Early and midterm outcomes of endovascular aneurysm repair with an ultra-low-profile endograft from the Triveneto Incraft Registry

ObjectiveWe evaluated the early and midterm outcomes of Incraft (Cordis Corp, Bridgewater, NJ) ultra-low-profile endograft by analyzing data from Triveneto Registry (TIR).MethodsTIR is an independent multicenter cohort registry 10 vascular surgery units in area (Northeast Italy). A prospective analysis patients electively treated with September 2014 to June 2019 was performed. The main were technical success, major 30-day complications, aneurysm-related death, freedom reintervention, mortality rate during follow-up analyzed using Kaplan-Meier curves. Univariable Cox regression used evaluate associations between anatomic complexity factors reintervention.ResultsDuring study period, 209 included registry. Their mean age 76.9 ± 7.7 years Society for Vascular Surgery comorbidity score 0.97 0.52. Most (n = 181; 86.6%) had presented at least one complex factor: aortic neck angle α <135° 31 (14.8%), conic 17 (8.2%), iliac tortuosity index τ >1.5 102 (48.8%), artery calcification >50% 106 (50.7%), external <6 mm 45 (21.5%). concurrent presence two or more present 67 (32.1%). success 99.5%, complication 1.5% (one limb occlusion, branch stenosis, type III endoleak [EL]). No recorded. period 18.5 13.2 months. overall 9.5% 18), none related aneurysm. reintervention 92.1%. Of these patients, six (3.2%) been II EL embolization, (0.5%) IA EL, four (2.1%) flow-limiting dissection. None single predictive reintervention. However, association (hazard ratio, 7.25; P .014). crude this subgroup low (4 67; 6%).ConclusionsData TIR have demonstrated excellent endovascular aneurysm repair stent graft anatomy. still represent issue success. characteristics device resulted intervention rates, even challenging issues.