Endovascular aneurysm repair with the Talent stent-graft.
OBJECTIVE
Evaluation of the Talent endovascular aortic stent graft in the management of abdominal aortic aneurysms.


METHODS
Thirty-eight patients with suitable abdominal aortic aneurysms were treated over an 18-month period using the modular Talent stent graft. The suprarenal Talent device was deployed in 31 cases. Clinical follow-up of all patients has been performed by clinical examination, contrast-enhanced CT, and Duplex ultrasound for a mean period of 12.5 months.


RESULTS
Graft placement was successful in all 38 patients. The immediate exclusion rate was 84%, the 1-month primary exclusion rate was 92.1%, and the 3-month exclusion rate was 97%. There were no deaths in the first 30 days, one death at 3 months due to a presumed rupture, and one other death at 1 year due to carcinomatosis. There have been no migrations or renal complications in the suprarenal group.


CONCLUSIONS
Our short- and medium-term results are comparable with other published Talent stent-graft series. Suprarenal graft fixation is a safe procedure that may aid in preventing graft migration. Long-term follow-up is required to assess the durability of the suprarenal Talent device.
Cowie
Alistair G
AG
Departments of Radiology, South Manchester University Hospitals NHS Trust, M23 9LT Manchester, England. Ray.ashleigh@smuht.nwest.nhs.uk
Ashleigh
Raymond J
RJ
England
Ruth E
RE
McCollum
Charles N
CN
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D011474:Prosthesis Design; D015607:Stents; D013997:Time Factors; D036542:Tomography, Spiral Computed