Aneurysma aorta abdominal Aortic abdominal aneurysm fenestrated endograft gefenestreerde endograft juxtarenaal suprarenaal
Conditions
Interventions
Fenestrated Anaconda endograft.
Sponsors
Medisch Spectrum twente
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 - 85 years; 2. Patient willing and available to comply with follow up requirements; 3. Patient can comply with instructions and give informed consent; 4. Life Expectancy > 2 Years; 5. AAA > 55 mm in diameter; 6. Suprarenal proximal neck diameter 18 – 31.5 mm; 7. Inadequate infrarenal aortic neck sealing zone; 8. Distal Iliac fixation site diameter = 20 mm in length; 10. Access vessels: Appropriate anatomy, at the physicians discretion, for access vessel suitability; 11. Aortic neck angulation <= 90 degrees.
Exclusion criteria
Exclusion criteria: 1. Ruptured AAA; 2. Presence of serious concomitant medical disease or infection; 3. Low operative risk for open repair; 4. Known allergy to contrast medium, nitinol or polyester; 5. Connective tissue disease; 6. ASA Grade IV or V; 7. Need for surgical reconstruction of other visceral arteries or inability to place a stent in the visceral arteries; 8. Presence of > 50% continuous calcification of proximal neck; 9. Presence of > 50% thrombus in proximal neck; 10. Other unsuitable anatomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Durable exclusion of juxta en suprarenal AAA. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Re-interventions; 2. Mortality; 3. Renal function; 4. Splanchnic ischemia; 5. Cardiopulmonary complications. | — |
Contacts
Public ContactR. Meerwaldt
Medisch Spectrum Twente, Afdeling Chirurgie Postbus 50.000
Outcome results
None listed