Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch

Côme Bosse; Tilo Kölbel; Justine Mougin; Jarin Kratzberg; Dominique Fabre; Stéphan Haulon

doi:10.1016/j.jvs.2019.11.046

Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch

Standard

Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch. / Bosse, Côme; Kölbel, Tilo; Mougin, Justine; Kratzberg, Jarin; Fabre, Dominique; Haulon, Stéphan.

In: J VASC SURG, Vol. 72, No. 3, 09.2020, p. 805-811.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Bosse, C, Kölbel, T, Mougin, J, Kratzberg, J, Fabre, D & Haulon, S 2020, 'Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch', J VASC SURG, vol. 72, no. 3, pp. 805-811. https://doi.org/10.1016/j.jvs.2019.11.046

APA

Bosse, C., Kölbel, T., Mougin, J., Kratzberg, J., Fabre, D., & Haulon, S. (2020). Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch. J VASC SURG, 72(3), 805-811. https://doi.org/10.1016/j.jvs.2019.11.046

Vancouver

Bosse C, Kölbel T, Mougin J, Kratzberg J, Fabre D, Haulon S. Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch. J VASC SURG. 2020 Sep;72(3):805-811. https://doi.org/10.1016/j.jvs.2019.11.046

Bibtex

@article{91d6744171b045609044f70e361045c4,

title = "Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch",

abstract = "OBJECTIVE: The goal of this study was to select branched endograft designs that could fit most aortic arch anatomies. Such off-the-shelf endografts, once available, would be an endovascular therapeutic option to consider in the acute setting and would shorten the design and manufacturing process.METHODS: We retrospectively analyzed the endograft plans of all custom-made aortic arch branched endografts implanted between 2013 and early 2018 provided by the Cook Planning Center (EMEA Planning Services; Cook Medical, London, United Kingdom). Available data points of the endograft plans include proximal, intermediate, and distal endograft diameters; number of sealing stents; total length of the endograft; and number of branches.RESULTS: There were 286 two-branch endografts analyzed. We divided the endografts in three groups according to their proximal diameters: 34 mm, 36 mm, and 38 mm (group 1); 40 mm and 42 mm (group 2); and 44 mm and 46 mm (group 3). In group 1, 63% of the endografts had one proximal sealing stent, whereas in group 3, 63% had two proximal sealing stents. The distal diameters of the endografts ranged from 26 mm to 46 mm. The mean length was 236 mm (186-256 mm). A shorter standardized length of 211 mm was selected to anticipate distal extensions. According to our analysis, most group 1 patients could have been treated with a 38-mm proximal diameter and 30-mm distal diameter endograft with one sealing stent; most group 2 patients, with a 42-mm proximal diameter and 32-mm distal diameter endograft with both one and two proximal sealing stents; and most group 3 patients, with a 46-mm proximal diameter and 36-mm distal diameter endograft, also with both one and two proximal sealing stents.CONCLUSIONS: Five standardized off-the-shelf endografts can cover a majority of aortic arch anatomies and offer an option for acute endovascular treatment of aortic arch disease.",

keywords = "Aorta, Thoracic/diagnostic imaging, Aortic Diseases/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/adverse effects, Humans, Prosthesis Design, Retrospective Studies, Stents, Treatment Outcome",

author = "C{\^o}me Bosse and Tilo K{\"o}lbel and Justine Mougin and Jarin Kratzberg and Dominique Fabre and St{\'e}phan Haulon",

