中短瘤颈亚组数据课件

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1、Endurant在复杂的患者亚组中结果UC201300742bEE1Endurant腹主动脉覆膜支架系统(IFU)近端瘤颈长度≥10mmαangulation≤45°βangulation≤60°近端瘤颈长度≥15mm*αangulation≤60°βangulation≤75°Aorticdiameterof19-32mmIliacarterydiameter8-25mmIliacfixationlength≥15mmαβ(L1)Necklength(D1a)Neckdiameter(D1b)*CEm

2、arkindicationonly.IFU,instructionsforuse.2D.Bockler.WorldwideMid-Term(2Y)ResultsofTheEndurantEndograftforAAAs:DoesitExpandtheProportionofPatientsWhoCanUndergoEVARSafely&Effectively.VEITH2012Endurant扩展了EVAR适用人群AorticneckdiameterEndurant19-32mmExcluder19-2

3、9mmZenith18-32mmIliactreatmentdiameterEndurant8-25mmExcluder8-25mmZenith7.5-20mmIliacfixationlengthEndurant≥15mmExcluder≥10mmZenith>10mm,preferably>20mmMinimumaorticnecklengthEndurant10mmExcluder15mmZenith15mmProximalaorticneckangulationEndurant*≤75°Excl

4、uder≤60°Zenith<60°*CEMarkindicationonlySource:CompanyissuedIFUs*CEIndications3ENGAGE动脉瘤解剖基线特征4αβ近端瘤颈直径平均23.7±3.6mm范围15-45mmAAA直径平均60.3±11.6mm范围30-118mm>5cm89%远端髂动脉直径(右侧)平均14.1±3.6mm范围2-29mm远端髂动脉直径(左侧)平均13.8±3.5mm范围6-30mm近端瘤颈长度平均27.0±12.4mm范围0-80mm<15mm12

5、%肾下瘤颈角度平均30.3±23.8°范围0-130°>60°10.2%Source:DataonfileatMedtronic.5ENGAGE患者基线特征N=1,263AAA囊腔>5cm89%平均动脉瘤腔直径60.3mm(+11.6)近端瘤颈长度<15mm12%平均近端瘤颈长度27.0mm(+12.4)肾下成角>6010.2%D.Bockler.WorldwideMid-Term(2Y)ResultsofTheEndurantEndograftforAAAs:DoesitExpandthePropor

6、tionofPatientsWhoCanUndergoEVARSafely&Effectively.VEITH2012DataonFileatMedtronic.ENGAGERegistryevaluatedtheEndurantStentGraftSystem18%的患者超过了IFU的规定16%的患者为有症状的AAA10.6%的患者为ASAIV级10.5%的患者为女性ENGAGE体现了真实世界有挑战的患者解剖6ASA,AmericanSocietyofAnesthesiologists.D.Bockl

7、er.WorldwideMid-Term(2Y)ResultsofTheEndurantEndograftforAAAs:DoesitExpandtheProportionofPatientsWhoCanUndergoEVARSafely&Effectively.VEITH2012DataonFileatMedtronic.ENGAGERegistryevaluatedtheEndurantStentGraftSystem背景短肾下瘤颈成为EVAR术后结果不良的重要原因，可以导致I型内漏或者再次介入等1

8、瘤颈长度是限制EVAR手术的最主要的限制因素近端瘤颈不足使得患者不适合EVAR比较ENGAGE注册研究中(10to<15mm)短瘤颈患者vs.中等瘤颈(15-20mm)患者Endurant在短瘤颈10-15mm时的表现7ENGAGERegistry主动脉瘤颈(10to<15mm)vs.(>15-20mm)1.JVascSurg.2011Jul;54(1):13-21.doi:10.1016/j.jvs.2010.12.010.Epub201