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- Title
Results of the Chimney Technique in a Community Hospital.
- Authors
Özdemir-van Brunschot, Denise M. D.; Tevs, Maria; Holzhey, David
- Abstract
Background: The chimney technique, fenestrated or branched endovascular aortic repair are endovascular options in patients with a juxtarenal, suprarenal or type IV thoraco-abdominal aneurysm. The chimney technique has specific advantages and disadvantages. A retrospective single center study was performed to describe the results. Patients and methods: All consecutive patients in whom the chimney technique was used between 1th January 2011 and 31th December 2020 were included. We excluded patients who needed a revision of an existing EVAR and patients with a para-anastomotic aneurysm. Outcomes were reported in accordance with the reporting standards. Results: 38 Patients were included in the study, a total of 59 chimney grafts were deployed. At a median follow-up duration of 26.6 months, there were 9 patients with occlusion of the chimney graft. In 1 patient an iliac renal bypass was performed. In the other patients the renal function stabilized and no further therapy was necessary. All chimneys in the mesenteric arteries remained patent. Gutter endoleak was seen in 5 patients, 3 patients were successfully treated and in the other 2 patients the gutter endoleak disappeared spontaneously. Conclusions: Conclusions should be drawn carefully as this is a retrospective non-comparative study. Results from 38 patients treated with the chimney technique are presented. Chimney graft occlusion rate was 15.3% at the end of follow-up. However, the majority (77.8%) of the occluded stents were self-expandable stents, stressing the importance of selecting the right devices.
- Subjects
KIDNEY physiology; HOSPITALS; GLOMERULAR filtration rate; ABDOMINAL aortic aneurysms; THORACOABDOMINAL aortic aneurysms; BLOOD vessels; RETROSPECTIVE studies; SURGICAL stents; SURGICAL complications; GRAFT survival; TREATMENT effectiveness; VASCULAR grafts; DESCRIPTIVE statistics; KAPLAN-Meier estimator; ENDOVASCULAR surgery; COMPUTED tomography; DATA analysis software; LONGITUDINAL method; TRANSPLANTATION of organs, tissues, etc.; COMORBIDITY; DISEASE risk factors
- Publication
Vascular & Endovascular Surgery, 2024, Vol 58, Issue 1, p20
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744231185640