Association Between the SVS/AAVS Anatomical Severity Grading Score and Operative Outcomes in Fenestrated Endovascular Repair of Juxtarenal Aortic Aneurysm

Kristmundsson, Thórarinn; Sonesson, Björn; Dias, Nuno; Malina, Martin; Resch, Timothy

doi:10.1583/12-4155mr.1

Cited by 5 publications

(8 citation statements)

References 31 publications

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“…Result stratification has been carried out according to several different standards, with other authors comparing renal-only fenestrations to more complex designs, while others apply the aneurysm zone classification or the Society for Vascular Surgery/American Association for Vascular Surgery anatomical severity score. [7][8][9] It is our belief that stratification of FEVAR results in the abdominal aorta should be limited to abdominal aortic pathology. The current series compared solely patients with JAAs and SAAs excluding patients with TAAAs.…”

Section: Discussionmentioning

confidence: 99%

“…Several reports have compared FEVAR results with regard to stent-graft complexity. 2,3,6–9 Results have been inconsistent, partly due to the differences in reporting standards. Some authors include type IV TAAAs in the statistical analysis as well as patients treated with branched stent-grafts.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…2,3,8 Nevertheless, results have been conflicting, and the impact of the proximal landing zone on FEVAR outcome still remains unclear. 2,3,8,9 These discrepancies are enhanced by the lack of common reporting standards.…”

Section: Introductionmentioning

confidence: 99%

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Graft Complexity–Related Outcomes of Fenestrated Endografting for Abdominal Aortic Aneurysms

et al. 2017

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PURPOSE: To report the outcomes of fenestrated endovascular aneurysm repair (FEVAR) and compare early and midterm results in relation to stent-graft complexity. METHODS: Between August 2006 and December 2014, 141 consecutive patients (mean age 72±7.6 years, range 50-89; 120 men) were treated electively with FEVAR for short-neck, juxtarenal, or suprarenal aortic aneurysms. Forty-five patients treated with stent-grafts featuring renal-only fenestrations were assigned to group A, while 96 patients receiving additional fenestrations for the superior mesenteric and/or celiac arteries were assigned to group B. Technical success, operative mortality and morbidity, target vessel patency, endoleak, reintervention, and survival were compared between the groups. Survival, target vessel stent patency, and reintervention during follow-up were estimated by Kaplan-Meier analysis; the estimates are presented with the 95% confidence interval (CI). RESULTS: Technical success was achieved in 135 (95.7%) patients. Overall 30-day operative mortality was 3.5% (5/141). Perioperative complications occurred in 16 (12.1%) patients. Mean follow-up was 33±23 months. Overall estimated survival was 85.1% (95% CI 79.1% to 91.1%) at 1 year and 75.8% (95% CI 68.2% to 83.5%) at 3 years. Freedom from reintervention was 90.6% (95% CI 85.6% to 95.6%) at 1 year and 79.2% (95% CI 71% to 87.5%) at 3 years. There was no statistically significant difference between the groups in terms of perioperative mortality or morbidity, endoleak, survival, target vessel patency, or reintervention. CONCLUSION: The use of FEVAR for juxta-and suprarenal aneurysms is associated with low 30-day mortality/morbidity and high midterm efficacy. So far, perioperative and midterm results are not affected by the use of more complex fenestrated designs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Graft Complexity–Related Outcomes of Fenestrated Endografting for Abdominal Aortic Aneurysms

et al. 2017

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“…6,7 Another study showed the ASG score was a strong predictor of operative outcomes for fenestrated EVAR in the treatment of juxtarenal AAA. 8 The literature continues to demonstrate that anatomic AAA complexity affects intraoperative and postoperative aneurysm-related outcomes, but the correlation of the ASG score with the overall medical suitability of the patient has never been investigated. Thus, the aim of our study was to determine the capability of the ASG score to predict postoperative and midterm implant-related complications, systemic complications, and mortality.…”

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confidence: 99%

Abdominal aortic aneurysm anatomic severity grading score predicts implant-related complications, systemic complications, and mortality

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Ahanchi

Larion

et al. 2016

Journal of Vascular Surgery

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Meta-analysis of Cumulative Radiation Duration and Dose During EVAR Using Mobile, Fixed, or Fixed/3D Fusion C-Arms

et al. 2016

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For equivalent fluoroscopy times, the use of a fixed C-arm in noncomplex procedures leads to higher patient radiation doses compared to a mobile C-arm. Complex procedures, which are predominantly performed using fixed C-arms, are associated with the highest radiation dose per intervention. Using fixed C-arms combined with 3D-IF techniques during complex cases might seem an adequate method to compensate for the higher radiation doses measured when a fixed C-arm is used.

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Association Between the SVS/AAVS Anatomical Severity Grading Score and Operative Outcomes in Fenestrated Endovascular Repair of Juxtarenal Aortic Aneurysm

Abstract: The ASG score is associated with operative adverse events, intraoperative adjunctive maneuvers, radiation exposure, and postoperative complications in patients treated with f-EVAR for juxtarenal aortic aneurysm.

Cited by 5 publications

References 31 publications

Graft Complexity–Related Outcomes of Fenestrated Endografting for Abdominal Aortic Aneurysms

Graft Complexity–Related Outcomes of Fenestrated Endografting for Abdominal Aortic Aneurysms

Abdominal aortic aneurysm anatomic severity grading score predicts implant-related complications, systemic complications, and mortality

Meta-analysis of Cumulative Radiation Duration and Dose During EVAR Using Mobile, Fixed, or Fixed/3D Fusion C-Arms

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