afx in conjunction with inferior mesenteric chimney: …€¦ · afx in conjunction with inferior...
TRANSCRIPT
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AFX IN CONJUNCTION WITH INFERIOR MESENTERIC CHIMNEY:
AN OPTION TO THEAORTO-BIFEMORAL BY-PASS
IN SEVERE AORTOILIAC OCCLUSIVE DISEASE
Serna Martínez, Marta; Herrero Bernabé, Mónica; González Pérez, Gonzalo; Jácome Tapia, Xavier;
Agúndez Gómez, Ignacio
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• Technical success 98,7%
• Complication rate 10.8%
• Clinical improve. 89,9%
• 24m patency: 78,6%
• Technical success 97%
• Complication rate 7%
• Clinical improve. 96%
• 24m patency: 82%
• Technical success 100%
• Complication rate 4%
• 24m patency: 91%
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Colic ischemia
IMACh
AFX stent-graft
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Series
65 y
HTA, smoker
COPD, stroke
ABI 0.29
62 y
HTA, ex-smoker
Colon cancer
ABI 0.18
51 y
HTA, smoker
Myocardial infarction
ABI 0.3
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Operating room
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AFX 22X60X13 AFX 22X40X13 AFX 22X70X13
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BeGraft 6x58Viabahn 5x50 + BeGraft 5x38
BeGraft 5x38
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2 Viabahn 7x100 Viabahn 7x100
+ 8x150
Eluvia 6x150 +
Viabahn 7x50
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100% technical success.
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Median procedure time: 390min (250-560)
Median shot time: 48min(26-63)
Median contrast dose: 123cc (80-200)
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1 complication→ Surgical
Improvement ABI = 0.57
Median hospital stay= 2.6 days (1-3)
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Follow-up
All asymptomatic
100% patency
1 dead
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Native bifurcation
No missmatch
Unibody
AFX stent-graft
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• Technical success 100%
• Complication rate 4%
• 1 CERAB limb + 1 Ch-IMA occlusion
• Clinical improvement 100%
• Technical success 100%
• No complications
• Clinical improvement 100%
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Safe
Effective
New devices
Conclusion
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AFX IN CONJUNCTION WITH INFERIOR MESENTERIC CHIMNEY:
AN OPTION TO THEAORTO-BIFEMORAL BY-PASS
IN SEVERE AORTOILIAC OCCLUSIVE DISEASE
Serna Martínez, Marta; Herrero Bernabé, Mónica; González Pérez, Gonzalo; Jácome Tapia, Xavier;
Agúndez Gómez, Ignacio