EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Endovascular repair of abdominal aortic aneurysms with a unibody stent-graft: 3-year results of the French Powerlink Multicenter Trial



Endovascular repair of abdominal aortic aneurysms with a unibody stent-graft: 3-year results of the French Powerlink Multicenter Trial



Journal of Endovascular Therapy 12(6): 629-637



To report the results of a prospective multicenter study on endovascular repair of abdominal aortic aneurysms (AAA) using the bifurcated Powerlink stent-graft. Between June 2000 and July 2001, endovascular AAA repair using the bifurcated Powerlink stent-graft was performed at 14 centers on 64 patients (61 men; mean age 70 years, range 56-90) fit for open repair. All procedures were attended by a proctor. Data were collected prospectively, and surveillance computed tomograms were reviewed by an independent center. Technical success was achieved in all cases. There was no postoperative death. During a minimum 3-year follow-up (mean 40.6 months, range 1-51), there were 3 (4.7%) stent-graft migrations associated with type I endoleaks. Two (3.1%) of these patients were converted to open repair, and 1 had a proximal extension implanted. No aneurysm rupture occurred, and no stent-graft degradation was observed. Six (9.4%) patients had secondary endoleak (3 type I and 3 type II). The limb occlusion rate was 3.1%. Six (9.4%) patients had secondary procedures. At 3 years, 58 (91.0%) patients were available for follow-up (4 deaths, the 2 conversions). There was a significant decrease between preoperative and 3-year mean AAA diameter (54.6+/-7 versus 47.6+/-10 mm, respectively; p<0.001). Aneurysm sac shrinkage was observed in 32 (55.2%) patients. Twenty-five (43.1%) patients had a stable aneurysm sac diameter. Endovascular repair using the bifurcated Powerlink stent-graft is safe and effective. Unibody design seems to confer advantages in terms of durability. These results need to be confirmed by longer follow-up and larger series.

(PDF emailed within 0-6 h: $19.90)

Accession: 048955190

Download citation: RISBibTeXText

PMID: 16363890

DOI: 10.1583/05-1629R.1



Related references

The Powerlink bifurcated system for endovascular aortic aneurysm repair: four-year results of the US multicenter trial. Journal of Cardiovascular Surgery 47(3): 239-243, 2006

Endovascular repair of abdominal aortic aneurysms. Results from the EUROSTAR registry. EUROpean collaborators on Stent-graft Techniques for abdominal aortic Aneurysm Repair. Seminars in Interventional Cardiology 5(1): 29-33, 2000

Endoluminal repair of infrarenal abdominal aortic aneurysms using a modular stent-graft: one-year clinical results from a European multicentre trial. Cardiovascular Surgery 7(5): 503-507, 1999

Initial results of endovascular repair of abdominal aortic aneurysms with a self-expanding stent-graft. Journal of Vascular and Interventional Radiology 13(11): 1115-1123, 2002

Endovascular stent graft repair of abdominal and thoracic aortic aneurysms: a ten-year experience with 817 patients. Annals of Surgery 238(4): 586-93; Discussion 593-5, 2003

Billowing of Endologix Powerlink Stent Graft in Post Endovascular Repair of Abdominal Aortic Aneurysm: Simultaneous Findings on CT and Ultrasound Imaging. Annals of Vascular Surgery 35: 208.E1-3, 2016

Endovascular repair of abdominal aortic aneurysms in patients with severe angulation of the proximal neck using a flexible stent-graft: European Multicenter Experience. Journal of Cardiovascular Surgery 47(3): 245-250, 2006

Contemporary Results of Endovascular Repair of Isolated Abdominal Aortic Dissection with Unibody Bifurcated Stent-grafts. Annals of Vascular Surgery: -, 2018

The Powerlink system for endovascular abdominal aortic aneurysm repair: six-year results. Journal of Vascular Surgery 48(3): 535-545, 2008

The Powerlink system for endovascular abdominal aortic aneurysm repair: Six-year results. Yearbook of Vascular Surgery 2009: 122-123, 2009

Early results from a Canadian multicenter prospective registry of the Endurant stent graft for endovascular treatment of abdominal aortic aneurysms. Journal of Endovascular Therapy 19(1): 58-66, 2012

Long-term results after endovascular repair of abdominal aortic aneurysms with the Stentor and Vanguard stent-graft. Acta Radiologica 45(3): 275-283, 2004

Endovascular Repair of Abdominal Aortic Aneurysms with the Anaconda™ Stent Graft: Mid-term Results from a Single Center. Cardiovascular and Interventional Radiology 38(6): 1416-1424, 2016

Active proximal sealing in the endovascular repair of abdominal aortic aneurysms: early results with a new stent-graft. Journal of Endovascular Therapy 22(2): 174-178, 2016

Midterm results of the multicenter trial of the powerlink bifurcated system for endovascular aortic aneurysm repair. Journal of Vascular Surgery 40(5): 849-859, 2004