Design of the PReferences for Open Versus Endovascular Repair of Abdominal Aortic Aneurysm (PROVE-AAA) Trial

Columbo, Jesse A.; Kang, Ravinder; Spangler, Emily L.; Newhall, Karina; Brooke, Benjamin S.; Dosluoglu, Hasan H.; Lee, Eugene S.; Raffetto, Joseph D.; Henke, Peter K.; Tang, Gale; Mureebe, Leila; Kougias, Panagoitis; Johanning, Jason M.; Arya, Shipra; Scali, Salvatore T.; Stone, David H.; Suckow, Bjoern D.; Orion, Kristine C.; Halpern, Vivienne J.; O’Connell, Jessica; Inhat, Daniel; Nelson, Peter R.; Tzeng, Edith; Wei, Zhou; Barry, Michael J.; Sirovich, Brenda E.; Goodney, Philip P.; Gaudette, Cory; Grippa, Francisco; Voorhees, Amy; Moore, Kayla; Dowse, Catherine; Barbey, Sarah; Galla, Ann; Grove, Lori; Belanger, Karen; Karamoto, Angela; Patel, Veep; Bigda, Susan; Jabori, Sinan; Chun, Kevin C.; Beckstrom, Julie; Maloney, Maria; Schieber, Molly; Zoble, Adam; Anderson, Stephanie; Morrison, Michael

doi:10.1016/j.avsg.2019.02.034

Cited by 13 publications

(6 citation statements)

References 23 publications

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“…Probably, the use of decision aids may also help to better align patient's preference. 21 The purpose of the present study is to detail the incidence and indication for a secondary intervention after EVAR, and the impact on early and long-term survival.…”

Section: Introductionmentioning

confidence: 99%

Secondary Interventions and Long-term Follow-up after Endovascular Abdominal Aortic Aneurysm Repair

Geraedts

Mulay

Vahl

et al. 2021

Annals of Vascular Surgery

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Background: Early morbidity and mortality are low after endovascular abdominal aneurysm repair (EVAR), but secondary interventions and late complications are common. The aim of the present multicenter cohort study is to detail the frequency and indication for interventions after EVAR and the impact on long-term survival. Methods: A retrospective multicenter cohort study of secondary interventions after elective EVAR for an infrarenal abdominal aortic aneurysm was conducted. Consecutive patients (n ¼ 349) undergoing EVAR between January 2007 and January 2012 were analyzed, with long-term follow-up until December 2018. Those requiring intervention were classified in accordance with the indications and specific nature of the intervention and treatment. The primary study end point was overall survival classified for patients with and without intervention. Kaplan-Meier analysis was used to estimate overall survival for those who did and who did not undergo secondary interventions. Univariable and multivariable Cox regression were performed to identify independent variables associated with mortality. Results: Some 56 patients (16%) underwent 72 secondary interventions after EVAR during a median (interquartile range) follow-up period of 53.2 months (60.1). Some 45 patients (80.4%) underwent one intervention. Indications for intervention included mainly endograft kinking/outflow obstruction and type II endoleak. An endovascular technique was used in 40.3% of interventions. Median time to secondary intervention was 24.1 months. In 93 patients with abnormalities on imaging, no intervention was performed mainly because the abnormality had disappeared on follow-up imaging (43%). Kaplan-Meier curves showed no difference in survival for patients with and without secondary interventions (P ¼ 0.153). Age (hazard ratio [HR]: 1.089, 95% confidence interval [CI]: 1.063e1.116), ASA classification (ASA III, IV HR: 1.517, 95% CI: 1.056e2.178) were significantly related to mortality. Conclusions: Secondary intervention rates are still considerable after EVAR. Endograft kinking/outflow obstruction and endoleak type II are the most common indications for a secondary intervention. Secondary interventions did not adversely affect long-term overall survival after EVAR.

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Section: Introductionmentioning

confidence: 99%

Secondary Interventions and Long-term Follow-up after Endovascular Abdominal Aortic Aneurysm Repair

Geraedts

Mulay

Vahl

et al. 2021

Annals of Vascular Surgery

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“…The aim of AAA repair by either surgical or endovascular techniques is to reduce the risk of rupture and death [ 8 ]. Through the development of EVAR, we can perform this safely and with improved morbidity and mortality compared to traditional open repair [ 9 ]. Endoleaks seem to be the Achilles' heel of EVAR, which can cause aneurysm sac growth and ultimately rupture [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Open Repair of a Large Abdominal Aortic Aneurysm With a Type 2 Endoleak After an Endovascular Aortic Aneurysm Repair: A Case Report and Literature Review

Elbayoumi,

Farres,

Erben

2023

Cureus

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“…Therefore, age- and frailty-specific outcomes should inform decision-making regarding the method of AAA repair. Among patients with robust physiologic reserve who are anatomically eligible and have equivalent mortality for either EVAR or OSR, the shared decision-making process between surgeons and patients should include patient preferences regarding long-term surveillance after EVAR vs the greater surgical stress of OSR . Our findings are limited by the inclusion of only patients undergoing AAA repairs and by the lack of data on AAA anatomy, patient preferences, and other outcomes.…”

Section: Discussionmentioning

confidence: 99%

Early Postoperative Mortality Among US Veterans With a Robust Physiologic Reserve Undergoing Open or Endovascular Abdominal Aortic Aneurysm Repair

et al. 2021

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Design of the PReferences for Open Versus Endovascular Repair of Abdominal Aortic Aneurysm (PROVE-AAA) Trial

Cited by 13 publications

References 23 publications

Secondary Interventions and Long-term Follow-up after Endovascular Abdominal Aortic Aneurysm Repair

Secondary Interventions and Long-term Follow-up after Endovascular Abdominal Aortic Aneurysm Repair

Open Repair of a Large Abdominal Aortic Aneurysm With a Type 2 Endoleak After an Endovascular Aortic Aneurysm Repair: A Case Report and Literature Review

Early Postoperative Mortality Among US Veterans With a Robust Physiologic Reserve Undergoing Open or Endovascular Abdominal Aortic Aneurysm Repair

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