Five Year Patient Outcomes of Endovascular Abdominal Aortic Aneurysm Repair in the ENDURANT France Registry.

OBJECTIVE: Endovascular repair is the preferred method of treatment for infrarenal abdominal aortic aneurysms with numerous publications from multiple geographic regions showing excellent patient outcomes. Since the original ACE (Anevrysme de l'aorte abdominale: Chirurgie versus Endoprothese) randomised control trial, studies of French specific population have also contributed significantly to the body of evidence in support of endovascular abdominal aortic repair. METHODS: In the ENDURANT France registry, 180 patients were consecutively enrolled from 20 French centres starting in 2012. Investigational sites included public and private practice and differing centre volumes to be as representative of real world French experience as possible. The aim of this study was to present the five year outcomes from this registry. RESULTS: Instructions for use (IFU) were respected in 97.8% (176/180) of patients. At five years, the Kaplan-Meier overall survival was 69.9% ± 3.5% and the freedom from aneurysm related death was 97.6% ± 1.2%. The freedom from Type IA endoleaks was 94.5% ± 1.7%, freedom from endoleaks of any type was 70.1 ± 3.4%, and freedom from secondary endovascular procedure 90.4% ± 2.6%. In addition, 61.6% (45/73) of patients exhibited sac shrinkage at five years. CONCLUSION: In this five year report of the Endurant France registry, survival, re-intervention, and freedom from endoleak rates were comparable to recent EVAR registries and there was a high sac shrinkage rate. Secondary procedure and aneurysm rupture were lower than those of ACE, the French RCT which included older generation devices. This prospective registry demonstrates favourable five year outcomes of the Endurant stent graft used within IFU.

Mycotic aneurysm of the internal carotid artery.

BACKGROUND: Infected aneurysms of the extracranial carotid arteries are uncommon. This article presents a complete review of the literature on this condition, illustrated with a case report. This case report describes a mycotic aneurysm of carotid bifurcation with proven infection of the arterial wall from Salmonella enteritidis. The treatment consisted of excision of the aneurysm, ligation of the external carotid, and realization of a common to internal carotid artery bypass with the greater saphenous vein. METHODS: In August 2012, the authors searched the PubMed database with the keywords "carotid artery pseudoaneurysm" and "mycotic carotid aneurysm" for the period until 2012. RESULTS: The incidence of extracranial infected carotid artery aneurysm is relatively stable, with approximately 20 cases reported per decade over the past 30 years. The authors analyzed approximately 100 cases reported in the literature and studied the origin of the condition and the evolution of surgical options.

Utilización de la vena safena conservada en los accesos vasculares para hemodiálisis / Use of preserved saphenous vein in access operations for hemodialysis

Entre julio de 1984 y junio de 1992, 43 venas safenas conservadas fueron utilizadas para la realización de accesos vasculares a 31 pacientes. La tasa de permeabilidad fue de 76 por ciento a 6 meses y 38 por ciento a 24. Consideramos la vena safena conservada como un material apropiado para la realización de accesos vasculares para hemodiálisis en pacientes en los cuales se han agotado las posibilidades con material autólogo

Utilización de la vena safena conservada en los accesos vasculares para hemodiálisis / Use of preserved saphenous vein in access operations for hemodialysis

Entre julio de 1984 y junio de 1992, 43 venas safenas conservadas fueron utilizadas para la realización de accesos vasculares a 31 pacientes. La tasa de permeabilidad fue de 76 por ciento a 6 meses y 38 por ciento a 24. Consideramos la vena safena conservada como un material apropiado para la realización de accesos vasculares para hemodiálisis en pacientes en los cuales se han agotado las posibilidades con material autólogo (AU)