Mid-Term Outcomes of the Double-Barrel Technique for Patients Who Are Unfit for Standard Endovascular Aortic Aneurysm Repair
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Selection
2.2. Procedure and Techniques
2.3. Definitions and Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
EVAR | Endovascular aortic aneurysm repair |
AAA | Abdominal aortic aneurysm |
FEVAR | Fenestrated endovascular aneurysm repair |
chEVAR | Chimney endovascular aneurysm repair |
CT | Computed tomography |
EVAS | Endovascular aneurysm sealing |
References
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Total Patients (n = 7) | |
---|---|
Age (years) | 74.1 ± 4.0 |
Gender | |
Male | 3 (42.9%) |
Female | 4 (57.1%) |
Height (cm) | 158.8 ± 9.4 |
Weight (kg) | 58.4 ± 16.4 |
Cigarette smoking | 1 (14.3%) |
Serum Creatinine level (mg/dL) | 0.8 ± 0.2 |
Hypertension | 6 (85.7%) |
Diabetes Mellitus | 3 (42.9%) |
Congestive heart failure | 0 (0%) |
Cerebrovascular accident | 2 (28.6%) |
Coronary artery disease | 0 (0%) |
Chronic obstructive pulmonary disease | 0 (0%) |
Total Patients (n = 7) | |
---|---|
Previous endovascular treatment | 3 (42.9%) |
Diagnosis | |
Infrarenal AAA | 4 (57.1%) |
CIA aneurysm | 4 (57.1%) |
Ruptured aneurysm | 2 (28.6%) |
Endoleak | 3 (42.9%) |
Type Ia | 1 (14.3%) |
Type III | 1 (14.3%) |
Endotension | 1 (14.3%) |
Indications for double-barrel stent graft | |
Re-do endovascular treatment | 3 (42.9%) |
Small proximal neck diameter (<19 mm) | 3 (42.9%) |
CIA aneurysm without landing zone | 2 (28.6%) |
Short proximal neck length (<10 mm) | 1 (14.3%) |
Patient Number | ØAo (mm) | ØCIA (Rt/Lt) (mm) | ØEIA (Rt/Lt) (mm) | Proximal Neck (L1) (mm) (Length/Diameter) | L1 + L2 (mm) |
---|---|---|---|---|---|
1 | 64 | 11/12 | 9/8 | 7/26 | 127 |
2 | 60 | 14/12 | 6/5 | 40/30 | 40 |
3 | 97 | 13/11 | 10/10 | 28/20 | 37 |
4 | n/a | 50/n/a | n/a | n/a/n/a | n/a |
5 | 35 | 12/11 | 8/8 | 35/18 | 98 |
6 | 18 | 13/11 | 8/8 | n/a/18 | 81 |
7 | 18 | 31/74 | 9/9 | n/a/18 | 80 |
Patient Number | ØCalculated Double-Barrel Graft (mm) | Devices Used for Double-Barrel Aorto-Iliac Stent Graft | |
---|---|---|---|
Arc Length Method | Isoperimetric Method | ||
1 | 21.3 (20.7 *) | 22.1 | Medtronic (Endurant) |
2 | 24.5 | 25.5 | Medtronic (Endurant) |
3 | 16.4 | 17.0 | Medtronic (Endurant) |
4 | n/a | n/a | Gore (Excluder) (Rt), (Lt) |
5 | 14.7 | 15.3 | Gore (Excluder) |
6 | 14.7 | 15.3 | Medtronic (Endurant) |
7 | 14.7 | 15.3 | Medtronic (Endurant) |
Total Patients (n = 7) | |
---|---|
Technical success | 6 (85.7%) |
30-day mortality | 0 (0%) |
6-month mortality | 0 (0%) |
Length of hospital stay (days) | 11.9 ± 10.0 |
Follow-up period (months) | 29.9 ± 24.1 |
Complications | |
Limb occlusion | 1 (14.3%) |
Endoleak | 0 (0%) |
Device migration | 0 (0%) |
Access complication | 0 (0%) |
Sac enlargement | 0 (0%) |
Aneurysm rupture | 0 (0%) |
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© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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Kang, J.; Ko, D.; Lee, J. Mid-Term Outcomes of the Double-Barrel Technique for Patients Who Are Unfit for Standard Endovascular Aortic Aneurysm Repair. J. Vasc. Dis. 2025, 4, 13. https://doi.org/10.3390/jvd4020013
Kang J, Ko D, Lee J. Mid-Term Outcomes of the Double-Barrel Technique for Patients Who Are Unfit for Standard Endovascular Aortic Aneurysm Repair. Journal of Vascular Diseases. 2025; 4(2):13. https://doi.org/10.3390/jvd4020013
Chicago/Turabian StyleKang, Jinmo, Daisik Ko, and Juhun Lee. 2025. "Mid-Term Outcomes of the Double-Barrel Technique for Patients Who Are Unfit for Standard Endovascular Aortic Aneurysm Repair" Journal of Vascular Diseases 4, no. 2: 13. https://doi.org/10.3390/jvd4020013
APA StyleKang, J., Ko, D., & Lee, J. (2025). Mid-Term Outcomes of the Double-Barrel Technique for Patients Who Are Unfit for Standard Endovascular Aortic Aneurysm Repair. Journal of Vascular Diseases, 4(2), 13. https://doi.org/10.3390/jvd4020013