Endovascular aortic aneurysm repair: association between anatomical fixation and outcomes using the Powerlink<sup>®</sup>device

Raithel, D

doi:10.2217/ica.11.14

Cited by 1 publication

(3 citation statements)

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“…It particularly affects men older than 60 years with a prevalence that ranges from 2% to 7% [ 1 , 2 ]. In 1991, Parodi, Palmaz, and Barone reported the first EVAR for AAA [ 3 ]. This approach has steadily increased in prevalence among vascular specialists who treat this pathology until it has become the first-choice treatment for anatomically-suitable AAAs [ [3] , [4] , [5] ].…”

Section: Introductionmentioning

confidence: 99%

“…In 1991, Parodi, Palmaz, and Barone reported the first EVAR for AAA [ 3 ]. This approach has steadily increased in prevalence among vascular specialists who treat this pathology until it has become the first-choice treatment for anatomically-suitable AAAs [ [3] , [4] , [5] ]. Randomized trials have demonstrated significant perioperative benefits of EVAR versus OAR, including increased survival, reduced morbidity, significantly better clinical utility outcomes, and faster time to recovery [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…This approach has steadily increased in prevalence among vascular specialists who treat this pathology until it has become the first-choice treatment for anatomically-suitable AAAs [ [3] , [4] , [5] ]. Randomized trials have demonstrated significant perioperative benefits of EVAR versus OAR, including increased survival, reduced morbidity, significantly better clinical utility outcomes, and faster time to recovery [ 3 ]. Although it is obviously less invasive than OAR, it is not free of complications which can potentially result in severe morbidity or even mortality [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Complications of endo-vascular aortic repair for abdominal aortic aneurysm: A retrospective single-centre experience

Al-Zoubi

Al-shawwa

2021

Annals of Medicine &Amp; Surgery

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Background Endovascular aortic repair (EVAR) is obviously less invasive than open aortic repair (OAR) for the treatment of infra-renal abdominal aortic aneurysm (AAA). However, it is not free of complications which can potentially result in severe morbidity or even mortality. The purpose of this study was to share our single-center experience with stent-graft related and systemic complications associated with EVAR. Methods Patients with infra-renal AAA treated by elective and emergency EVAR between March 2014 and November 2020 were retrospectively identified. Demographic data, risk factors, American Society of Anesthesiologists (ASA) score, systemic complications, stent-graft related complications, surgical site complications, 30-day mortality, late EVAR related mortality, estimated blood loss, intensive care unit (ICU) length of stay (LOS), hospital LOS and follow-up durations were collected and analyzed. Results A total of 43 patients underwent EVAR during the period of study. There were 42 males (97.7%) and 1 female (2.3%). The mean age was 68.8 ± 6.2 years. Elective EVAR was performed in 36 (83.7%) and emergency EVAR in 7 (16.3%). Technical success was achieved in 42 patients (100%) with no conversion to OAR. Stent-graft related complications were (21.0%) endoleaks, (2.3%) graft limb occlusion, (0%) graft infection, and (2.3%) rupture-EVAR. Systemic complications were (2.3%) myocardial infarction (MI), (2.3%) stroke, (2.3%) spinal cord injury (SCI), (2.3%) respiratory failure, (19.0%) wound complications, and (2.3%) acute lower limb ischemia (ALI). The 30-day mortality was (2.3%) due to perioperative MI and the late graft related mortality was (2.3%) due to rupture-EVAR. Conclusion EVAR showed a high technical success rate with no conversion to OAR. The most common complications were type II and type I endoleaks followed by graft limb occlusion. The 30-day mortality was 2.3% due to perioperative MI. Only one late stent-graft related mortality was registered due to rupture-EVAR.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complications of endo-vascular aortic repair for abdominal aortic aneurysm: A retrospective single-centre experience

Al-Zoubi

Al-shawwa

2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

Endovascular aortic aneurysm repair: association between anatomical fixation and outcomes using the Powerlink^®device

Cited by 1 publication

References 41 publications

Complications of endo-vascular aortic repair for abdominal aortic aneurysm: A retrospective single-centre experience

Complications of endo-vascular aortic repair for abdominal aortic aneurysm: A retrospective single-centre experience

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Endovascular aortic aneurysm repair: association between anatomical fixation and outcomes using the Powerlink®device

Cited by 1 publication

References 41 publications

Complications of endo-vascular aortic repair for abdominal aortic aneurysm: A retrospective single-centre experience

Complications of endo-vascular aortic repair for abdominal aortic aneurysm: A retrospective single-centre experience

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Endovascular aortic aneurysm repair: association between anatomical fixation and outcomes using the Powerlink^®device