Long-term results of XXXX repair using a homemade aortomonoiliac PTFE device.

@entity1 @entity64 @entity1070 @entity613 @entity736 @entity1028
PURPOSE: To assess the long-term results of a homemade aortomonoiliac @entity736 ( @entity736 ) device used for endovascular @entity1028 ( @entity1028 ) repair. METHODS: A vascular audit database was interrogated to identify 58 consecutive @entity1028 @entity1 (all @entity1 ; median age 73 years, range 56-88) who underwent aortomonoiliac stent-graft repair. AAAs were eligible for endovascular treatment if the infrarenal neck was > or = 15 mm long and < or = 28 mm in diameter. RESULTS: Nine (15.5%) procedures failed, 8 during the procedure and 1 on the 7th postoperative day; 8(13.8%) @entity1 were converted, but one was unfit for surgery. There was one intraprocedural @entity64 , and 3 (5.2%) @entity1 died within 30 days. The primary success rate (no conversion or mortality) was 79.3%. Over a median follow-up of 45 months (range 23-80), there were 3 (5.2%) graft occlusions, 1 kink requiring stent implantation, and 1 expanding sac without identifiable @entity1070 . There were 11 (19.0%) endoleaks in 10 @entity1 , 9 type I leaks (2 proximal) and 1 type II. One @entity1 with a distal type I @entity1070 (treated) also exhibited a type III leak at 2 years, but the sac size had not increased. There was a 40% incidence of @entity613 , which was serious in only 1 @entity1 . The long-term survival rate by Kaplan-Meier life-table analysis was 57% at 4 years. CONCLUSIONS: Implantation of an aortomonoiliac PTFE device can be achieved with good primary success, and the stent-graft seems durable over the long term. Proximal type I endoleaks are rare, but distal endoleaks from the contralateral common iliac artery can be solved by using a different covered stent.
