Assessment of EVAR Complications using CIRSE Complication Classification System in the UK Tertiary Referral Centre: A ∼6-Year Retrospective Analysis (2014–2019)

Castiglione, Davide; Easwaran, Akshay; Prashar, Akash; Grutta, Ludovico La; Krokidis, Μiltiadis; Shaida, Nadeem

doi:10.1007/s00270-021-02847-9

Cited by 7 publications

(7 citation statements)

References 22 publications

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“…Concerning the degree of severity, a non-standardized classification divides complications in “minor,” “moderate” and “severe” ones [ 5 ]. In 2017, CIRSE Standards of Practice committee introduced a standardized and reproducible system for the classification of complications consisting in a grading scale from one to six where grade “one” is assigned to a complication that may be solved within the procedure operative session without additional therapy, sequelae or deviation from the normal post-therapeutic course, and “six” is assigned in case of death [ 6 ].…”

Section: Evar Complication Classificationmentioning

confidence: 99%

“…Complications can be divided in endograft device-related and systemic complications [ 3 ], as summarized in Table 1 . Concerning the degree of severity, a non-standardized classification of complication in “minor,” “moderate” and “severe” one, can be replaced by a standardized and reproducible CIRSE (Cardiovascular and Interventional Radiological Society of Europe) complication classification system [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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CT angiography for the assessment of EVAR complications: a pictorial review

Gozzo¹,

Caruana

Cannella

et al. 2022

Insights Imaging

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Endovascular aneurysm repair (EVAR) is a minimally invasive treatment proposed as an alternative to open repair in patients with abdominal aortic aneurysms. EVAR consists in a stent-graft placement within the aorta in order to exclude the aneurysm from arterial circulation and reduce the risk of rupture. Knowledge of the various types of devices is mandatory because some stents/grafts are more frequently associated with complications. CT angiography is the gold standard diagnostic technique for preprocedural planning and postprocedural surveillance. EVAR needs long-term follow-up due to the high rate of complications. Complications can be divided in endograft device-related and systemic complications. The purpose of this article is to review the CT imaging findings of EVAR complications and the key features for the diagnosis.

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Section: Evar Complication Classificationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

CT angiography for the assessment of EVAR complications: a pictorial review

Gozzo¹,

Caruana

Cannella

et al. 2022

Insights Imaging

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“…Hence, despite the minimally invasive nature of EVAR, a percentage of patients, ranging from 0 to 40%, may suffer from major or minor postoperative complications [ 9 , 10 ]. Of note, the wide range of reported morbidity following EVAR might be indicative of mis-interpreted follow-up outcomes and controversy on the definitions of the postoperative complications ensuing the EVAR [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Ntalouka,

Nana,

Brotis

et al. 2023

JCM

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Background: We evaluated the 30-day postoperative outcome after elective endovascular aneurysm repair (EVAR) and the possible predictors for the 30-day postoperative outcome. Materials: Demographics, medical history, laboratory values, intensive care unit (ICU) admission and 30-day complications classified as major (major adverse cardiovascular events (MACEs), acute kidney injury (AKI) and death of any cause) and minor (postimplantation syndrome (PIS), postoperative delirium (POD), urinary tract infection (UTI) and technical graft failure) were documented (March 2016 to February 2019). Results: We included 322 patients. The majority were managed under general anesthesia (83%) with femoral cutdown (98.1%). Overall, 121 (37.5%) complications, mostly minor (n = 103, 31.9%), were recorded. In total, 11 patients (3.4%) developed MACEs, 5 (1.6%) experienced AKI and 2 (0.6%) died in the ICU. Moreover, 77 patients (23.9%) suffered from PIS, 11 from POD, 11 from UTI and 4 from technical graft failure. The multivariate logistic regression analysis revealed that aneurysm diameter (p = 0.01) and past smoking (p = 0.003) were predictors for complications. PAD was an independent predictor of MACEs (p = 0.003), preoperative neutrophil to lymphocyte ratio (NLR) of AKI (p = 0.003) and past smoking of PIS (p = 0.008), respectively. Conclusions: Our study showed that the 30-day morbidity after EVAR exceeded 35%. However, the majority of complications were minor, and the associated mortality was low. Aneurysm diameter and past smoking were independent predictors for postoperative outcome.

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“…Hence, despite the minimally invasive nature of EVAR, a percentage of patients, ranging from 0 to 40%, may suffer from major or minor postoperative complications [9,10]. Of note, the wide range of reported morbidity following EVAR might be indicative of misinterpreted follow-up outcomes and controversy on the definitions of the postoperative complications ensuing the EVAR [9].…”

Section: Introductionmentioning

confidence: 99%

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair; a Tertiary Referral Center Experience

Ntalouka,

Nana,

Brotis

et al. 2023

Preprint

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The 30-day postoperative outcome after elective endovascular aneurysm repair (EVAR) was evaluated and the possible predictors were identified. Demographics, medical history, laboratory values, length of hospitalization (LOH), intensive care unit (ICU) admission and 30-day complications, classified as major [major adverse cardiovascular events (MACE), acute kidney injury (AKI) and death of any cause] and minor [post-implantation syndrome (PIS), postoperative delirium (POD), urinary tract infection (UTI) and technical graft failure] were documented, respectively. We included 322 patients (median LOH 4 days). One-hundred and twenty one (37.5%) complications, mostly minor (n=103, 31.9%), were recorded. Eleven patients (3.4%) evolved MACE, 5 (1.6%) AKI and 2 patients (0.6%) died in ICU. Seventy-seven patients (23.9%) suffered from PIS, eleven from POD, 11 from UTI and 4 from technical graft failure. Multivariate logistic regression analysis revealed that aneurysm diameter (p=0.01) and past smoking (p=0.003) were predictors for postoperative complications. PAD was an independent predictor of MACE (p=0.003), preoperative neutrophil to lymphocyte ratio (NLR) value of AKI (p=0.003) and past smoking of PIS (p=0.008), respectively. Our study showed that 30-day morbidity after EVAR exceeded 35%. However, the majority of complications were classified as minor and the associated mortality was low. Aneurysm diameter and past smoking were independent predictors for postoperative outcome.

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Assessment of EVAR Complications using CIRSE Complication Classification System in the UK Tertiary Referral Centre: A ∼6-Year Retrospective Analysis (2014–2019)

Cited by 7 publications

References 22 publications

CT angiography for the assessment of EVAR complications: a pictorial review

CT angiography for the assessment of EVAR complications: a pictorial review

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair; a Tertiary Referral Center Experience

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