Two-Year Results of a Multicenter Prospective Observational Study of the Zenith Spiral-Z Limb Deployed in the External Iliac Artery During Endovascular Aneurysm Repair
Background:Limited data is available on the use of a polyester graft limb with a helical stent configuration deployed in the external iliac artery (EIA) during endovascular aneurysm repair (EVAR), so we prospectively analyzed the efficacy of the Zenith Spiral-Z limb deployed in the EIA.Methods and R...
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| Veröffentlicht in: | Circulation Journal 2020/09/25, Vol.84(10), pp.1764-1770 |
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| creator | Fujimura, Naoki Imazuru, Tomohiro Matsumura, Hitoshi Shibata, Tsuyoshi Furuyama, Tadashi Kaneko, Kenjiro Uchiyama, Hidetoshi Morikage, Noriyasu Uchida, Takayuki Teshima, Eiichi Yamaoka, Terutoshi Masuhara, Hiroshi Ueda, Hideki Arakawa, Mamoru Norimatsu, Togo Obara, Hideaki Onitsuka, Seiji |
| description | Background:Limited data is available on the use of a polyester graft limb with a helical stent configuration deployed in the external iliac artery (EIA) during endovascular aneurysm repair (EVAR), so we prospectively analyzed the efficacy of the Zenith Spiral-Z limb deployed in the EIA.Methods and Results:Patients undergoing EVAR using a Zenith stent-graft and Spiral-Z limb deployed in the EIA were prospectively registered in 24 Japanese institutions from June 2017 to November 2017. In total, 65 patients (74 limbs) (mean age: 77.1±8.0 years, 87.7% men, mean abdominal aortic aneurysm (AAA) diameter: 51.9±7.2 mm, mean iliac artery aneurysm (IAA) diameter: 38.3±10.0 mm) were registered and followed up. The most common reason for deployment in the EIA was a common IAA (43 limbs, 58.1%), and 8 limbs (10.8%) had a bare nitinol stent placed at the Spiral-Z limb. A total of 61 patients (70 limbs) completed a 24-month follow-up. There were 2 Spiral-Z limb stenoses and 1 occlusion, leading to a primary patency of 95.5% and a secondary patency of 100%, at 24 months. Buttock claudication occurred in 24.3% of the limbs treated at 1 month but decreased to 4.3% at 24 months.Conclusions:Our multicenter prospective study showed that Spiral-Z limb deployed in the EIA was associated with satisfactory results and seems to be a durable option, even in the era of iliac branch devices. |
| doi_str_mv | 10.1253/circj.CJ-20-0195 |
| format | Article |
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In total, 65 patients (74 limbs) (mean age: 77.1±8.0 years, 87.7% men, mean abdominal aortic aneurysm (AAA) diameter: 51.9±7.2 mm, mean iliac artery aneurysm (IAA) diameter: 38.3±10.0 mm) were registered and followed up. The most common reason for deployment in the EIA was a common IAA (43 limbs, 58.1%), and 8 limbs (10.8%) had a bare nitinol stent placed at the Spiral-Z limb. A total of 61 patients (70 limbs) completed a 24-month follow-up. There were 2 Spiral-Z limb stenoses and 1 occlusion, leading to a primary patency of 95.5% and a secondary patency of 100%, at 24 months. Buttock claudication occurred in 24.3% of the limbs treated at 1 month but decreased to 4.3% at 24 months.Conclusions:Our multicenter prospective study showed that Spiral-Z limb deployed in the EIA was associated with satisfactory results and seems to be a durable option, even in the era of iliac branch devices.