Early and midterm outcomes of endovascular aneurysm repair with an ultra-low-profile endograft from the Triveneto Incraft Registry

• Published in: Journal of vascular surgery 2021-06, Vol.73 (6), p.1950-1957.e2
• Main Authors: Zavatta, Marco, Squizzato, Francesco, Balestriero, Giovanni, Bonvini, Stefano, Perkmann, Reinhold, Milite, Domenico, Veraldi, Gian Franco, Antonello, Michele, Cognolato, Diego, Molon, Elena, Grego, Franco, Piazza, Michele, Prosdocimi, Linda, Taglialavoro, Jacopo, Cappellari, Tania, Marcello, Lino, Desole, Alessandro, Simoncini, Fabio, Invernizzi, Laura, Stringari, Carlo, Wassermann, Valentina
• Format: Article
• Language: English
• Subjects: Abdominal aortic aneurysm; EVAR; Iliac tortuosity; Low-profile endograft; Small access
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2020.09.044

We evaluated the early and midterm outcomes of the Incraft (Cordis Corp, Bridgewater, NJ) ultra-low-profile endograft by analyzing data from the Triveneto Incraft Registry (TIR). TIR is an independent multicenter cohort registry of 10 vascular surgery units in the Triveneto area (Northeast Italy). A prospective analysis of patients electively treated with Incraft from September 2014 to June 2019 was performed. The main outcomes were technical success, major 30-day complications, 30-day aneurysm-related death, freedom from reintervention, and mortality rate during follow-up and were analyzed using Kaplan-Meier curves. Univariable Cox regression was used to evaluate the associations between anatomic complexity factors and reintervention. During the study period, 209 patients were included in the registry. Their mean age was 76.9 ± 7.7 years and the Society for Vascular Surgery comorbidity score was 0.97 ± 0.52. Most patients (n = 181; 86.6%) had presented with at least one complex anatomic factor: aortic neck angle α 1.5 in 102 (48.8%), iliac artery calcification >50% in 106 (50.7%), and external iliac artery