Multilayer flow modulator stents in aortic aneurysms: an overview based on preliminary experience.

Objective: Analyze the approach of the multilayer flow modulator (MFM) based on the results obtained in patients treated with Stena MFM (S-MFM). Methods: It was evaluated 6-month follow-up outcomes of 12 patients (nine men and three females; mean age 60 years, range 34-79 years) underwent aneurysm r...

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Publicado en:Cirugía y Cirujanos Vol. 93; no. 5; pp. 539 - 546
Autores principales: Tanyeli, Omer, Kaya, Sefer, Onur-Beyaz, Metin, Demir, İbrahim, Fansa, Iyad, Kırbaş, Ahmet, Gormus, Niyazi
Formato: Artículo
Publicado: Publicidad Permanyer SLU sep/oct2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: sep/oct2025
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      pub: Publicidad Permanyer SLU
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        atl: Multilayer flow modulator stents in aortic aneurysms: an overview based on preliminary experience.
      aug:
        au:
          Tanyeli, Omer
          Kaya, Sefer
          Onur-Beyaz, Metin
          Demir, İbrahim
          Fansa, Iyad
          Kırbaş, Ahmet
          Gormus, Niyazi
        affil:
          Department of Cardiovascular Surgery, Meram Faculty of Medicine, Konya, Turkey
          Department of Cardiovascular Surgery, Hatay Mustafa Kemal University Tayfur Ata Sökmen Faculty of Medicine, Hatay, Turkey
          Department of Cardiovascular Surgery, Kirsehir Education and Research Hospital, Kirsehir, Turkey
          Department of Cardiovascular Surgery, Health Science University Ümraniye Education and Research Hospital, İstanbul. Turkey
      su:
        Aortic aneurysms
        Endovascular surgery
        Angiography
        Thrombosis
        Medical equipment
        Mortality risk factors
      sug:
        subj:
          Aortic aneurysms
          Endovascular surgery
          Angiography
          Thrombosis
          Medical equipment
          Mortality risk factors
      keyword:
        Aortic aneurysm
        Multilayer flow modulator
        Peripheral arterial diseases
        Aneurisma aórtico
        Enfermedades arteriales periféricas
        Modulador de flujo multicapa
      ab:
        Objective: Analyze the approach of the multilayer flow modulator (MFM) based on the results obtained in patients treated with Stena MFM (S-MFM). Methods: It was evaluated 6-month follow-up outcomes of 12 patients (nine men and three females; mean age 60 years, range 34-79 years) underwent aneurysm repair with the S-MFM between July 2022 and December 2022. All patients undergoing S-MFM were patients at high risk of mortality and/or morbidity for open surgical repair and endovascular aneurysm repair, including thoracic Endovascular Aortic Repair (TEVAR) or fenestrated endovascular aortic repair (FEVAR). Results: The control angiograms confirmed successful patency in the lumen of the main aorta and the branches in all cases. Complete aneurysm thrombosis was detected in all patients on computed tomography angiography at 6-month follow-up. The technical success was 100%, and no case required immediate intervention. Significant complications, such as ruptures, stent migrations, retractions, thrombosis, fractures were not observed. Conclusions: The present data show the MFM approach may be an attractive alternative for complex aortic aneurysms. While it shrinks the aneurysm sac and protects the side branch blood flow, it reduces mortality and morbidity risks.
        Objetivo: Analizar el enfoque del modulador de flujo multicapa basándose en nuestros resultados en pacientes tratados con Stena Multilayer Flow Modulator (S-MFM). Métodos: Se evaluaron los resultados del seguimiento a 6 meses de 12 pacientes (9 hombres y 3 mujeres; edad promedio 60 años, rango 34-79 años) sometidos a reparación de aneurisma con S-MFM entre julio de 2022 y diciembre de 2022. Todos los pacientes que recibieron S-MFM eran de alto riesgo de mortalidad o morbilidad para reparación quirúrgica abierta y reparación endovascular, incluyendo reparación aórtica endovascular torácica (TEVAR) o reparación aórtica endovascular fenestrada (FEVAR). Resultados: Las angiografías de control confirmaron la permeabilidad exitosa en la luz de la aorta principal y las ramas en todos los casos. En el seguimiento de 6 meses, en la angiografía por tomografía computarizada se detectó trombosis completa del aneurisma en todos los pacientes. El éxito técnico fue del 100% y ningún caso requirió intervención inmediata. No se observaron complicaciones importantes, como roturas, migraciones del stent, retracciones, trombosis o fracturas. Conclusiones: Los datos actuales muestran que el enfoque del modulador de flujo multicapa puede ser una alternativa atractiva para los aneurismas aórticos complejos. Si bien encoge el saco del aneurisma y protege el flujo sanguíneo de la rama lateral, reduce los riesgos de mortalidad y morbilidad.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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