Adjunctive primary stenting of Zenith endograft limbs during endovascular abdominal aortic aneurysm repair: Implications for limb patency Nayan Sivamurthy,

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Presentation transcript:

Adjunctive primary stenting of Zenith endograft limbs during endovascular abdominal aortic aneurysm repair: Implications for limb patency Nayan Sivamurthy, MD, Darren B. Schneider, MD, Linda M. Reilly, MD, Joseph H. Rapp, MD, Herman Skovobogatyy, MD, Timothy A.M. Chuter, MD Journal of Vascular Surgery Volume 43, Issue 4, Pages 662-670 (April 2006) DOI: 10.1016/j.jvs.2005.11.044 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Plain abdominal radiographs of a stent-graft show indications for adjunctive stent placement. A, Limb stenosis (arrow) in the distal aspect of the stent graft limb. B (left panel), Preoperative angiography illustrates narrow distal aorta and bifurcation. B (right panel), Palmaz stents (arrow) were placed in both stent graft limbs at the level of the narrow distal aorta to maintain patency. C, Limb angulation (arrow). D, Limb kinking: combination of limb angulation with reduction of luminal diameter. Journal of Vascular Surgery 2006 43, 662-670DOI: (10.1016/j.jvs.2005.11.044) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Life-table analysis for survival of stented and nonstented patients. The number of patients in each interval is given in the table within the graft. Values are the mean ± SE for all data points. Journal of Vascular Surgery 2006 43, 662-670DOI: (10.1016/j.jvs.2005.11.044) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Top, Life-table analysis for the primary patency of all limbs in the stented and non-stented patients. Bottom, Life-table analysis of patient freedom from any limb thrombosis. The number of patients or limbs in each interval is given in the table within the graph. Values are the mean ± SE for all data points. Journal of Vascular Surgery 2006 43, 662-670DOI: (10.1016/j.jvs.2005.11.044) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions