@article{3035428,
    title = "Suitability study of current endovascular aortic repair devices based on real-life anatomic data",
    author = "Patelis, N.D. and Malli, A. and Mylonas, K.S. and Schizas, D. and Papa, N. and Economopoulos, K.P. and Damaskos, C. and Moulakakis, K. and Katsargyris, A. and Georgopoulos, S. and Klonaris, C. and Liakakos, T.",
    journal = "Expert Review of Medical Devices",
    year = "2019",
    volume = "16",
    number = "2",
    pages = "165-171",
    publisher = "Taylor and Francis Ltd.",
    issn = "1743-4440, 1745-2422",
    doi = "10.1080/17434440.2019.1561268",
    keywords = "Blood vessels;  Computerized tomography;  Grafting (chemical);  Repair, abdominal aneurysm;  Endovascular;  EVAR;  indications for use;  suitability, Stents, abdominal aortic aneurysm;  adult;  aged;  anatomical concepts;  anthropometric parameters;  artery diameter;  Article;  cohort analysis;  common iliac artery diameter;  comparative study;  controlled study;  endovascular aneurysm repair;  female;  human;  major clinical study;  male;  neck length;  renal artery aneurysm;  retrospective study;  blood vessel transplantation;  devices;  endovascular surgery;  middle aged;  pathology;  prosthesis design;  stent;  treatment outcome;  very elderly, Aged;  Aged, 80 and over;  Aortic Aneurysm, Abdominal;  Blood Vessel Prosthesis Implantation;  Endovascular Procedures;  Female;  Humans;  Male;  Middle Aged;  Prosthesis Design;  Retrospective Studies;  Stents;  Treatment Outcome",
    abstract = "Background: There are a number of stent-grafts in the market, designed to handle difficult anatomies during endovascular aortic repair. The aim of this study is to determine which stent-graft is the most appropriate to accommodate the majority of infra-renal aortic aneurysms cases. An additional aim is to determine what stent-graft characteristics influence the suitability of the stent-graft. Research design and methods: Retrospective cohort study on the suitability of available stent-grafts for infrarenal aneurysm (AAA) repair based on real-life anatomic data. The anatomical characteristics of 235 AAA were measured manually using specialized software. All measurements were compared to the official instructions-for-use (IFU) using a purpose-specific server-side script. The proper function of the script was additionally confirmed. Results: The highest suitability rate was achieved by Medtronic Endurant. The majority of stent-grafts failed to meet the respective AAA anatomy by one IFU characteristic. Stent-grafts that failed by only one IFU characteristic by ≥80% of unsuitable cases tend to have higher suitability rates. Neck dimensions and CIA diameter are the two characteristics significantly influencing the suitability rate. Conclusions: Any stent-graft with high suitability rates should be available off-the-shelf in any vascular department in order to cover the majority of cases. For challenging cases, special advantages of the stent-grafts should be taken under consideration. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group."
}