</description><identifier>ISSN: 1346-9843</identifier><identifier>ISSN: 1347-4820</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-20-0195</identifier><identifier>PMID: 32759542</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - epidemiology ; Aortic Aneurysm, Abdominal - surgery ; Aortic Valve Stenosis - epidemiology ; Aortic Valve Stenosis - etiology ; Blood Vessel Prosthesis - adverse effects ; Blood Vessel Prosthesis Implantation - methods ; Endovascular aneurysm repair ; Endovascular Procedures - methods ; External iliac artery ; Female ; Follow-Up Studies ; Graft Occlusion, Vascular - epidemiology ; Graft Occlusion, Vascular - etiology ; Humans ; Hypogastric artery embolization ; Iliac Artery - pathology ; Iliac Artery - surgery ; Japan - epidemiology ; Male ; Polyester fabric ; Prospective Studies ; Prosthesis Design ; Risk Factors ; Stents - adverse effects ; Treatment Outcome ; Zenith Spiral-Z limb</subject><ispartof>Circulation Journal, 2020/09/25, Vol.84(10), pp.1764-1770</ispartof><rights>2020 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c623t-a1d2283c258850103e766300efdf74b87eaebcef6aa7c53abba3a051246e61e53</citedby><cites>FETCH-LOGICAL-c623t-a1d2283c258850103e766300efdf74b87eaebcef6aa7c53abba3a051246e61e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32759542$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fujimura, Naoki</creatorcontrib><creatorcontrib>Imazuru, Tomohiro</creatorcontrib><creatorcontrib>Matsumura, Hitoshi</creatorcontrib><creatorcontrib>Shibata, Tsuyoshi</creatorcontrib><creatorcontrib>Furuyama, Tadashi</creatorcontrib><creatorcontrib>Kaneko, Kenjiro</creatorcontrib><creatorcontrib>Uchiyama, Hidetoshi</creatorcontrib><creatorcontrib>Morikage, Noriyasu</creatorcontrib><creatorcontrib>Uchida, Takayuki</creatorcontrib><creatorcontrib>Teshima, Eiichi</creatorcontrib><creatorcontrib>Yamaoka, Terutoshi</creatorcontrib><creatorcontrib>Masuhara, Hiroshi</creatorcontrib><creatorcontrib>Ueda, Hideki</creatorcontrib><creatorcontrib>Arakawa, Mamoru</creatorcontrib><creatorcontrib>Norimatsu, Togo</creatorcontrib><creatorcontrib>Obara, Hideaki</creatorcontrib><creatorcontrib>Onitsuka, Seiji</creatorcontrib><title>Two-Year Results of a Multicenter Prospective Observational Study of the Zenith Spiral-Z Limb Deployed in the External Iliac Artery During Endovascular Aneurysm Repair</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:Limited data is available on the use of a polyester graft limb with a helical stent configuration deployed in the external iliac artery (EIA) during endovascular aneurysm repair (EVAR), so we prospectively analyzed the efficacy of the Zenith Spiral-Z limb deployed in the EIA.Methods and Results:Patients undergoing EVAR using a Zenith stent-graft and Spiral-Z limb deployed in the EIA were prospectively registered in 24 Japanese institutions from June 2017 to November 2017. In total, 65 patients (74 limbs) (mean age: 77.1±8.0 years, 87.7% men, mean abdominal aortic aneurysm (AAA) diameter: 51.9±7.2 mm, mean iliac artery aneurysm (IAA) diameter: 38.3±10.0 mm) were registered and followed up. The most common reason for deployment in the EIA was a common IAA (43 limbs, 58.1%), and 8 limbs (10.8%) had a bare nitinol stent placed at the Spiral-Z limb. A total of 61 patients (70 limbs) completed a 24-month follow-up. There were 2 Spiral-Z limb stenoses and 1 occlusion, leading to a primary patency of 95.5% and a secondary patency of 100%, at 24 months. Buttock claudication occurred in 24.3% of the limbs treated at 1 month but decreased to 4.3% at 24 months.Conclusions:Our multicenter prospective study showed that Spiral-Z limb deployed in the EIA was associated with satisfactory results and seems to be a durable option, even in the era of iliac branch devices.