Ka. Hausegger et al., Endoluminal treatment of infrarenal aortic aneurysms with the talent system: First experience with a new stent-graft., ROFO-F RONT, 169(6), 1998, pp. 633-638
Citations number
27
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging
Journal title
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
Purpose: To report the early clinical experience with the Talent stent-graf
t system in the treatment of infrarenal aortic aneurysms. Materials and Met
hods: The study group comprised 15 males aged from 51-79 years. A bifurcate
d Talent stent-graft was implanted in 9 patients with type B or C aneurysms
, a tube graft in 6 patients with a type A aneurysm. The stent-grafts were
introduced via a surgical femoral cut-down, for a bifurcated graft a bilate
ral surgical access was needed. All procedures were performed as teamwork b
y radiologists and vascular surgeons under general anaesthesia in the angio
graphy suite. Results: Primary and secondary technical successes were XO an
d 86%, respectively. Technical failures were due to access site problems (n
= 1; elective open repair), malpositioning of the prosthesis (n = 1; immed
iate conversion to open surgery), and primary distal leakage (n = 1; electi
ve occlusion by means of distal stent-graft extension). One patient died 15
days after an uneventful stent-graft insertion (30-day mortality 6%). No c
omplications were observed during a mean follow-up period of 7.8 months. Th
e aneurysmal diameter decreased in 6 patients and remained unchanged in the
others. Conclusions: The Talent system revealed satisfactory early results
which are comparable to competitive stent-graft systems. An advantage of t
his stent-graft device is the availability in a wide range of dimensions. A
major disadvantage is the large introducer system (french size 22-27).