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Increasing efficacy of endovascular recanalization with covered stent graft for TransAtlantic Inter-Society Consensus II D aortoiliac complex occlusion 

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Presentation on theme: "Increasing efficacy of endovascular recanalization with covered stent graft for TransAtlantic Inter-Society Consensus II D aortoiliac complex occlusion "— Presentation transcript:

1 Increasing efficacy of endovascular recanalization with covered stent graft for TransAtlantic Inter-Society Consensus II D aortoiliac complex occlusion  Daniele Psacharopulo, MD, Emanuele Ferrero, MD, Michelangelo Ferri, MD, Andrea Viazzo, MD, Sandeep Singh Bahia, MBBS, Andrea Trucco, MD, Fulvio Ricceri, MD, Franco Nessi, MD  Journal of Vascular Surgery  Volume 62, Issue 5, Pages (November 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Endoluminal recanalization from the brachial access with a inch guidewire (arrow). In this case, an occluded stent was crossed in the left iliac artery. B, The guidewire that comes from the brachial access has crossed the occluded aortoiliac segment and is recovered into a 6F introducer sheet (arrow) positioned in the common femoral artery. C, The guidewire (arrow) is directly recovered through the femoral artery exposure while endarterectomy with profundoplasty is performed. D, Distal edge of a Viabahn (W. L. Gore and Assoc, Flagstaff, Ariz) stent graft (arrow) positioned in the proximal segment of the femoral artery, crossing the inguinal ligament. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Proximal edge of two Viabahn (W. L. Gore and Assoc, Flagstaff, Ariz) covered stents (arrow) positioned immediately inferior to the renal arteries. B, Completion angiography after endovascular recanalization (EVR). C, A three-dimensional computed tomography scan reconstruction after 6 months from the procedure shows a good result of the procedure. D, Computed tomography image shows the proximal position of the two Viabahn covered stents (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Kaplan-Meier and 95% confidence interval (CI) curve estimates for primary patency in patients undergoing endovascular recanalization (EVR) with a Viabahn (W. L. Gore and Assoc, Flagstaff, Ariz) covered stent vs an open surgical procedure (OSR). No significant difference was found between the EVR and OSR groups at 24 months (hazard ratio [HR], 0.27; 95% CI, ; P = .28). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

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