Ten-Year Outcomes after Endovascular Aneurysm Repair (Evar) and Magnitude of Additional Procedures

Abstract

The impact of long-term follow-up of patients treated with the new technology was emphasized in this patient population. A careful surveillance protocol and active endovascular treatment of complications can yield acceptable results and low AAA rupture and aneurysm mortality rates, also with the first-generation endovascular graft. A new technology, however, may involve unpredictable problems which can magnify the workload and incur high costs over several years after the initial procedure.

Pseudoaneurisma de carótida comum secundário a trauma contuso: opção de tratamento por cirurgia a céu aberto

“…Ischemic symptoms are caused by impaired carotid artery flow or by distal embolism 3 . Dysphagia and respiratory distress can also be observed 1,5 , as in the case reported.…”

“…Patients with extracranial carotid pseudoanerysms present variable clinical pictures: from a palpable and pulsatile cervical mass to strokes with definitive neurological deficits 5 . Ischemic symptoms are caused by impaired carotid artery flow or by distal embolism 3 .…”

“…It is a fast, non-invasive, and low-cost method that has high-spatial-resolution and is not operator-dependent. It can be performed in critically ill patients, such as those with multiple trauma with vascular involvement 5,7 .…”

Long-Term Experience of Endovascular Repair for Thoracic Aortic Aneurysms and Dissections

“…2,4,6 –10,13,14 In addition, any aortic endovascular procedure carries a certain risk of secondary interventions. 15 –17 The reported secondary intervention rate of TEVAR is approximately 12%. 17,18 While interpreting TEVAR results as a whole, the number of complications and the need for secondary procedures are important indicators of long-term success after TEVAR.…”

Re‐pressurization and rupture of common iliac artery aneurysms

“…With the increased uptake of endovascular aneurysm repair (EVAR), it needs to be remembered that up to 18% of EVAR patients require additional procedures; complications may occur later, so long‐term follow‐up is recommended . Unfortunately, our patient was lost to follow‐up.…”