Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI)
Abstract Background Percutaneous endovascular repair (PEVAR) of infra-renal abdominal aortic aneurysms (AAA) is increasingly being performed due to the development of low profile endografts and the use of percutaneous closure devices. The feasibility and safety of the use of the INCRAFT AAA Stentgra...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | CVIR Endovascular |
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| Online Access: | https://doi.org/10.1186/s42155-025-00523-4 |
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| author | T. Engelen R. Hoogervorst K. DeLoose L. C. van Dijk R. S. van Eps R. B. van Tongeren H. T. Veger L. Maene W. Stomp O. R. Wikkeling S. J. C. Klink W. van den Eynde J. J. Wever H. van Overhagen |
| author_facet | T. Engelen R. Hoogervorst K. DeLoose L. C. van Dijk R. S. van Eps R. B. van Tongeren H. T. Veger L. Maene W. Stomp O. R. Wikkeling S. J. C. Klink W. van den Eynde J. J. Wever H. van Overhagen |
| author_sort | T. Engelen |
| collection | DOAJ |
| description | Abstract Background Percutaneous endovascular repair (PEVAR) of infra-renal abdominal aortic aneurysms (AAA) is increasingly being performed due to the development of low profile endografts and the use of percutaneous closure devices. The feasibility and safety of the use of the INCRAFT AAA Stentgraft System and the ProGlide vascular closure system was assessed. Methods The PUCCINI trial prospectively enrolled patients undergoing elective repair of infrarenal AAA at 3 centres in the Netherlands and 3 centres in Belgium. Patients underwent PEVAR with endograft implantation followed by closure using the ProGlide closure device. Procedural success rates, complications and 30-day follow-up outcomes were collected. Results A total of 93 patients, 87% male, were enrolled. The mean aneurysmal diameter was 53.9 ± 10.2 mm. Successful ProGlide placement was achieved in 97.2% in the right and 89.8% in the left groin. Successful closure was achieved in 92.4% of right and 90% of left groins. One patient required surgical access and two surgical closure. Average blood loss was 155.6 ± 175.5ml. Blood transfusion was not required. Average length of hospital stay was 2.1 ± 1.3 days. Post-implantation endoleaks were present in 37 (40.2%) patients (type 1: 12, type 2: 25). At 30-days there was no aneurysmal growth and no deaths. Follow-up imaging showed endoleaks in 39 (41.9%) patients. (type 1:8, type 2:29, type 3:2). Conclusion The results from the PUCCINI trial demonstrate that the use of a low profile endoprosthesis for treatment of infrarenal AAA with percutaneous closure has a high rate of technical success and low rates of periprocedural complication. |
| format | Article |
| id | doaj-art-9105708287b24e508cb97a2812ef4500 |
| institution | Kabale University |
| issn | 2520-8934 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj-art-9105708287b24e508cb97a2812ef45002025-02-09T12:56:15ZengSpringerOpenCVIR Endovascular2520-89342025-02-01811910.1186/s42155-025-00523-4Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI)T. Engelen0R. Hoogervorst1K. DeLoose2L. C. van Dijk3R. S. van Eps4R. B. van Tongeren5H. T. Veger6L. Maene7W. Stomp8O. R. Wikkeling9S. J. C. Klink10W. van den Eynde11J. J. Wever12H. van Overhagen13Interventional Radiology, Haga Teaching HospitalInterventional Radiology, Haga Teaching HospitalDepartment of Vascular Surgery, AZ St. BlasiusInterventional Radiology, Haga Teaching HospitalDepartment of Vascular Surgery, Haga Teaching HospitalDepartment of Vascular Surgery, Deventer HospitalDepartment of Vascular Surgery, Haga Teaching HospitalDepartment of Vascular and Thoracic Surgery, OLV AalstInterventional Radiology, Haga Teaching HospitalDepartment of Vascular Surgery, Nij SmellingheInterventional Radiology, Haga Teaching HospitalDepartment of Vascular and Thoracic SurgeryDepartment of Vascular Surgery, Haga Teaching HospitalInterventional Radiology, Haga Teaching HospitalAbstract Background Percutaneous endovascular repair (PEVAR) of infra-renal abdominal aortic aneurysms (AAA) is increasingly being performed due to the development of low profile endografts and the use of percutaneous closure devices. The feasibility and safety of the use of the INCRAFT AAA Stentgraft System and the ProGlide vascular closure system was assessed. Methods The PUCCINI trial prospectively enrolled patients undergoing elective repair of infrarenal AAA at 3 centres in the Netherlands and 3 centres in Belgium. Patients underwent PEVAR with endograft implantation followed by closure using the ProGlide closure device. Procedural success rates, complications and 30-day follow-up outcomes were collected. Results A total of 93 patients, 87% male, were enrolled. The mean aneurysmal diameter was 53.9 ± 10.2 mm. Successful ProGlide placement was achieved in 97.2% in the right and 89.8% in the left groin. Successful closure was achieved in 92.4% of right and 90% of left groins. One patient required surgical access and two surgical closure. Average blood loss was 155.6 ± 175.5ml. Blood transfusion was not required. Average length of hospital stay was 2.1 ± 1.3 days. Post-implantation endoleaks were present in 37 (40.2%) patients (type 1: 12, type 2: 25). At 30-days there was no aneurysmal growth and no deaths. Follow-up imaging showed endoleaks in 39 (41.9%) patients. (type 1:8, type 2:29, type 3:2). Conclusion The results from the PUCCINI trial demonstrate that the use of a low profile endoprosthesis for treatment of infrarenal AAA with percutaneous closure has a high rate of technical success and low rates of periprocedural complication.https://doi.org/10.1186/s42155-025-00523-4Percutaneous endovascular repair (PEVAR)Infra-renal abdominal aortic aneurysmSuture-mediated closureLow-profile endograft |
| spellingShingle | T. Engelen R. Hoogervorst K. DeLoose L. C. van Dijk R. S. van Eps R. B. van Tongeren H. T. Veger L. Maene W. Stomp O. R. Wikkeling S. J. C. Klink W. van den Eynde J. J. Wever H. van Overhagen Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI) CVIR Endovascular Percutaneous endovascular repair (PEVAR) Infra-renal abdominal aortic aneurysm Suture-mediated closure Low-profile endograft |
| title | Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI) |
| title_full | Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI) |
| title_fullStr | Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI) |
| title_full_unstemmed | Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI) |
| title_short | Percutaneous Closure Device Controlled INCRAFT Stentgraft Implantation Registry (PUCCINI) |
| title_sort | percutaneous closure device controlled incraft stentgraft implantation registry puccini |
| topic | Percutaneous endovascular repair (PEVAR) Infra-renal abdominal aortic aneurysm Suture-mediated closure Low-profile endograft |
| url | https://doi.org/10.1186/s42155-025-00523-4 |
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