Total Luminal Volume Predicts Risk after Endovascular Aneurysm Repair

Autor: Hence J.M. Verhagen, Nelson Oliveira, Frederico Bastos Gonçalves, Armando Mansilha, Sanne E. Hoeks, José Oliveira-Pinto, Sander Ten Raa, Marie Josee Van Rijn, Rita Soares Ferreira
Přispěvatelé: Surgery, Anesthesiology
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
Aortography
Computed Tomography Angiography
medicine.medical_treatment
Lumen (anatomy)
030204 cardiovascular system & hematology
030230 surgery
Endovascular aneurysm repair
Risk Assessment
03 medical and health sciences
Aortic aneurysm
0302 clinical medicine
Postoperative Complications
Risk Factors
medicine
Humans
cardiovascular diseases
Aorta
Abdominal
Hospital Mortality
Prospective Studies
Thrombus
Prospective cohort study
Aged
Retrospective Studies
Aged
80 and over
medicine.diagnostic_test
business.industry
Endovascular Procedures
Retrospective cohort study
Middle Aged
medicine.disease
Abdominal aortic aneurysm
Surgery
Treatment Outcome
Preoperative Period
cardiovascular system
HSM CIR VASC
Female
Cardiology and Cardiovascular Medicine
business
Aortic Aneurysm
Abdominal
Follow-Up Studies
Zdroj: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação
instacron:RCAAP
European Journal of Vascular and Endovascular Surgery, 59(6), 918-927. W.B. Saunders
ISSN: 1532-2165
1078-5884
Popis: Objective: Large aneurysm diameter represents a well known predictor of late complications after endovascular aneurysm repair (EVAR). However, the role of the thrombus free lumen inside the abdominal aortic aneurysm (AAA) sac is not clear. It was hypothesised that greater luminal volume represents a relevant risk factor for late complications after EVAR. Methods: A retrospective cohort analysis was performed including all patients undergoing EVAR from 2005 to 2016 at a tertiary referral institution. Pre-operative AAA lumen volume was measured in centre lumen line reconstructions and patients were stratified into quartiles according to luminal volume. The primary endpoint was freedom from AAA related complications. Secondary endpoints were freedom from neck events (type 1A endoleak, migration >5 mm or any pre-emptive neck related intervention), iliac related events (type 1B endoleak or pre-emptive iliac related intervention), and overall survival. Results: Four hundred and four patients were included: 101 in the first quartile (Q1
Databáze: OpenAIRE
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