year = "2020",

month = sep,

doi = "10.1016/j.jvs.2019.11.046",

language = "English",

volume = "72",

pages = "805--811",

journal = "J VASC SURG",

issn = "0741-5214",

publisher = "Mosby Inc.",

number = "3",

}

RIS

TY - JOUR

T1 - Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch

AU - Bosse, Côme

AU - Kölbel, Tilo

AU - Mougin, Justine

AU - Kratzberg, Jarin

AU - Fabre, Dominique

AU - Haulon, Stéphan

PY - 2020/9

Y1 - 2020/9

N2 - OBJECTIVE: The goal of this study was to select branched endograft designs that could fit most aortic arch anatomies. Such off-the-shelf endografts, once available, would be an endovascular therapeutic option to consider in the acute setting and would shorten the design and manufacturing process.METHODS: We retrospectively analyzed the endograft plans of all custom-made aortic arch branched endografts implanted between 2013 and early 2018 provided by the Cook Planning Center (EMEA Planning Services; Cook Medical, London, United Kingdom). Available data points of the endograft plans include proximal, intermediate, and distal endograft diameters; number of sealing stents; total length of the endograft; and number of branches.RESULTS: There were 286 two-branch endografts analyzed. We divided the endografts in three groups according to their proximal diameters: 34 mm, 36 mm, and 38 mm (group 1); 40 mm and 42 mm (group 2); and 44 mm and 46 mm (group 3). In group 1, 63% of the endografts had one proximal sealing stent, whereas in group 3, 63% had two proximal sealing stents. The distal diameters of the endografts ranged from 26 mm to 46 mm. The mean length was 236 mm (186-256 mm). A shorter standardized length of 211 mm was selected to anticipate distal extensions. According to our analysis, most group 1 patients could have been treated with a 38-mm proximal diameter and 30-mm distal diameter endograft with one sealing stent; most group 2 patients, with a 42-mm proximal diameter and 32-mm distal diameter endograft with both one and two proximal sealing stents; and most group 3 patients, with a 46-mm proximal diameter and 36-mm distal diameter endograft, also with both one and two proximal sealing stents.CONCLUSIONS: Five standardized off-the-shelf endografts can cover a majority of aortic arch anatomies and offer an option for acute endovascular treatment of aortic arch disease.

AB - OBJECTIVE: The goal of this study was to select branched endograft designs that could fit most aortic arch anatomies. Such off-the-shelf endografts, once available, would be an endovascular therapeutic option to consider in the acute setting and would shorten the design and manufacturing process.METHODS: We retrospectively analyzed the endograft plans of all custom-made aortic arch branched endografts implanted between 2013 and early 2018 provided by the Cook Planning Center (EMEA Planning Services; Cook Medical, London, United Kingdom). Available data points of the endograft plans include proximal, intermediate, and distal endograft diameters; number of sealing stents; total length of the endograft; and number of branches.RESULTS: There were 286 two-branch endografts analyzed. We divided the endografts in three groups according to their proximal diameters: 34 mm, 36 mm, and 38 mm (group 1); 40 mm and 42 mm (group 2); and 44 mm and 46 mm (group 3). In group 1, 63% of the endografts had one proximal sealing stent, whereas in group 3, 63% had two proximal sealing stents. The distal diameters of the endografts ranged from 26 mm to 46 mm. The mean length was 236 mm (186-256 mm). A shorter standardized length of 211 mm was selected to anticipate distal extensions. According to our analysis, most group 1 patients could have been treated with a 38-mm proximal diameter and 30-mm distal diameter endograft with one sealing stent; most group 2 patients, with a 42-mm proximal diameter and 32-mm distal diameter endograft with both one and two proximal sealing stents; and most group 3 patients, with a 46-mm proximal diameter and 36-mm distal diameter endograft, also with both one and two proximal sealing stents.CONCLUSIONS: Five standardized off-the-shelf endografts can cover a majority of aortic arch anatomies and offer an option for acute endovascular treatment of aortic arch disease.

KW - Aorta, Thoracic/diagnostic imaging

KW - Aortic Diseases/diagnostic imaging

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/adverse effects

KW - Humans

KW - Prosthesis Design

KW - Retrospective Studies

KW - Stents

KW - Treatment Outcome

U2 - 10.1016/j.jvs.2019.11.046

DO - 10.1016/j.jvs.2019.11.046

M3 - SCORING: Journal article

C2 - 32151480

VL - 72

SP - 805

EP - 811

JO - J VASC SURG

JF - J VASC SURG

SN - 0741-5214

IS - 3

ER -