Aortic Neck Anatomic Features and Predictors of Outcomes in Endovascular Repair of Abdominal Aortic Aneurysms Following vs Not Following Instructions for Use

Journal of the American College of Surgeons
Ali F AbuRahmaPatrick A Stone

Abstract

A significant number of patients undergo endovascular repair of abdominal aortic aneurysms (EVAR) outside the instructions for use (IFU). This study will examine various aortic neck features and their predictors of clinical outcomes. We performed a retrospective analysis of prospectively collected data on EVAR patients. Neck features outside IFU were analyzed. Kaplan-Meier and multivariate analyses were used to predict their effect as single features, or in combination, on outcomes. Fifty-two percent of 526 patients had 1 or more features outside the IFU. The overall technical success rate was 99%, and perioperative complication rates were 7% and 12% for IFU vs outside IFU use, respectively (p = 0.04). Type I early endoleak and early intervention rates were 7% and 10% for IFU vs 18% and 24% for outside IFU (p = 0.0002 and p < 0.0001). At a mean follow-up of 30 months, freedom from late type I endoleak and late reintervention at 1, 2, and 3 years for IFU were 99.5%, 99.5%, and 98.4%, and 99.4%, 98%, and 96.8%; vs 98.9%, 98.1%, and 98.1%, and 97.5%, 96.2%, and 95.2% for outside IFU (p = 0.049 and 0.799), respectively. Survival rates at 1, 2, and 3 years for IFU were 97%, 93.5%, and 89.8%; vs 93.7%, 88.8%, and 86.3% for outside IF...Continue Reading

References

May 22, 2002·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/American Assoc
Oct 16, 2003·Journal of Vascular Surgery·Ellen D DillavouMichel S Makaroun
Sep 13, 2006·Cardiovascular and Interventional Radiology·Edward ChokeMatthew M Thompson
Oct 18, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Lina J LeursUNKNOWN EUROSTAR Collaborators
Feb 13, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roel HoboUNKNOWN EUROSTAR Collaborators
Apr 12, 2011·Circulation·Andres SchanzerLouis Messina
Jun 15, 2011·Annals of Vascular Surgery·Steven Michael FarleyWilliam Quinones-Baldrich
Nov 6, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P W StatherE Choke
May 1, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J T LeeR L Dalman
Oct 8, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Philip W StatherEdward Choke
Mar 27, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·William D JordanJohn Henretta

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Citations

Mar 5, 2020·AJR. American Journal of Roentgenology·Tyler Smith, Keith B Quencer
Nov 15, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ali Abdul JabbarJames Stephen Jenkins
Oct 20, 2018·Nature Reviews. Disease Primers·Natzi SakalihasanRebecka Hultgren
Mar 23, 2019·Clinical Case Reports·Giovanni TinelliYamume Tshomba
Jul 25, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Hyoung Ook KimByung Chan Lee
Mar 13, 2019·Cardiovascular and Interventional Radiology·Mario D'OriaSandro Lepidi
Feb 13, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Stefano FazziniKonstantinos P Donas
Feb 19, 2021·Journal of Vascular Surgery·Luc DuboisUNKNOWN Canadian Vascular Surgery Research Group
Aug 4, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Matthew M TownsleyHarish Ramakrishna
Aug 20, 2021·Annals of Vascular Surgery·Asma MathlouthiMahmoud B Malas
Mar 7, 2019·Journal of Vascular Surgery·Mark RockleyPrasad Jetty
Jul 21, 2021·International Angiology : a Journal of the International Union of Angiology·Bharti SinghNuno V Dias
Mar 23, 2019·Journal of Vascular Surgery·Akio KodamaKimihiro Komori
Jan 8, 2022·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jordan R SternJason T Lee
Jan 12, 2022·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Naoki FujimuraShigeo Ichihashi
Nov 8, 2021·Journal of Vascular and Interventional Radiology : JVIR·Koichi MorisakiMasaki Mori

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