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Published in: CardioVascular and Interventional Radiology 5/2013

01-10-2013 | Clinical Investigation

Treatment of Visceral Aneurysm Using Multilayer Stent: Two-Year Follow-Up Results in Five Consecutive Patients

Authors: Alberto Balderi, Alberto Antonietti, Fulvio Pedrazzini, Davide Sortino, Claudia Vinay, Maurizio Grosso

Published in: CardioVascular and Interventional Radiology | Issue 5/2013

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Abstract

Purpose

The present study was performed to analyze the midterm results (five consecutive patients, 2-year follow-up) of the endovascular management of visceral artery aneurysms using the Cardiatis Multilayer Flow Modulator (CMFM) (Cardiatis, Isnes, Belgium), a self-expandable stent.

Materials and Methods

From August 2009 to January 2011, we implanted five CMFMs in five patients (all men; mean age 73 years) to treat two common hepatic artery aneurysms, one celiac trunk aneurysm, one splenic artery aneurysm, and one superior mesenteric artery aneurysm (diameter 25–81 mm). The primary end point was technical success. The secondary end point was stent patency, absence of aneurysm rupture or reperfusion, and shrinking of the sac at 6-, 12-, and 24-month follow-up using computed tomography angiography. Follow-up ranged from 24 to 48 months (mean 31.2).

Results

Technical success was achieved in all patients. Complete exclusion of the aneurysm with sac shrinking was achieved in two patients. Two stents became occluded at 6- and 24-month follow-up, respectively; both patients were asymptomatic and were not retreated. One patient developed sac reperfusion due to incomplete aneurysm exclusion.

Conclusion

Long-term results in a wider population are needed to validate the effectiveness of the CMFM.
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Metadata
Title
Treatment of Visceral Aneurysm Using Multilayer Stent: Two-Year Follow-Up Results in Five Consecutive Patients
Authors
Alberto Balderi
Alberto Antonietti
Fulvio Pedrazzini
Davide Sortino
Claudia Vinay
Maurizio Grosso
Publication date
01-10-2013
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 5/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-013-0705-0

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