Results from a Multicentre Italian Registry on the Use of a Novel “Custom/Off the Shelf” Inner-Branch Device for Endovascular Repair of Complex Aortic Lesions
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Le résumé fourni par la source
OBJECTIVES: This study aimed to describe the outcomes of a new custom-made inner-branch device, also suitable as off-the shelf stent graft, for the endovascular repair of complex aortic lesions and to evaluate the results also in narrowed patent aortic lumen (<25 mm) at the level of visceral aorta. METHODS: This multicentre study (2021-2024) included patients treated with this new inner-branched device for complex aortic lesions. Endpoints were: technical success, early (<30 days) mortality, late (>30-days) survival, and freedom from aorta-related mortality (ARM), aortic adverse events, and target visceral vessels (TVVs) patency. RESULTS: This study included 46 patients and 184 target vessels. Technical success was 100%, and no cases of ARM were recorded. Three cases (6.5%) of spinal cord ischaemia (SCI) were registered. Overall 30-day mortality rate was 8.7%. The mean follow-up was 10.5 ± 9 months. Overall survival rate was 97.4% (95% CI, 76-99) at 3 months, 94% (95% CI, 71-98) at 6 months, 85.1% (95% CI, 54-96) at 12 months, and 76% (95% CI, 41-92) at 24 months. Late deaths occurred in 3 patients (8.3%) after a median of 8 months (interquartile range [IQR], 4-12 months). No late ARM, type I or III endoleak were registered. The primary bridge-stent patency was 98.9% (95% CI, 73-99). No late SCI were registered. The subgroup characterized by narrow aortic patent lumen did not showed bridge-stent instability, reintervention, death, and ARM. CONCLUSIONS: Endovascular repair of thoraco-abdominal aortic aneurysms (TAAAs) and complex aortic lesions with this new custom/off-the shelf stent graft was technically safe and effective with promising results both in elective and urgent cases.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Results from a Multicentre Italian Registry on the Use of a Novel “Custom/Off the Shelf” Inner-Branch Device for Endovascular Repair of Complex Aortic Lesions
- Date Crossref
- 01/02/2026
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Bari Aldo Moro pays non établi dans la noticeUniversité ou école supérieure
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Azienda ospedaliera "Bianchi-Melacrino-Morelli" pays non établi dans la noticeÉtablissement de santé
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Azienda Ospedaliero-Universitaria Careggi pays non établi dans la noticeÉtablissement de santé
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University of Florence pays non établi dans la noticeUniversité ou école supérieure
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Nini Hospital pays non établi dans la noticeÉtablissement de santé
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Ospedale San Giuseppe pays non établi dans la noticeÉtablissement de santé
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Ospedale Misericordia - Grosseto pays non établi dans la noticeÉtablissement de santé
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Ospedale Santa Maria pays non établi dans la noticeÉtablissement de santé
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Misericordia University Unit of Vascular and Endovascular Surgery pays non établi dans la noticeUniversité ou école supérieure
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University of Bari School of Medicine “Aldo Moro” Department of Precision and Regenerative Medicine and Jonic Area (DiMePre-J) pays non établi dans la noticeUniversité ou école supérieure
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Vascular and Endovascular Surgery Unit pays non établi dans la noticeInstitution
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Careggi University Teaching Hospital Department of Cardiothoracic and Vascular Surgery pays non établi dans la noticeUniversité ou école supérieure
University of Bari Aldo Moro, Azienda ospedaliera "Bianchi-Melacrino-Morelli" et Azienda Ospedaliero-Universitaria Careggi, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.