Results of endovascular abdominal aortic aneurysm repair with the Zenith stent-graft.
OBJECTIVE
To evaluate single center results of the Zenith stent-graft for elective abdominal aortic aneurysm repair.


METHODS
Data from all patients treated with a Zenith graft between March 1999 and December 2006 were retrospectively analyzed from a prospective database. Outcome measures were technical success, all-cause and aneurysm related mortality, late complications, and re-interventions.


RESULTS
A total of 234 patients were included, of which 216 were male. Mean age was 72.1+/-6.9 years. Mean diameter of the aneurysm was 60.9+/-10mm. Technical success rate was 98.3%. Thirty day mortality was 1.7%. Median follow-up was 26.9 months (range, 1-104). Overall survival was 92.2+/-1.8% at 1 year, 87.2+/-2.3% at 2 years, and 69.9+/-4.6% at 5 years. During follow-up, one aneurysm ruptured due to limb disconnection, which was treated by bridging stent-grafting. Re-interventions were performed in 9.2% of the patients, with 79% by endovascular means. There was no mortality related to re-intervention.


CONCLUSIONS
Endovascular abdominal aortic aneurysm repair with the Zenith device provides excellent results with a low risk for aneurysm-related death and rupture, and a low re-intervention rate in the mid-term.
Bos
W T G J
WT
Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, P.O. Box 30 001, 9700 RB Groningen, The Netherlands. w.t.g.j.bos@chir.umcg.nl
Tielliu
I F J
IF
Zeebregts
C J
CJ
Prins
T R
TR
van den Dungen
J J A M
JJ
Verhoeven
E L G
EL
D000368:Aged; D017130:Angioplasty; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation; D015607:Stents / Q000009:adverse effects