Polyester stent graft devices and higher risk of Post-implantation Syndrome After EVAR: single-center analysis of 367 patients.

Abstract Objectives : The post-implantation syndrome may occur shortly after endovascular aneurysm repair in patients treated for abdominal aortic aneurysm. Different types of biomaterials may provoke varying inflammatory responses in patients receiving different endografts. The purpose of this article is to evaluate the PIS after EVAR and the influence of different types of device fabric. Methods : All patients submitted to elective AAA endovascular repair at our institution from January 2014 to December 2019 were enrolled. The PIS was defined by a body temperature of >38°C and WBC >12’000/μl without any evidence of an infection during (48h) the observation period. Results : 367 patients (89% males) were enrolled in this study and post-implantation syndrome occurred in 41 cases (11.2%). The incidence of PIS was significantly higher (p Conclusion : The postoperative inflammatory response after EVAR seems significantly higher by using polyester stent graft compared to PTFE devices. CRP could be an useful biomarker in defining PIS. Multi-center studies are necessary to confirm these data.