A Novel Technique and Outcomes for Transcaval Endoleak Embolization

Sickler, Andrew P Van; Smith, Andrew H.; Ellis, Ryan C.; Steenberge, Sean P.; Quatromoni, Jon G.; Rowse, Jarrad W.; Smolock, Christopher J.; Caputo, Francis J.; Kirksey, Levester; Lyden, Sean P.

doi:10.1016/j.avsg.2023.01.013

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…There is wide variation in the reported technical and clinical success rates of type II EL embolisation [ 55 , 72 , 131 , 132 ] from mostly retrospective single-centre series with relatively small numbers [ 73 – 76 , 82 – 91 , 108 , 133 – 135 ]. Most studies report promising technical success rates of 80–100% but there is variation in how clinical outcome is defined and reported.…”

Section: Discussionmentioning

confidence: 99%

CIRSE Standards of Practice on Management of Endoleaks Following Endovascular Aneurysm Repair

Chun,

de Haan,

Maleux

et al. 2024

Cardiovasc Intervent Radiol

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Background Endoleaks represent the most common complication after EVAR. Some types are associated with ongoing risk of aneurysm rupture and necessitate long-term surveillance and secondary interventions. Purpose This document, as with all CIRSE Standards of Practice documents, will recommend a reasonable approach to best practices of managing endoleaks. This will include imaging diagnosis, surveillance, indications for intervention, endovascular treatments and their outcomes. Our purpose is to provide recommendations based on up-to-date evidence, updating the guidelines previously published on this topic in 2013. Methods The writing group was established by the CIRSE Standards of Practice Committee and consisted of clinicians with internationally recognised expertise in endoleak management. The writing group reviewed the existing literature performing a pragmatic evidence search using PubMed to select publications in English and relating to human subjects up to 2023. The final recommendations were formulated through consensus. Results Endoleaks may compromise durability of the aortic repair, and long-term imaging surveillance is necessary for early detection and correct classification to guide potential re-intervention. The majority of endoleaks that require treatment can be managed using endovascular techniques. This Standards of Practice document provides up-to-date recommendations for the safe management of endoleaks.

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Section: Discussionmentioning

confidence: 99%

CIRSE Standards of Practice on Management of Endoleaks Following Endovascular Aneurysm Repair

Chun,

de Haan,

Maleux

et al. 2024

Cardiovasc Intervent Radiol

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Vena cava leiomyosarcoma surgery results in a retrospective cohort of 41 patients from two centers

Bertrand,

Faron,

Mercier

et al. 2024

Journal of Surgical Oncology

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BackgroundLeiomyosarcoma of the vena cava (LMS‐VC) is a rare entity with poor oncological outcomes and a lack of histological staging prognostic factors.MethodsOutcomes of consecutive patients operated on LMS‐VC between March 2003 and May 2022, in two specialized sarcoma centers were reported.ResultForty‐one patients were identified. Median size of LMS‐VC was 9 cm with 68% of complete obstruction. After surgery, severe complication rate was 30%. No postoperative mortality was reported. Microscopic complete excision was obtained for 71% of patients, R1 for 27% and one patient presented an R2 resection. Grade 3 was found in 24%. After a median follow‐up of 70 months, 3 years disease‐free survival (DFS) and 5 years DFS were 34% and 17%, and 3 years overall survival (OS) and 5 years OS were 74% and 50%. Distant metastasis concerned 54% of recurrences, local 7% and local and distant 5%. Multivariate analysis showed that FNCLCC grade (p < 0.001) and perioperative chemotherapy (p = 0.026) were significant factors for DFS. In multivariate analysis, FNCLCC grade was a significant factor for OS (p = 0.004).DiscussionPerioperative chemotherapy may have a role to play in lowering the risk of recurrence for LMS‐VC, particularly in high‐grade tumor.

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A Novel Technique and Outcomes for Transcaval Endoleak Embolization

Cited by 2 publications

References 17 publications

CIRSE Standards of Practice on Management of Endoleaks Following Endovascular Aneurysm Repair

CIRSE Standards of Practice on Management of Endoleaks Following Endovascular Aneurysm Repair

Vena cava leiomyosarcoma surgery results in a retrospective cohort of 41 patients from two centers

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