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - epidemiology</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic Valve Stenosis - epidemiology</subject><subject>Aortic Valve Stenosis - etiology</subject><subject>Blood Vessel Prosthesis - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Endovascular aneurysm repair</subject><subject>Endovascular Procedures - methods</subject><subject>External iliac artery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Occlusion, Vascular - epidemiology</subject><subject>Graft Occlusion, Vascular - etiology</subject><subject>Humans</subject><subject>Hypogastric artery embolization</subject><subject>Iliac Artery - pathology</subject><subject>Iliac Artery - surgery</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Polyester fabric</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Risk Factors</subject><subject>Stents - adverse effects</subject><subject>Treatment Outcome</subject><subject>Zenith Spiral-Z limb</subject><issn>1346-9843</issn><issn>1347-4820</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkUlvFDEQhVsIRBa4c0I-cungpdfjaDJk0aAgEg7kYlW7qzMeuRds90D_Iv4m7pkhuVSVpe-9KvlF0QdGLxhPxWelrdpeLG9jTmPKyvRVdMpEksdJwenr_ZzFZZGIk-jMuS2lvKRp-TY6ETxPyzThp9Hfh999_BPBku_oRuMd6RsC5GsYtcLOoyXfbO8GVF7vkNxVDu0OvO47MOTej_U0C_wGySN22m_I_aAtmPiRrHVbkUscTD9hTXS3h1Z_guMsvTEaFFnY8JzI5Wh190RWXd3vwKnRhHMWHY52cm24awBt30VvGjAO3x_7efTjy-pheR2v765ulot1rDIufAys5rwQiqdFkVJGBeZZJijFpm7ypCpyBKwUNhlArlIBVQUCaMp4kmHGMBXn0aeD72D7XyM6L1vtFBoDHfajkzwRrGA042VA6QFV4YOcxUYOVrdgJ8monOOR-3jk8lZyKud4guTj0X2sWqyfBf_zCMDVAdg6D0_4DIANcRg8OhbJvCLUF-sXYgNWYif-AY6ZqQU</recordid><startdate>20200925</startdate><enddate>20200925</enddate><creator>Fujimura, Naoki</creator><creator>Imazuru, Tomohiro</creator><creator>Matsumura, Hitoshi</creator><creator>Shibata, Tsuyoshi</creator><creator>Furuyama, Tadashi</creator><creator>Kaneko, Kenjiro</creator><creator>Uchiyama, Hidetoshi</creator><creator>Morikage, Noriyasu</creator><creator>Uchida, Takayuki</creator><creator>Teshima, Eiichi</creator><creator>Yamaoka, Terutoshi</creator><creator>Masuhara, Hiroshi</creator><creator>Ueda, Hideki</creator><creator>Arakawa, Mamoru</creator><creator>Norimatsu, Togo</creator><creator>Obara, Hideaki</creator><creator>Onitsuka, Seiji</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20200925</creationdate><title>Two-Year Results of a Multicenter Prospective Observational Study of the Zenith Spiral-Z Limb Deployed in the External Iliac Artery During Endovascular Aneurysm Repair</title><author>Fujimura, Naoki ; Imazuru, Tomohiro ; Matsumura, Hitoshi ; Shibata, Tsuyoshi ; Furuyama, Tadashi ; Kaneko, Kenjiro ; Uchiyama, Hidetoshi ; Morikage, Noriyasu ; Uchida, Takayuki ; Teshima, Eiichi ; Yamaoka, Terutoshi ; Masuhara, Hiroshi ; Ueda, Hideki ; Arakawa, Mamoru ; Norimatsu, Togo ; Obara, Hideaki ; Onitsuka, Seiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c623t-a1d2283c258850103e766300efdf74b87eaebcef6aa7c53abba3a051246e61e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - epidemiology</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortic Valve Stenosis - epidemiology</topic><topic>Aortic Valve Stenosis - etiology</topic><topic>Blood Vessel Prosthesis - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Endovascular aneurysm repair</topic><topic>Endovascular Procedures - methods</topic><topic>External iliac artery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Occlusion, Vascular - epidemiology</topic><topic>Graft Occlusion, Vascular - etiology</topic><topic>Humans</topic><topic>Hypogastric artery embolization</topic><topic>Iliac Artery - pathology</topic><topic>Iliac Artery - surgery</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Polyester fabric</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Risk Factors</topic><topic>Stents - adverse effects</topic><topic>Treatment Outcome</topic><topic>Zenith Spiral-Z