Contralateral Snare Cannulation vs. Retrograde Gate Cannulation during Endovascular Aortic Repair in Difficult Iliac Artery Anatomy: A Single Center Experience
Abstract
:1. Introduction
2. Methods
Surgical Technique
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Grade | |
---|---|
Absent = 0 | <1.25 |
Mild = 1 | 1.25–1.5 |
Moderate = 2 | 1.5–1.6 |
Severe = 3 | >1.6 |
All Patients (148) | Retrograde (116) | Snare (32) | p | |
---|---|---|---|---|
Mean Age (y) | 73.4 | 75.7 | 73.5 | 0.68 |
Male (%) | 81 (54.7) | 62 (53.4) | 19 (59.3) | 0.67 |
Neck Length > 10 mm (%) | 142 (95.9) | 110 (94.8) | 32 (100) | 0.77 |
Iliac Tortuosity Index (%) | ||||
0 | 43 (29.0) | 41 (35.3) | 2 (6.25%) | 0.011 |
1 | 42 (28.3) | 38 (32.7) | 4 (12.5) | 0.11 |
2 | 40 (27.0) | 29 (25) | 11 (34.3) | 0.37 |
3 | 34 (22.9) | 18 (15.5) | 16 (50) | 0.001 |
Aortic diameter at gate (Cm) | 4.49 (3.7–5.7) | 4.55 (3–5.5) | 4.3 (3.1–5.7) | 0.18 |
Aortic lumen at gate (Cm) | 3.07 (2–4.5) | 3.07 (2–4.5) | 3.13 (2.4–4.2) | 0.73 |
Distance from Bifurcation to gate orifice (Cm) | 2.69 (2–4.5) | 2.58 (2.7–3.5) | 3.14 (2–4.5) | <0.0001 |
Graft Device (%) | ||||
Endurant II | 41 (7,4) | 31 (26.7) | 10 (32.2) | 0.65 |
Treo | 44 (29.7) | 35 (30.1) | 9 (28.1) | 0.87 |
Zenith | 62 (41.8) | 50 (43.1) | 12 (37.5) | 0.68 |
Iliac Tortuosity Index | All Patients | Retrograde | Snare | p |
---|---|---|---|---|
0 | 2.76 min. | 2.71 min. | 3.85 min. | 0.0001 |
1 | 2.69 min. | 2.74 min. | 2.8 min. | 0.63 |
2 | 2.87 min. | 3.01 min. | 2.71 min. | 0.01 |
3 | 4.08 min. | 4.93 min. | 3.28 min. | 0.0001 |
Overall Times | 2.98 min. | 2.94 min. | 3.15 min. | 0.33 |
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Sena, G.; Montemurro, R.; Pezzo, F.; Gioffrè, R.; Gallelli, G.; Rubino, P. Contralateral Snare Cannulation vs. Retrograde Gate Cannulation during Endovascular Aortic Repair in Difficult Iliac Artery Anatomy: A Single Center Experience. J. Clin. Med. 2024, 13, 175. https://doi.org/10.3390/jcm13010175
Sena G, Montemurro R, Pezzo F, Gioffrè R, Gallelli G, Rubino P. Contralateral Snare Cannulation vs. Retrograde Gate Cannulation during Endovascular Aortic Repair in Difficult Iliac Artery Anatomy: A Single Center Experience. Journal of Clinical Medicine. 2024; 13(1):175. https://doi.org/10.3390/jcm13010175
Chicago/Turabian StyleSena, Giuseppe, Rossella Montemurro, Francesco Pezzo, Rosario Gioffrè, Giuseppe Gallelli, and Paolo Rubino. 2024. "Contralateral Snare Cannulation vs. Retrograde Gate Cannulation during Endovascular Aortic Repair in Difficult Iliac Artery Anatomy: A Single Center Experience" Journal of Clinical Medicine 13, no. 1: 175. https://doi.org/10.3390/jcm13010175
APA StyleSena, G., Montemurro, R., Pezzo, F., Gioffrè, R., Gallelli, G., & Rubino, P. (2024). Contralateral Snare Cannulation vs. Retrograde Gate Cannulation during Endovascular Aortic Repair in Difficult Iliac Artery Anatomy: A Single Center Experience. Journal of Clinical Medicine, 13(1), 175. https://doi.org/10.3390/jcm13010175