NY 10029

Received 12 July 2009; accepted 16 September 2009.

Objectives

The pivotal trial of the Talent enhanced Low Profile System (eLPS; Medtronic Vascular, Santa Rosa, Calif) stent graft evaluated short and long-term safety and efficacy of endovascular aneurysm repair (EVAR). These data and a confirmatory group assessing the performance of the CoilTrac delivery system supported the United States premarket approval application for the device.

Methods

The pivotal trial was a prospective, nonrandomized study conducted at 13 sites from February 2002 to April 2003. The study group (n = 166) underwent EVAR using the Talent eLPS stent graft. The control group (n = 243) underwent open surgical AAA repair. Data for this group were obtained from the Society for Vascular Surgery Endovascular AAA Surgical Controls project. Outcomes were compared at 30 days and 12 months. Additional 5-year follow-up was obtained for the eLPS group. A single-center cohort of 137 patients was the confirmatory group for the assessment of the clinical performance of the CoilTrac delivery system, with analysis of outcomes ≤30 days from the procedure.

Results

AAA anatomy with neck length as short as 3 mm and maximum neck diameter of 32 mm were included in the eLPS group. EVAR was superior to open repair for periprocedural outcomes, including mean procedure duration (167.3 vs 196.4 minutes, P < .001), blood transfusion (18.2% vs 56.8%, P < .001), median intensive care unit stay (19.3 vs 74.3 hours, P < .001), and mean hospital stay (3.6 vs 8.2 days, P < .001). Freedom from major adverse events was 89.2% for EVAR at 30 days vs 44.0% (P < .001) and 81.3% vs 42.4% at 1 year (P < .001). Freedom from all-cause mortality and aneurysm-related mortality (ARM) was 93.7% and 98.2% for EVAR vs 92.4% and 96.7% for the controls. Through 5 years for the EVAR group, rates of freedom from all-cause mortality, ARM, aneurysm rupture, and conversion to surgery were 69.8%, 96.5%, 98.2%, and 99.1%, respectively, with one conversion to surgery, 25 secondary reinterventions, and five site-reported instances of stent graft migration. The technical success rate for the CoilTrac confirmatory group was 100%, with no aneurysm rupture or conversion to open repair at 30 days. The 30-day all-cause mortality rate was 1.5% (2 of 137).

Conclusions

In a population with challenging anatomic characteristics, EVAR with the Talent eLPS and use of the CoilTrac delivery system compared favorably with open repair through 1 year. Sustained protection from ARM, with minimal reinterventions, was attained through 5 years.

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 Competition of interest: Frank J. Criado, MD, Luis Sanchez, MD, Michael L. Marin, MD, and Peter L. Faries, MD, have been paid consulting fees by Medtronic, and Sharif H. Ellozy, MD, has received speaker honoraria from Medtronic.

 Additional material for this article may be found online at www.jvascsurg.org.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01927-2

doi:10.1016/j.jvs.2009.09.039

Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 537-544.e2, March 2010

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