Endovascular Treatment with Viabahn Stent-grafts for Arterial Injury and Bleeding at the Visceral Arteries: Initial and Midterm Results

Overview

Journal Jpn J Radiol

Publisher Springer

Specialty Radiology

Date 2021 Sep 4

PMID 34480719

Citations 7

Authors

Tatsuo Ueda

Satoru Murata

Hiroyuki Tajima

Hidemasa Saito

Daisuke Yasui

Fumie Sugihara

Shohei Mizushima

Takahiko Mine

Hiroshi Kawamata

Hiromitsu Hayashi

Shin-Ichiro Kumita

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of the study is to evaluate the initial and midterm efficacy and safety of endovascular treatment (EVT) using Viabahn stent-graft (SG) for arterial injury and bleeding (AIB) at the visceral arteries.

Materials And Methods: Consecutive patients with visceral AIB who underwent EVT using Viabahn between January 2017 and February 2021 were retrospectively reviewed. Technical success, clinical success, peripheral organ ischemia, peri-procedural complications, bleeding-related mortality, 30-day mortality, neck length, re-bleeding, endoleaks, and patency of the SGs at 1, 3, 6, and 12 months were evaluated.

Results: EVT using Viabahn was performed in 14 patients (mean age: 68.6 years; 12 males) and 15 arteries. The technical and clinical success rates were 100%. The rates of peripheral organ ischemia, peri-procedural complications, bleeding-related mortality, and 30-day mortality were all 0%. The mean neck length was 9.9 mm. No endoleaks or re-bleeding occurred during the follow-up (mean: 732 days). The SG patency was confirmed after 1, 3, 6, and 12 months in 78.6%, 78.6%, 78.6%, and 56.1% of the patients, respectively.

Conclusion: EVT using Viabahn for AIB at the visceral arteries was safe and effective. SG occlusions without ischemia often occurred after 12 months.

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