Aneurysm Volumes After Endovascular Repair of Ruptured vs Intact Aortic Aneurysms: A Retrospective Observational Study

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Titel: Aneurysm Volumes After Endovascular Repair of Ruptured vs Intact Aortic Aneurysms: A Retrospective Observational Study
Autoren: José Oliveira-Pinto, Rita Soares-Ferreira, Nelson F. G. Oliveira, Elke Bouwens, Frederico M. Bastos Gonçalves, Sanne Hoeks, Marie Josee Van Rijn, Sander Ten Raa, Armando Mansilha, Hence J. M. Verhagen
Quelle: Journal of Endovascular Therapy. 28:146-156
Verlagsinformationen: SAGE Publications, 2020.
Publikationsjahr: 2020
Schlagwörter: Endovascular Procedures* / adverse effects, Male, Time Factors, Blood Vessel Prosthesis Implantation* / adverse effects, Aortic Rupture, Postoperative Complications / etiology, EMC OR-01, Aortic Aneurysm, Abdominal / diagnostic imaging, Postoperative Complications / diagnostic imaging, Postoperative Complications / surgery, Aortic Rupture / diagnostic imaging, Blood Vessel Prosthesis Implantation, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Risk Factors, Aortic Rupture / surgery, Humans, 10. No inequality, Aged, Retrospective Studies, Endovascular Procedures, Middle Aged, Treatment Outcome, Aortic Aneurysm, Abdominal / surgery, HSM CIR VASC, Female, Aortic Aneurysm, Abdominal
Beschreibung: Purpose To compare changes in abdominal aortic aneurysm (AAA) sac volume between endovascular aneurysm repairs (EVAR) performed for ruptured (rEVAR) vs intact (iEVAR) AAAs and to determine the impact of early volume shrinkage on future complications. Materials and Methods A retrospective analysis was performed of all patients undergoing standard infrarenal EVAR from 2002 to 2016 at a tertiary referral institution. Only patients with degenerative AAAs and with 30-day and 1-year computed tomography angiography (CTA) imaging were included. Early sac shrinkage was defined as a volume sac reduction >10% between the first (Results At baseline, the rEVAR group had larger aneurysms (pConclusion EVAR patients treated for rupture have more pronounced aneurysm sac shrinkage compared with iEVAR patients during the first year after EVAR. Patients presenting with early shrinkage are less likely to encounter late complications. These parameters may be considered when tailoring surveillance protocols.
Publikationsart: Article
Sprache: English
ISSN: 1545-1550
1526-6028
DOI: 10.1177/1526602820962484
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/33025867
https://pure.eur.nl/en/publications/dada2145-536c-45b6-832c-17e62fc6891a
https://doi.org/10.1177/1526602820962484
https://pubmed.ncbi.nlm.nih.gov/33025867/
https://www.ncbi.nlm.nih.gov/pubmed/33025867
https://journals.sagepub.com/doi/10.1177/1526602820962484
http://hdl.handle.net/10400.17/4646
Rights: taverne
URL: https://journals.sagepub.com/page/policies/text-and-data-mining-license
Dokumentencode: edsair.doi.dedup.....62f4b5f8f8dbce4119fac7a6e2a4d887
Datenbank: OpenAIRE
Beschreibung
Abstract:Purpose To compare changes in abdominal aortic aneurysm (AAA) sac volume between endovascular aneurysm repairs (EVAR) performed for ruptured (rEVAR) vs intact (iEVAR) AAAs and to determine the impact of early volume shrinkage on future complications. Materials and Methods A retrospective analysis was performed of all patients undergoing standard infrarenal EVAR from 2002 to 2016 at a tertiary referral institution. Only patients with degenerative AAAs and with 30-day and 1-year computed tomography angiography (CTA) imaging were included. Early sac shrinkage was defined as a volume sac reduction >10% between the first (Results At baseline, the rEVAR group had larger aneurysms (pConclusion EVAR patients treated for rupture have more pronounced aneurysm sac shrinkage compared with iEVAR patients during the first year after EVAR. Patients presenting with early shrinkage are less likely to encounter late complications. These parameters may be considered when tailoring surveillance protocols.
ISSN:15451550
15266028
DOI:10.1177/1526602820962484