ITalian Excluder Registry and results of Gore Excluder endograft for the treatment of elective infrarenal abdominal aortic aneurysms

BackgroundTo report the midterm results of elective endovascular aortic repair (EVAR) of abdominal aortic aneurysms (AAAs) in a multicenter, clinical unsponsored registry using the Gore Excluder endograft.MethodsThis study is a retrospective analysis of a multicenter, prospective registry that involved nine centers in Italy. Periodic clinical and radiographic follow-up with computed tomography scans were performed at 1, 6, and 12 months after the procedure, and on a yearly basis thereafter.ResultsA total of 872 patients underwent elective EVAR. Primary technical success was 97.5%, and hospital mortality was 1.0% (9/872). At least 816 (93.6%) patients underwent a follow-up control. Freedom from all-cause death was estimated to be 97.9% at 1 year, 93.4% at 3 years, and 88.5% at 5 years. Aneurysm-related mortality was 1.6% (n = 13) with only two late AAA-related deaths observed at 21 and 36 months. Significant predictors of all-cause mortality included age (P < .001) and AAA maximum diameter (P = .027). Overall conversion rate was 2.3% (n = 19). Mean elapsed time from initial intervention to surgical conversion was 23 ± 18 months (range, 0-52 months). Late rupture was detected in four (0.5%) cases: two of these patients died after conversion. The rate of any reintervention was 9.4% (n = 77); most of them were required within the first 24 months. The leading cause of reintervention was endoleak (n = 41; 5.0%). Limb thrombosis occurred in nine (1.1%) cases. Freedom from reintervention at 1, 3, and 5 years of follow-up were 98.6%, 94.6%, and 86.5%.ConclusionsThe ITalian Gore Excluder Registry is the largest clinical unsponsored registry using a single device, with the longest follow-up period so far. The present experience confirms the effectiveness of EVAR using the Gore Excluder with low rates of mortality, migration, reintervention, and limb thrombosis

A new CH carbonaceous chondrite from Acfer, Algeria

A single stone weighing 1456 g was found in November 2002 in the Acfer area, Algeria. Oxygen isotope, chondrules-matrix ratio as well as other petrographic features point to a classification as CH carbonaceous chondrite

A new CO carbonaceous chondrite from Acfer, Algeria

Many small fragments, totally weighing 118 g were found in the Acfer area by an Italian dealer. Chondrules size and types (predominance of granular olivine type), occurrence of twinned clinoenstatite and absence of plagioclase suggested a classification as CO carbonaceous chondrite

A new CK carbonaceous chondrite from Hammada Al Hamra, Libya

A single stone weighing 198 g was found in 2001 in the Hammada al Hamra region of Libya. Petrographic features (mean chondrules dimensions, coarse grained matrix and presence of AOIs and CAIs) point to a classification as CK carbonaceous chondrite

Textural and minerochemical features of NWA 1807 and 2180, two new CV3 chondrites from northwest Africa

A textural and minerochemical study has been performed on NWA 1807 and 2180 chondrites in order to determine sizes and typologies of chondrules, relative abundances of mineral phases, compositions of main phases and bulk oxygen isotope composition