Skip to main content
SpringerLink
Log in

Endovascular Repair of Abdominal Aortic Aneurysms with the Anaconda™ Stent Graft: Mid-term Results from a Single Center

  • Clinical Investigation
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Introduction

We aimed to report our experience with the Anaconda™ stent graft (Vascutek, Terumo, Inchinnan, Scotland, UK) for the endovascular treatment of abdominal aortic aneurysms (AAAs).

Methods

The vascular unit database was interrogated to identify all AAA patients who underwent endovascular repair with the Anaconda™ device between March 2007 and June 2014. The peri-operative, short-term, and mid-term outcome was recorded focusing on complications and re-interventions.

Results

Sixty-eight patients had been treated during the study period. Seven of these were symptomatic, one presented with an inflammatory aneurysm, and five presented with a ruptured AAA. The primary and the assisted primary technical success were 86.7 and 97.1 %, respectively. There was no 30-day mortality in the elective or symptomatic group, but two of the ruptured AAA patients died. During a mean follow-up of 29 months (range 1–87), 14 patients died, none from aneurysm-related causes. A total of 11 endoleaks (17.5 %) were detected in 10 patients during follow-up (1 type Ia, 4 type Ib, 6 type II), 4 of which required re-intervention (all for type Ib endoleak). Two iliac limbs occluded during the follow-up. The estimated overall survival, endoleak-free survival and re-intervention-free survival probability were 88.2, 78.4, and 83.4 % at 1 year; 85.9, 73.8, and 78.9 % at 2 years; and 80.6, 71.3, and 70.5 % at 3 years, respectively.

Conclusion

Based on this series, the Anaconda™ stent graft appears to be safe and effective for the endovascular treatment of AAAs. Both the short-term and the mid-term results are satisfactory.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Papazoglou K, Christu K, Iordanides T, Balitas A, Giakoystides D, Giakoystides E, Papazoglou O (1999) Endovascular abdominal aortic aneurysm repair with percutaneous transfemoral prostheses deployment under local anaesthesia. Initial experience with a new, simple-to-use tubular and bifurcated device in the first 27 cases. Eur J Vasc Endovasc Surg 17(3):202–207

    Article  CAS  PubMed  Google Scholar 

  2. Karkos CD, Karamanos D, Papazoglou KO, Kantas AS, Theochari EG, Kamparoudis AG, Gerassimidis TS (2008) Usefulness of the Hardman index in predicting outcome after endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg 48(4):788–794. doi:10.1016/j.jvs.2008.05.065 Epub 2008 Jul 17

    Article  PubMed  Google Scholar 

  3. Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM, Matsumura JS, May J, Veith FJ, Fillinger MF, Rutherford RB, Kent KC (2002) Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/American Association for Vascular Surgery. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg 35(5):1048–1060

    Article  PubMed  Google Scholar 

  4. Rödel SGJ, Geelkerken RH, Prescott RJ, Florek HJ, Kasprzak P, Brunkwall J (2009) The Anaconda TMAAA stent graft system: 2-year clinical and technical results of a multicentre clinical evaluation. Eur J Vasc Endovasc Surg 38(6):732–740. doi:10.1016/j.ejvs.2009.08.007 Epub 2009 Sep 22

    Article  PubMed  Google Scholar 

  5. Saratzis N, Melas N, Saratzis A, Lazarides J, Ktenidis K, Tsakiliotis S, Kiskinis D (2008) Anaconda aortic stent-graft: single-center experience of a new commercially available device for abdominal aortic aneurysms. J Endovasc Ther 15(1):33–41. doi:10.1583/07-2277.1

    Article  PubMed  Google Scholar 

  6. Freyrie A, Gargiulo M, Rossi C, Losinno F, Testi G, Mauro R, Faggioli G, Stella A (2007) Preliminary results of Anaconda aortic endografts: a single center study. Eur J Vasc Endovasc Surg 34(6):693–698 Epub 2007 Jul 31

    Article  CAS  PubMed  Google Scholar 

  7. Stehr A, Schnitzbauer AA, Steinbauer MG, Töpel I, Pfister K, Schlitt HJ, Kasprzak PM (2007) Early experience shows rapid shrinking of abdominal aortic aneurysms after endovascular treatment with Anaconda device. Vasa 36(3):199–204

