@PhdThesis{macau_mods_00000929, author = {H{\"u}lsbeck, Albert L.S.}, title = {12-Monats-Ergebnisse nach perkutaner Implantation einer neuartigen low-profile Aortenbifurkationsprothese zur Behandlung des infrarenalen Bauchaortenaneurysmas}, year = {2021}, publisher = {Christian-Albrechts-Universit{\"a}t zu Kiel}, address = {Kiel}, keywords = {Low-profile stent-graft; Cordis INCRAFT{\texttrademark}; infrarenal aortic aneurysm repair; EVAR}, abstract = {Abstract: Objective: Clinical evaluation of safety and efficacy of the INCRAFT AAA Stent Graft system (Cordis Corp, Bridgewater, NJ) after 12-months, a low-profile device for the treatment of abdominal aortic aneurysms. Methods: From September 2014 to October 2016 we treated 70 patients suffering from infrarenal aortic aneurysm with the low-profile Cordis INCRAFT{\texttrademark} stent-graft prosthesis (75.7 {\%} male; mean age 75.9 {\textpm} 6.5 years). Main inclusion criteria included proximal aortic neck length of 10 mm or more with a diameter between 17 to 31 mm; distal iliac landing zones with a length greater than 15 mm and a diameter between 7 and 22 mm; infra- and suprarenal aortic neck angulation < 60{\textdegree}; minimal distance between proximal and distal landing zone >128 mm. The primary end point was technical success including the absence of device- or procedure-related major adverse events, absence of type I, III or IV endoleak, and maintenance of device integrity through a follow up of 12 months. Results: Technical success of the procedure was 100{\%}, all 70 procedures were performed percutaneously. Two patients with ruptured aneurysm died immediately after their operation. CT-angiography control scans were performed on 68, 56 and 47 patients after 1 week, 3 and 12 months, respectively. During this follow up we observed no type I, III or IV endoleak. Type II endoleaks were detected after 1 week, 3 and 12 months in 36.8{\%}, 28.6{\%} and 21.3{\%} of analyzed patients. None of these patients had to be reoperated during the study period. Evaluation of the CT-angiographies during the follow up documented absence of endograft migration and stent fractures in all patients. One patient required a reoperation after two months due to an acute iliac limb occlusion. CT-scans prior to patients` postoperative discharge revealed less perivascular hematoma in the vascular access region compared to standard profile stent-graft systems. Conclusion: The INCRAFT AAA Stent Graft System provides a safe and efficient solution for patients with abdominal aortic aneurysms with a low frequency of device-related events through a follow up of 12 months. Due to the low profile design it could be implanted with less vascular access trauma.}, url = {https://macau.uni-kiel.de/receive/macau_mods_00000929}, file = {:https://macau.uni-kiel.de/servlets/MCRFileNodeServlet/macau_derivate_00001976/Incraft%20Dissertation%20Dr.%20Albert%20Hülsbeck%20FERTIG.pdf:PDF}, language = {de} }