Diameter of abdominal aortic aneurysm and outcome of endovascular aneurysm repair: does size matter? A report from EUROSTAR

Peppelenbosch, Noud; Buth, Jacob; Harris, Peter L.; Marrewijk, Corine van; Fransen, Gerdine A. J.

doi:10.1016/j.jvs.2003.09.047

Cited by 253 publications

(251 citation statements)

References 55 publications

Supporting

Mentioning

226

Contrasting

Unclassified

Order By: Relevance

“…Modification of devices must have reduced late sac enlargement. Although 10% of LSE at 3 years in the present study is similar with 8%-10% in other studies, 13,15,16) such proportion is steadily increased from 1 year up to 5 years after EVAR. On the other hand, incidence of sac shrinkage at 3 and 5 years were 59.2% and 61.7% respectively.…”

Section: Discussionsupporting

confidence: 88%

“…17,18) Persistent type II endoleak is often treated by coil embolization once the aneurysmal sac is expanded. 15,19,20,21) However, eradicating all channels of blood supply to the sac is sometimes difficult because this procedure requires access to the inflow vessels, and to the communicating vessels to inflow ones, as well as the outflow vessels. 22) In such cases, surgical conversion is required if the aneurysmal sac is further enlarged, despite repeated coil embolization.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Late Sac Behavior after Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm

Okada

Handa

Onohara

et al. 2016

Annals of Vascular Diseases

View full text Add to dashboard Cite

Background: Sac behavior after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs) is considered as a surrogate for the risk of late rupture. The purpose of the study is to assess the sac behavior of AAAs after EVAR. Methods and Results: Late sac enlargement (LSE) (≥5 mm) and late sac shrinkage (LSS) (≥5 mm) were analyzed in 589 consecutive patients who were registered at 14 national centers in Japan. The proportions of patients who had LSE at 1, 3 and 5 years were 2.6% ± 0.7%, 10.0% ± 1.6% and 19.0% ± 2.9%. The proportions of patients who had LSS at 1, 3 and 5 years were 50.1% ± 0.7%, 59.2% ± 2.3% and 61.7% ± 2.7%. Multiple logistic regression analysis identified two variables as a risk factor for LSE; persistent endoleak (Odds ratio 9.56 (4.84-19.49), P <0.001) and low platelet count (Odds ratio 0.92 (0.86-0.99), P = 0.0224). The leading cause of endoleak in patients with LSE was type II. Conclusions: The incidence of LSE is not negligible over 5 year period. Patients with persistent endoleak and/or low platelet count should carefully be observed for LSE. Clinical Trial Registration: UMIN-CTR (UMIN000008345).

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Late Sac Behavior after Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm

Okada

Handa

Onohara

et al. 2016

Annals of Vascular Diseases

View full text Add to dashboard Cite

show abstract

“…Data from the EUROSTAR Register (n = 4400) has shown that an aneurysm diameter greater than 6.5 cm results in a significantly increased perioperative risk and an increased rate of type I endoleaks [33]. Therefore, aneurysm diameters of 6.5 cm to 7.0 cm are a relative contraindication.…”

Section: Aneurysm Sacmentioning

confidence: 99%

Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications

Ketelsen

Thomas

Schmehl

et al. 2014

Fortschr Röntgenstr

View full text Add to dashboard Cite

Since the introduction of endovascular aneurysm repair (EVAR) in 1991, the endovascular therapy with newest stent grafts has assumed a prominent role in the clinical management of abdominal aortic aneurysms (AAA) with a superior perioperative mortality of EVAR and an equivalent mid-term outcome, compared to open surgery. Newest techniques using chimney or periscope grafts and customized fenestrated and branched stent grafts allow the endovascular treatment of complex pararenal AAA. This article reviews EVAR in the treatment of AAA, evidence based results and advanced indication by newest interventional techniques and technical developments. Key Points: ??EVAR has become standard treatment of abdominal aortic aneurysm with equivalent results to open surgery. ??Technical advancements and the introduction of newest stent grafts continually expand the indication of EVAR. ??Chimney- and periscope grafts as well as custom-made prothesis systems allow endovascular treatment of complex para- and suprarenal aneurysms. Citation Format: ??Ketelsen D, Thomas C, Schmehl J et?al. Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications. Fortschr R?ntgenstr 2014; 186: 337???347

show abstract

“…For example, in our experience, only 8% of sequentially imaged post-EVAR patients demonstrated sac enlargement at 3 years. 1 In the Eurostar registry, the corresponding number is in the 10% range, 5,11 and in device-specific trials (in which inclusion criteria mandate adherence to specific instructions for use [IFU]), the rate of sac enlargement ranged from 5% to 12%. 4,7 Indeed, the significance (or, more properly stated, the lack thereof) of AAA sac diameter increase after EVAR has been doubted by some investigators as a result of poor correlation with clinically relevant outcomes.…”

Section: Article See P 2848mentioning

confidence: 99%

Endovascular Repair of Abdominal Aortic Aneurysm

Cambria

2011

Circulation

View full text Add to dashboard Cite

Diameter of abdominal aortic aneurysm and outcome of endovascular aneurysm repair: does size matter? A report from EUROSTAR

Cited by 253 publications

References 55 publications

Late Sac Behavior after Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm

Late Sac Behavior after Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm

Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications

Endovascular Repair of Abdominal Aortic Aneurysm

Contact Info

Product

Resources

About