FENESTRATED ANACONDA IMPLANTATION
Robin Williams Consultant Interventional Radiologist Freeman Hospital Newcastle-upon-Tyne
Disclosures • Proctor for Terumo Vascutek
79 man • 2010 infrarenal AAA, angulated prox. Neck
• Medtronic Endurant EVAR no proximal seal T1EL • Cook Zenith Cuff AAA excluded
• 2015 persistent AAA growth, loss of prox neck
• Referral to Freeman Hospital • Para-visceral aneurysm • Angulated proximal neck (in two planes)
Anaconda fEVAR advantages • Reposition and collapse graft
• Free access to graft from an upper body approach
• Virtually unlimited position of fenestrations
• Sequential stenting of fenestrations
Anaconda fEVAR results Number Mortality
Freedom
from type I/III endoleak
(30 day)
TVP (30 day)
TVP (late)
Freedom from AAA
growth (1yr)
fEVAR - NSQIP ~600 5.1% - -
Globalstar 318 4.1% 7.2% (procedural)
98.8% 95% (3yrs)
Anaconda Global registry
536 5.2% 95.7% 98.8% 98.5% (2 yrs) 95%
UK 4 centre study
101 3% 97% 98.6% 99.1% (1 yr) 100%
Freeman Hospital
39 2.5% 96.8% 100% 100% (1yr) 100%
Dutch Experience
25 4% 100% 96% - -