limb</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujimura, Naoki</creatorcontrib><creatorcontrib>Imazuru, Tomohiro</creatorcontrib><creatorcontrib>Matsumura, Hitoshi</creatorcontrib><creatorcontrib>Shibata, Tsuyoshi</creatorcontrib><creatorcontrib>Furuyama, Tadashi</creatorcontrib><creatorcontrib>Kaneko, Kenjiro</creatorcontrib><creatorcontrib>Uchiyama, Hidetoshi</creatorcontrib><creatorcontrib>Morikage, Noriyasu</creatorcontrib><creatorcontrib>Uchida, Takayuki</creatorcontrib><creatorcontrib>Teshima, Eiichi</creatorcontrib><creatorcontrib>Yamaoka, Terutoshi</creatorcontrib><creatorcontrib>Masuhara, Hiroshi</creatorcontrib><creatorcontrib>Ueda, Hideki</creatorcontrib><creatorcontrib>Arakawa, Mamoru</creatorcontrib><creatorcontrib>Norimatsu, Togo</creatorcontrib><creatorcontrib>Obara, Hideaki</creatorcontrib><creatorcontrib>Onitsuka, Seiji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujimura, Naoki</au><au>Imazuru, Tomohiro</au><au>Matsumura, Hitoshi</au><au>Shibata, Tsuyoshi</au><au>Furuyama, Tadashi</au><au>Kaneko, Kenjiro</au><au>Uchiyama, Hidetoshi</au><au>Morikage, Noriyasu</au><au>Uchida, Takayuki</au><au>Teshima, Eiichi</au><au>Yamaoka, Terutoshi</au><au>Masuhara, Hiroshi</au><au>Ueda, Hideki</au><au>Arakawa, Mamoru</au><au>Norimatsu, Togo</au><au>Obara, Hideaki</au><au>Onitsuka, Seiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two-Year Results of a Multicenter Prospective Observational Study of the Zenith Spiral-Z Limb Deployed in the External Iliac Artery During Endovascular Aneurysm Repair</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2020-09-25</date><risdate>2020</risdate><volume>84</volume><issue>10</issue><spage>1764</spage><epage>1770</epage><pages>1764-1770</pages><issn>1346-9843</issn><issn>1347-4820</issn><eissn>1347-4820</eissn><abstract>Background:Limited data is available on the use of a polyester graft limb with a helical stent configuration deployed in the external iliac artery (EIA) during endovascular aneurysm repair (EVAR), so we prospectively analyzed the efficacy of the Zenith Spiral-Z limb deployed in the EIA.Methods and Results:Patients undergoing EVAR using a Zenith stent-graft and Spiral-Z limb deployed in the EIA were prospectively registered in 24 Japanese institutions from June 2017 to November 2017. In total, 65 patients (74 limbs) (mean age: 77.1±8.0 years, 87.7% men, mean abdominal aortic aneurysm (AAA) diameter: 51.9±7.2 mm, mean iliac artery aneurysm (IAA) diameter: 38.3±10.0 mm) were registered and followed up. The most common reason for deployment in the EIA was a common IAA (43 limbs, 58.1%), and 8 limbs (10.8%) had a bare nitinol stent placed at the Spiral-Z limb. A total of 61 patients (70 limbs) completed a 24-month follow-up. There were 2 Spiral-Z limb stenoses and 1 occlusion, leading to a primary patency of 95.5% and a secondary patency of 100%, at 24 months. Buttock claudication occurred in 24.3% of the limbs treated at 1 month but decreased to 4.3% at 24 months.Conclusions:Our multicenter prospective study showed that Spiral-Z limb deployed in the EIA was associated with satisfactory results and seems to be a durable option, even in the era of iliac branch devices.</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>32759542</pmid><doi>10.1253/circj.CJ-20-0195</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Aortic Aneurysm, Abdominal - epidemiology Aortic Aneurysm, Abdominal - surgery Aortic Valve Stenosis - epidemiology Aortic Valve Stenosis - etiology Blood Vessel Prosthesis - adverse effects Blood Vessel Prosthesis Implantation - methods Endovascular aneurysm repair Endovascular Procedures - methods External iliac artery Female Follow-Up Studies Graft Occlusion, Vascular - epidemiology Graft Occlusion, Vascular - etiology Humans Hypogastric artery embolization Iliac Artery - pathology Iliac Artery - surgery Japan - epidemiology Male Polyester fabric Prospective Studies Prosthesis Design Risk Factors Stents - adverse effects Treatment Outcome Zenith Spiral-Z limb |
| title | Two-Year Results of a Multicenter Prospective Observational Study of the Zenith Spiral-Z Limb Deployed in the External Iliac Artery During Endovascular Aneurysm Repair |
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