Endovascular aneurysm repair with the Ovation TriVascular Stent Graft System utilizing a predominantly percutaneous approach under local anaesthesia

Ioannou, Christos; Kontopodis, Nikolaos; Kehagias, Elias; Παπαϊωάννου, Αλεξάνδρα; Kafetzakis, Alexandros; Papadopoulos, George; Pantidis, Dimitrios; Tsetis, Dimitrios

doi:10.1259/bjr.20140735

Cited by 18 publications

(9 citation statements)

References 30 publications

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“…Naturally, the small number of patients included in the current report does not allow final validation and definite conclusions regarding the proposed methodology. We observed an increased incidence (35%) of endoleaks in our patient cohort, higher than in our previously published series with the Ovation stent-graft 24 but similar to the 34% rate of type II endoleaks in the pivotal study of the Ovation endograft. 35 Close follow-up and strict adherence to surveillance protocols in the current group of patients could have contributed to the accurate and early detection of these leaks.…”

Section: Discussionsupporting

confidence: 82%

“…Twenty consecutive patients (mean age 72 years; 19 men) scheduled to undergo elective EVAR using the same type of endograft (Ovation Prime; TriVascular, Santa Rosa, CA, USA) according to the Instructions for Use 23,24 were selected for this study to avoid any possible influence due to differences in stent material or design. The institutional review board approved the research protocol, and all patients signed informed consent.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Noninvasive Estimation of Aneurysm Sac Pressurization Following Endovascular Aneurysm Repair Using M-Mode Ultrasonography to Evaluate Significance of Endoleaks

et al. 2016

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Section: Discussionsupporting

confidence: 82%

Section: Methodsmentioning

confidence: 99%

Noninvasive Estimation of Aneurysm Sac Pressurization Following Endovascular Aneurysm Repair Using M-Mode Ultrasonography to Evaluate Significance of Endoleaks

et al. 2016

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“…Twenty-two studies met the inclusion criteria ( Figure 1). A summary of the 22 selected studies, which date from 1996 to 2018, is shown in Table 1 14,16,18,[22][23][24][25][26][27][28][29][30][31][32][33]39,40,[43][44][45][46][47] . Twelve of these studies were not included in previous reviews 16,18,22,23,33,39,40,[43][44][45][46][47] .…”

Section: Studies Retrievedmentioning

confidence: 99%

Type of Anesthesia for Endovascular Abdominal Aortic Aneurysm Repair

Armstrong

Squire

Rogers

et al. 2019

Journal of Cardiothoracic and Vascular Anesthesia

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Objective: Endovascular aneurysm repair (EVAR) is increasingly used in the management of patients with abdominal aortic aneurysms (AAA), including in the emergency setting for ruptured AAA. The lower mortality amongst patients undergoing emergency EVAR under local anesthesia (LA) observed in the IMPROVE trial has sparked renewed interest in the anesthesia choice for EVAR. This systematic review evaluates the effect of mode of anesthesia on outcomes after EVAR. Design: The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The primary outcome was inhospital/30-day mortality and both emergency and elective EVAR were included. The relative risk of death was estimated for each individual study without adjustment for potential confounding factors. Setting: Hospitals. Participants: A total of 39,744 patients from 22 non-randomized studies were included in the analysis. Interventions: None Measurements and Main Results: Sixteen studies in 23,202 patients compared LA to GA and reported in-hospital/30-day mortality. The unadjusted risk of death after emergency EVAR with LA was lower than with GA. Trends in elective surgery were less clear. Conclusions: There is some evidence across both emergency and elective settings to suggest that mode of anesthesia may be associated with improved outcomes. In particular, 3 LA appears to have a positive effect on outcome after emergency EVAR. Due to the lack of randomized trial data, a significant risk of confounding remains. The optimal mode of anesthesia for EVAR should be further investigated and the reasons why particular anesthesia techniques are chosen for particular patients identified.

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“…This is supported by previous studies of the Ovation stentgraft that reported excellent perioperative outcomes with predominant or exclusive use of percutaneous access, with or without local anesthesia. [30][31][32][33] As fast-track EVAR evolves, development of evidence-based surgical decisionmaking algorithms would allow flexibility in patient management decisions.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Outcomes From the Prospective Multicenter Least Invasive Fast-Track EVAR (LIFE) Registry

Krajcer

Ramaiah

Henao³

et al. 2017

J Endovasc Ther

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Endovascular aneurysm repair with the Ovation TriVascular Stent Graft System utilizing a predominantly percutaneous approach under local anaesthesia

Cited by 18 publications

References 30 publications

Noninvasive Estimation of Aneurysm Sac Pressurization Following Endovascular Aneurysm Repair Using M-Mode Ultrasonography to Evaluate Significance of Endoleaks

Noninvasive Estimation of Aneurysm Sac Pressurization Following Endovascular Aneurysm Repair Using M-Mode Ultrasonography to Evaluate Significance of Endoleaks

Type of Anesthesia for Endovascular Abdominal Aortic Aneurysm Repair

Perioperative Outcomes From the Prospective Multicenter Least Invasive Fast-Track EVAR (LIFE) Registry

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