Mylonas, Spyridon N., Ioannides, Giorgos, Ahmad, Wael and Brunkwall, Jan S. (2020). Comparison of Two Iliac Branch Devices and Their Midterm Performance in Maintaining Blood Flow to the Internal Iliac Artery. J. Endovascular Ther., 27 (5). S. 818 - 826. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 1545-1550

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Abstract

Purpose:To compare and contrast the midterm outcomes of the E-liac and Zenith (ZBIS) iliac branch devices (IBDs) for the preservation of the internal iliac artery (IIA) in aneurysms involving the iliac bifurcation.Materials and Methods:Between January 2014 and December 2018, 84 consecutive patients (median age 74 years; 76 men) were electively treated with the E-liac (n=44) or ZBIS (n=40) IBDs and were retrospectively analyzed to evaluate the technical success, patency, need for reintervention, and mortality associated with these devices.Results:Technical success was achieved in 95 of 99 implantations (95.9%) without any statistically significant difference between the groups (93.7% vs 98.0%, p=0.114). During the first 30 days, 3 occlusions in the ZBIS group and 1 in the E-liac group were identified. There was 1 perioperative death in the ZBIS group. The median follow-up was 37 months for the ZBIS group and 28 months for the E-liac group (p=0.657). Six patients from the ZBIS group and 7 from the E-liac group were lost to follow-up. Among the remaining, there were 2 further deaths recorded, 1 in each group. Four further reinterventions in the E-liac group and 2 in the ZBIS group were performed during follow-up. The Kaplan-Meier estimates of freedom from reintervention were 87.2% (95% CI 82.6% to 90.2%) for the ZBIS group and at 86.0% (95% CI 83.7% to 89.1%) for the E-liac group (p=0.563); the freedom from occlusion estimates were 89.7% (95% CI 85.8% to 94.5%) and 95.3% (95% CI 92% to 98.7%; p=0.317), respectively.Conclusion:The E-liac and the ZBIS IBDs showed equally high technical success, midterm patency, and low reintervention rates.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Mylonas, Spyridon N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ioannides, GiorgosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ahmad, WaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brunkwall, Jan S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-329796
DOI: 10.1177/1526602820934762
Journal or Publication Title: J. Endovascular Ther.
Volume: 27
Number: 5
Page Range: S. 818 - 826
Date: 2020
Publisher: SAGE PUBLICATIONS INC
Place of Publication: THOUSAND OAKS
ISSN: 1545-1550
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ENDOVASCULAR ANEURYSM REPAIR; EXPERIENCE; BIFURCATIONMultiple languages
Surgery; Peripheral Vascular DiseaseMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/32979

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