    Article  CAS  PubMed  Google Scholar 

  8. Freyrie A, Gargiulo M, Fargion A, Gallitto E, Pratesi C, Stella A (2011) Anaconda (TM) Italian Registry participating physicians. AnacondaTM: the Italian Registry. Study protocol and preliminary perioperative results. J Cardiovasc Surg (Torino) 52(5):629–635 Epub 2011 Jul 20

    CAS  Google Scholar 

  9. Rödel SG, Zeebregts CJ, Huisman AB, Geelkerken RH (2014) Multicenter Angulated Neck Study with the Anaconda study participants Results of the Anaconda endovascular graft in abdominal aortic aneurysm with a severe angulated infrarenal neck. J Vasc Surg 59(6):1495–1501. doi:10.1016/j.jvs.2013.12.034 Epub 2014 Feb 5

    Article  PubMed  Google Scholar 

  10. Freyrie A, Gallitto E, Gargiulo M, Faggioli G, Bianchini MC, Mascoli C, Pini R, Stella A (2014) Results of the endovascular abdominal aortic aneurysm repair using the Anaconda aortic endograft. J Vasc Surg 60(5):1132–1139. doi:10.1016/j.jvs.2014.04.073 Epub 2014 Oct 23

    Article  PubMed  Google Scholar 

  11. Bosman WM, Steenhoven TJ, Suárez DR, Hinnen JW, Valstar ER, Hamming JF (2010) The proximal fixation strength of modern EVAR grafts in a short aneurysm neck. An in vitro study. Eur J Vasc Endovasc Surg 39(2):187–192. doi:10.1016/j.ejvs.2009.10.019 Epub 2009 Nov 25

    Article  CAS  PubMed  Google Scholar 

  12. Naughton PA, Park MS, Kheirelseid EA, O’Neill SM, Rodriguez HE, Morasch MD, Madhavan P, Eskandari MK (2012) A comparative study of the bell-bottom technique vs hypogastric exclusion for the treatment of aneurysmal extension to the iliac bifurcation. J Vasc Surg 55(4):956–962. doi:10.1016/j.jvs.2011.10.121 Epub 2012 Jan 5

    Article  PubMed Central  PubMed  Google Scholar 

  13. Papazoglou K, Mallios A, Rafati F, Zambas N, Karkos C (2013) Endovascular treatment of ruptured abdominal aortic aneurysms with the endurant device. Ann Vasc Surg 27(2):162–167. doi:10.1016/j.avsg.2012.04.013 Epub 2012 Sep 12

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

Christos Karkos, Dimitrios Kapetanios, Prodromos Anastasiadis, Foteini Grigoropoulou, Thomas Kalogirou, Ioakeim Giagtzidis, and Konstantinos Papazoglou have declared no Conflict of interest.

Statement of informed consent

For this type of study (i.e., retrospective study), formal consent is not required.

Statement of Human and Animal Rights

“Does not apply to this article.”

Author information

Authors and Affiliations

  1. 5th Department of Surgery, Hippocratio Hospital, Aristotle University of Thessaloniki, Konstantinoupoleos 49, Thessaloníki, Greece

    Christos D. Karkos, Dimitrios M. Kapetanios, Prodromos Th. Anastasiadis, Foteini S. Grigoropoulou, Thomas E. Kalogirou, Ioakeim T. Giagtzidis & Konstantinos O. Papazoglou

Authors
  1. Christos D. Karkos
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dimitrios M. Kapetanios
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Prodromos Th. Anastasiadis
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Foteini S. Grigoropoulou
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Thomas E. Kalogirou
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ioakeim T. Giagtzidis
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Konstantinos O. Papazoglou
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christos D. Karkos.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Karkos, C.D., Kapetanios, D.M., Anastasiadis, P.T. et al. Endovascular Repair of Abdominal Aortic Aneurysms with the Anaconda™ Stent Graft: Mid-term Results from a Single Center. Cardiovasc Intervent Radiol 38, 1416–1424 (2015). https://doi.org/10.1007/s00270-015-1081-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-015-1081-8

Keywords

Search

Navigation