Endovascular Treatment of Aortic Aneurysms in Finland: The First Four Years' Experience

Aho, Pekka; Pimenoff, Georg; Salenius, Juha; Leinonen, Sami; Ylönen, Kari; Manninen, Hannu; Jaakkola, Pekka; Perälä, Jukka; Edgren, J; Keto, Pekka; Roth, W.-D.; Salo, Jarmo A.; Sipponen, J; Aarnio, Pertti; Jalonen, T.; Lepäntalo, Mauri

doi:10.1177/145749690209100204

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…In our material, only 54% of the patients had needed no secondary procedurewithin two years and by the end of the followup at least one additional procedurewas required in 81% of patients. Our mid-term results show ahigher rate of secondary interventions than reported in previous Finnish studies (25,26). At the end of the follow-up therewas only one patient alive without any complications related to endoprosthesis.…”

Section: Discussioncontrasting

confidence: 47%

Ten-Year Outcomes after Endovascular Aneurysm Repair (Evar) and Magnitude of Additional Procedures

et al. 2007

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The impact of long-term follow-up of patients treated with the new technology was emphasized in this patient population. A careful surveillance protocol and active endovascular treatment of complications can yield acceptable results and low AAA rupture and aneurysm mortality rates, also with the first-generation endovascular graft. A new technology, however, may involve unpredictable problems which can magnify the workload and incur high costs over several years after the initial procedure.

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Section: Discussioncontrasting

confidence: 47%

Ten-Year Outcomes after Endovascular Aneurysm Repair (Evar) and Magnitude of Additional Procedures

et al. 2007

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“…Most patients do not reach hospital alive, and of those who do, half die (6, 7). On the other hand, elective mortality is 1-4%, EVAR mortality may be even lower (9,10). We have published a mortality rate of 0.8% in elective surgery (19).…”

Section: Discussionmentioning

confidence: 96%

“…The incidence of rAAA is increasing (8). After elective repair by surgery or endovascular stent grafting, mortality is 1-4% (9,10).…”

mentioning

confidence: 99%

Prevention of Rupture of Abdominal Aortic Aneurysm

et al. 2010

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“…Das prospektiv erfasste EUROSTAR-Register beschreibt bei 4291 Patienten eine intention-to-treat-basierte Letalität von 2,4%. In einer prospektiven finnischen Studie wurde bei 229 Patienten eine Letalität von 0,9% errechnet (2,18). Gründe für die hohe Letalität können sein:…”

Section: Letalität Des Endovaskulären Verfahrens (Evar)unclassified

Elektive Therapie des asymptomatischen infrarenalen Aortenaneurysmas

Ruppert¹,

Umscheid²,

Steckmeier³

2005

Dtsch med Wochenschr

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Summary. In recent years, endovascular operations on infrarenal aortic aneurysm (EVAR) have not only been acknowledged as an alternative, but have become an indispensable "tool of the trade" for the vascular surgeon. As documented in many studies, perioperative morbidity is definitely much lower than in open surgery. In the long term, open surgery is also subject to complications such as rupture or aorto-enteral fistulae which necessitate secondary operations with their associated risks. There are some valid studies documenting a significantly lower mortality for EVAR than for open surgery. These datas were recently confirmed with high evidence level by the published results of UK-EVAR trial 1. The other randomized trials are currently ongoing. If the lower morbidity and lethality rate for EVAR is confirmed in these studies, the establishment of the indication for aortic aneurysm must be reconsidered with regard to the risk profile and the maximum diameter. The fact that long-term results are not yet available for the endovascular operation introduces a factor of uncertainty. Intensive follow-up observation is therefore an absolute prerequisite in patients who have undergone endovascular treatment. If the establishment of the indication is appropriate, with the new vascular prosthesis endoleaks are no longer an insoluble problem. The two methods should not be regarded as mutually competitive, but as complementary components of the treatment spectrum at every vascular center.

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Endovascular Treatment of Aortic Aneurysms in Finland: The First Four Years' Experience

Cited by 6 publications

References 7 publications

Ten-Year Outcomes after Endovascular Aneurysm Repair (Evar) and Magnitude of Additional Procedures

Ten-Year Outcomes after Endovascular Aneurysm Repair (Evar) and Magnitude of Additional Procedures

Prevention of Rupture of Abdominal Aortic Aneurysm

Elektive Therapie des asymptomatischen infrarenalen Aortenaneurysmas

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