Freedom From Endoleak After Endovascular Aneurysm Repair Does Not Equal Treatment Success

“…Mean follow-up ranged from 7 to 39 months, with ten studies reporting a mean of at least 24 months. Six papers were from the UK 7,8,20,21,51,63 and three from the EUROSTAR (European Collaborators on Stent/graft Techniques for aortic Aneurysm Repair) database 36 -38 ; 20 studies were multicentre in design. The checklist used to assess RCTs was a modified version of the Delphi List 72 , a criteria list developed using Delphi consensus methods by Verhagen and colleagues.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of recent evidence for the safety and efficacy of elective endovascular repair in the management of infrarenal abdominal aortic aneurysm

Drury

Michaels

Jones

et al. 2005

British Journal of Surgery

186

108

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“…Compassionate proponents for EVAR have tried to repair failing endografts with numerous endovascular maintenance procedures in-stead of taking the risk of conversion to open surgery. When endovascular procedures have failed or are not possible, some patients have been left under mere observation (12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Early Elective Conversion for Failing Evar

et al. 2005

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Background: The aim of the study was to assess the long term results of endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms at the Helsinki University Central Hospital 1996-2004 with a special emphasis on elective conversion procedures and their outcome.Methods: Treatment results and follow-up data of all 110 elective EVAR procedures performed in our institution were gathered prospectively and evaluated.Results: Conversion to open surgery was performed in 23 (21 %) of 110 EVAR patients. 30-day mortality after elective stent-graft deployment was 0%as it was also on elective conversions (n =20). Secondary elective conversions were performed due to infection in two and after failing stent-graft treatment in 12 patients. Six of the conversions were performed primarily. Three urgent conversions (3 % overall) were performed: two of these patients died, corresponding to an overall mortality of 9 % (2/23) in all conversions. Five-year aneurysm-related mortality after EVAR among patients with elective conversion was 0 % and 19 % in patients with secondary procedures other than elective conversions.Conclusions: As conversions seem to be hazardous only when performed in urgent situations, elective conversion could be an alternative treatment method in complex failing first-generation stent-grafts as it may reduce mortality associated with urgent conversions or repeated attempts to maintain graft integrity with endovascular procedures.

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Freedom From Endoleak After Endovascular Aneurysm Repair Does Not Equal Treatment Success

Abstract: Freedom from endoleak on conventional imaging incorrectly suggested freedom from endotension in 10 (18%) of our patients. Follow-up after endovascular repair must include regular measurement of DMAX and/or aneurysm sac volume to identify those patients who remain at risk of rupture.

Cited by 106 publications

References 6 publications

Late complications after ligation and bypass for popliteal aneurysm

Late complications after ligation and bypass for popliteal aneurysm

Systematic review of recent evidence for the safety and efficacy of elective endovascular repair in the management of infrarenal abdominal aortic aneurysm

Early Elective Conversion for Failing Evar

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