Short term result of COOK-ZFEN custom-made endovascular stent graft system for the treatment of short-neck abdominal aortic aneurysm
10.3760/cma.j.cn113855-20200707-00541
- VernacularTitle:COOK-ZFEN定制开孔型血管内支架系统治疗短瘤颈腹主动脉瘤的近期疗效
- Author:
Yulong HUANG
1
;
Yue LIN
;
Kai HOU
;
Daqiao GUO
;
Xin XU
;
Bin CHEN
;
Junhao JIANG
;
Jue YANG
;
Zhenyu SHI
;
Zhihui DONG
;
Xiao TANG
;
Yi SI
;
Lixin WANG
;
Weiguo FU
;
Yuqi WANG
Author Information
1. 复旦大学附属中山医院厦门医院血管外科,福建省 361015
- Keywords:
Aortic aneurysm,abdominal;
Stents;
Surgical procedures, operative
- From:
Chinese Journal of General Surgery
2021;36(6):457-460
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of a Zenith fenestrated aortic stent-graft (ZFEN) system in the treatment of short-necked aneurysms.Methods:The clinical data of 5 patients receiving F-EVAR in Zhongshan Hospital, Fudan University from Mar 2018 to Sep 2019 according to the standards of short-necked abdominal aortic aneurysm and COOK ZFEN custom stent were retrospectively analyzed.Results:Patients' average age was (69±11) years old. The time of stent customization was 4-6 weeks. The average maximum diameter of AAA was (60.8±14.0) mm. The average proximal neck diameter was (26.0±2.6) mm and the average length anchoring zone was (6.4±2.2) mm. The rate of technical success was 100%. There was no intraoperative loss of visceral vessels and stent displacement. The meane follow-up time was 6.8 months. The perioperative mortality was 0, and there were no other major complications. There were 3 patients with simple type Ⅱ endoleak and 1 patient with type Ⅲ endoleak. The endoleaks disappeared in 4 patients during follow-up of 3-12 months. 1 patient suffered with type Ⅱ and type Ⅲ endoleak, and the visceral vessels and branching stents were patent in all patients.Conclusion:The short term result of COOK ZFEN stent-graft system was safe and feasible for the treatment of short-necked AAA.