A Systematic Review of Predictors of Reintervention After EVAR: Guidance for Risk-Stratified Surveillance

Patel, Shaneel; Allen, Chris; Grima, Matthew Joe; Brownrigg, Jack; Patterson, Benjamin O.; Holt, Peter; Thompson, Matt; Karthikesalingam, Alan

doi:10.1177/1538574417712648

Cited by 40 publications

(31 citation statements)

References 52 publications

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“…2,3,8,10) Many reported cases were defined as an enlargement of the AAA diameter above 5 mm and were indicated as secondary reintervention. 11) Late OC was considered a final option when the secondary endovascular procedure failed. There was no clear indication of the aneurysm size in the OC, especially type II endoleaks, but a diameter >65 mm was a risk factor for new onset type I endoleaks.…”

Section: Discussionmentioning

confidence: 99%

“…There was no clear indication of the aneurysm size in the OC, especially type II endoleaks, but a diameter >65 mm was a risk factor for new onset type I endoleaks. 11) The initial experience with a late OC reported that the procedure-related mortality rate was as high as 17%, and it was considered a hazardous procedure. 12) A recent literature review showed that the 30-day mortality rate was 9.1%.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of Late Open Conversion after Endovascular Abdominal Aneurysm Repair

Nomura

Nagao

Hasegawa

et al. 2019

Annals of Vascular Diseases

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Objective: To review our experience with a late open conversion as a final option for an endograft infection and aneurysm expansion after endovascular aneurysm repair (EVAR), especially in endoleaks for which radiological intervention is impossible.Materials and Methods: In this retrospective study, 13 late open conversions out of 513 consecutive patients treated by EVAR were analyzed. Indications for an open conversion were aneurysm enlargement, including all endoleaks, endograft migration, and endograft infection. The patients’ data on demographics, operative details, and outcomes were reviewed.Results: Indications for a late open conversion included endoleaks, infection, and migration in 61.5%, 30.8%, and 7.7% of patients, respectively. The median interval from the initial EVAR was 32.4 months. Complete endograft explantation was performed in four patients with an endograft infection. In endoleak cases, the endograft was partially preserved and a neo-neck was used. Sacotomy and branch ligation were performed in one case. One major operative complication was an aortic injury during infrarenal aortic cross-clamping in an endograft migration case. There was no operative mortality.Conclusion: A late open conversion after EVAR is valuable as a final option. The aortic cross-clamp site, especially in endograft migration cases, should be carefully considered. To avoid aneurysm-related events, graft replacement is recommended, if possible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Outcomes of Late Open Conversion after Endovascular Abdominal Aneurysm Repair

Nomura

Nagao

Hasegawa

et al. 2019

Annals of Vascular Diseases

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“…EVAR procedures can be challenging and, at times, extraordinarily difficult. They require seasoned endovascular experience and refined skills (3) . Of all endovascular procedures, meticulous assessment of anatomy and preoperative procedure Case Report planning are absolutely paramount to produce optimal outcomes.…”

Section: Introductionmentioning

confidence: 99%

TEVAR for Acute Symptomatic DeBakey Tip III Dissection

Öztürk¹,

Sevük²

2020

ejcm

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Aortic dissection is a challenging life-threatening vascular emergency. Thoracic endovascular aortic repair (TEVAR) represents a minimally invasive technique alternative to conventional open surgical reconstruction for the treatment of thoracic aortic pathologies. In this report, we presented a 92-year-old female patient complicated with DeBakey Tip III aortic dissection successfully treated with TEVAR. Abstract©

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“…2 EVAR is also correlated with a higher reintervention rate, which can be as high as 20% in the first 5 years. 3 Endoleaks constitute the main cause of reinterventions. 4 It is often unclear which type of endoleak is the correct diagnose, 5 making the treatment decision difficult.…”

Section: Introductionmentioning

confidence: 99%

Use of carbon dioxide for therapeutic decision-making in endoleaks: a case report

et al. 2020

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Endovascular aneurysm repair is currently the most frequently treatment modality for infrarenal aortic aneurysms. Endoleaks are the most common cause of reintervention after endovascular aneurysm repair. It is often unclear which type of endoleak is the correct diagnose, making the treatment decision difficult. We report the case of a 72-year-old man with an endoleak two years after endovascular aneurysm repair. Images suggested a type III endoleak, but this was not confirmed by contrast aortography. We proceeded with the investigation using aortography with carbon dioxide and observed a type IA endoleak. This was successfully treated by implantation of a proximal cuff. A review of the literature shows that the role of carbon dioxide in endoleak management is still unclear. We present a case in which carbon dioxide was essential to both diagnosis and therapeutic decision-making in a type IA endoleak.

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A Systematic Review of Predictors of Reintervention After EVAR: Guidance for Risk-Stratified Surveillance

Cited by 40 publications

References 52 publications

Outcomes of Late Open Conversion after Endovascular Abdominal Aneurysm Repair

Outcomes of Late Open Conversion after Endovascular Abdominal Aneurysm Repair

TEVAR for Acute Symptomatic DeBakey Tip III Dissection

Use of carbon dioxide for therapeutic decision-making in endoleaks: a case report

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