CC BY 4.0 · Aorta (Stamford) 2019; 07(02): 067-069
DOI: 10.1055/s-0039-1688434
How I Do It
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Tips to Ensure Optimal Ring Apposition of the Ovation Stent Graft in Challenging Necks of Abdominal Aortic Aneurysms

Efstratios Georgakarakos
1   Department of Vascular Surgery, University Hospital of Alexandroupolis, “Democritus” University of Thrace, Alexandroupolis, Greece
,
Andreas Koutsoumpelis
1   Department of Vascular Surgery, University Hospital of Alexandroupolis, “Democritus” University of Thrace, Alexandroupolis, Greece
,
Kalliopi-Maria Tasopoulou
1   Department of Vascular Surgery, University Hospital of Alexandroupolis, “Democritus” University of Thrace, Alexandroupolis, Greece
,
George S. Georgiadis
1   Department of Vascular Surgery, University Hospital of Alexandroupolis, “Democritus” University of Thrace, Alexandroupolis, Greece
› Author Affiliations
Funding None.
Further Information

Publication History

11 September 2018

28 February 2019

Publication Date:
17 September 2019 (online)

Abstract

The Ovation stent graft has been recently introduced for endovascular repair of abdominal aortic aneurysms. Its sealing mechanism is based on a pair of polymer-filled inflatable rings. Based on our experience, we describe useful tips to optimize the use of Ovation in thrombosed or severely angulated necks.

 
  • References

  • 1 Trellopoulos G, Georgakarakos E, Pelekas D, Papachristodoulou A, Kalaitzi A, Asteri T. Initial single-center experience with the Ovation stent-graft system in the treatment of abdominal aortic aneurysms: application to challenging iliac access anatomies. Ann Vasc Surg 2015; 29 (05) 913-919
  • 2 Georgakarakos E, Ioannou CV, Georgiadis GS. , et al. The ovation abdominal stent graft for the treatment of abdominal aortic aneurysms: current evidence and future perspectives. Expert Rev Med Devices 2016; 13 (03) 253-262
  • 3 Greaves NS, Moore A, Seriki D, Ghosh J. Outcomes of endovascular aneurysm repair using the Ovation Stent Graft System in adverse anatomy. Eur J Vasc Endovasc Surg 2018; 55 (04) 512-517
  • 4 Storck M, Nolte T, Tenholt M, Maene L, Maleux G, Scheinert D. Women and men derive comparable benefits from an ultra-low-profile endograft: 1-year results of the European OVATION registry. J Cardiovasc Surg (Torino) 2017; 58 (05) 658-664
  • 5 Kontopodis N, Tavlas E, Galanakis N. , et al. Spontaneous type IA endoleak sealing in patients undergoing endovascular aneurysm repair with the Ovation Stent Graft. Ann Vasc Surg 2019; 54: 240-247
  • 6 Wang DH, Makaroun M, Webster MW, Vorp DA. Mechanical properties and microstructure of intraluminal thrombus from abdominal aortic aneurysm. J Biomech Eng 2001; 123 (06) 536-539
  • 7 Gasser TC, Görgülü G, Folkesson M, Swedenborg J. Failure properties of intraluminal thrombus in abdominal aortic aneurysm under static and pulsating mechanical loads. J Vasc Surg 2008; 48 (01) 179-188
  • 8 Ioannou CV, Kontopodis N, Metaxa E. , et al. Graft inflow stenosis induced by the inflatable ring fixation mechanism of the Ovation stent-graft system: hemodynamic and clinical implications. J Endovasc Ther 2014; 21 (06) 829-838
  • 9 Georgakarakos E, Ioannou CV, Trellopoulos G. , et al. Immediate change in suprarenal neck angulation after endovascular aneurysm repair: comparison of the Ovation Stent-Graft inflatable sealing rings to a conventional self-expanding stent-graft. J Endovasc Ther 2015; 22 (04) 613-619