2,079 results match your criteria survival evar


Renal function-adjusted contrast medium volume is a major risk factor in the occurrence of acute kidney injury after endovascular aneurysm repair.

Medicine (Baltimore) 2021 Apr;100(14):e25381

Division of Vascular and Endovascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan.

Abstract: Acute kidney injury (AKI) is a complication that can occur during endovascular aneurysm repair (EVAR), increasing postoperative mortality and disease-related death. We therefore evaluated the incidence of AKI after elective EVAR, as well as related factors affecting AKI occurrence, investigating the volume of contrast medium (CV)/estimated glomerular filtration rate (eGFR) ratio as a predictive factor.We retrospectively reviewed the data of patients who underwent EVAR for infrarenal abdominal aorta aneurysm at a single center between April 2011 and December 2018. Read More

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Fenestrated Endovascular Aneurysm Repair Affords Fewer Renal Complications Than Open Surgical Repair for Juxtarenal Abdominal Aortic Aneurysms in Patients with Chronic Renal Insufficiency.

Ann Vasc Surg 2021 Apr 5. Epub 2021 Apr 5.

The George Washington University Department of Surgery, Washington, District of Columbia.

Type Of Research: Retrospective NSQIP database review KEY FINDINGS:: Comparison of FEVAR vs OSR for juxtarenal abdominal aortic aneurysms in patients with renal disease showed similar 30-day mortality. However, FEVAR was associated with fewer renal and pulmonary complications compared to OSR.

Take Home Message: FEVAR is better for patients with chronic renal insufficiency due to decreased renal and pulmonary complications. Read More

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Favorable Outcomes in Octogenarians with Hostile Neck undergoing Endovascular Repair using EndoAnchors.

Ann Vasc Surg 2021 Apr 3. Epub 2021 Apr 3.

University of California San Diego, La Jolla, California.

Objectives: Standard endovascular repair (EVAR) is not suitable in patients with hostile aortic anatomy. Open aneurysm repair (OAR) has been the gold-standard approach in managing these patients. EndoAnchors have been introduced as a technique to make EVAR in patients with short and angulated necks possible. Read More

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Limb occlusion rate after EVAR with individualized graft limb selection and a liberal protocol of primary relining.

Ann Vasc Surg 2021 Apr 3. Epub 2021 Apr 3.

Department of Vascular and Endovascular Surgery, Klinikum Nuremberg, Paracelsus Medical University Nuremberg, Nuremberg, Germany. Electronic address:

Purpose: This study analyses limb occlusion rates after endovascular aneurysm repair (EVAR) with a strategy including stent-graft limb selection and liberal primary stenting (relining) in anatomies at higher risk for occlusion with uncovered self-expandable or balloon-expandable stents.

Materials And Methods: All patients undergoing elective EVAR with a bifurcated stent-graft between January 2010-August 2018 were included. A protocol involving personalized stent-graft selection and liberal primary relining based on preoperative imaging was followed during the whole period. Read More

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Hypogastric preservation using a retrograde endovascular bypass in a patient with ruptured AAA and concomitant bilateral common iliac aneurysms: a feasible option in the acute setting.

Ann Vasc Surg 2021 Apr 2. Epub 2021 Apr 2.

Department of Surgery - Vascular Surgery Unit, School of Medicine, University of Ioannina, Ioannina, Greece.

Preservation of the hypogastric circulation is of major clinical importance in cases of endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA). Pelvic ischemia can be detrimental and significantly increase post-operative morbidity and mortality. However, the application of a side branch device or a bell-bottom graft is not possible in ruptured aortoiliac aneurysms (due to off-the-shelf unavailability and/or prolonged operative time) and in most cases pelvic circulation may have to be sacrificed. Read More

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Time-to-event data meta-analysis of late outcomes of endovascular versus open repair for ruptured abdominal aortic aneurysm.

J Vasc Surg 2021 Apr 2. Epub 2021 Apr 2.

Department of Vascular and Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Northern Care Alliance NHS Group, Manchester, UK; Division of Cardiovascular Sciences, School of Medical Sciences, University of Manchester, Manchester, UK. Electronic address:

Objective: To investigate whether the well documented perioperative survival advantage of emergency endovascular aneurysm repair (EVAR) over open repair is sustained in follow-up.

Methods: A systematic review conforming to the PRISMA statement standards was conducted to identify studies that reported follow-up outcomes of endovascular versus open repair for ruptured abdominal aortic aneurysm. Electronic bibliographic sources (MEDLINE, EMBASE, CINHAL, and CENTRAL) were interrogated using the Healthcare Databases Advanced Search interface. Read More

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Effect of Limb Oversizing on the Risk of Type Ib Endoleak in Patients after Endovascular Aortic Repair.

J Vasc Surg 2021 Apr 1. Epub 2021 Apr 1.

Department of Vascular Surgery, West China Hospital, Sichuan University. Electronic address:

Objective: To assess the association between the degree of limb oversizing and risk of type Ib endoleak (T1BEL) in different types of iliac landing zones after endovascular aortic aneurysm repair (EVAR).

Methods: A retrospective cohort study was performed for patients who underwent EVAR with bifurcated and limb endografts in an academic center. The main exposure was the degree of limb oversizing. Read More

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Trends in Use of Cerebrospinal Drains and Outcomes Related to Spinal Cord Ischemia after TEVAR and complex EVAR in the Vascular Quality Initiative.

J Vasc Surg 2021 Mar 31. Epub 2021 Mar 31.

Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL. Electronic address:

Introduction: Spinal cord ischemia (SCI) is a dreaded complication of thoracic and complex endovascular aortic repair (TEVAR/cEVAR). Controversy exists surrounding cerebrospinal fluid drain (CSFD) use, especially preoperative prophylactic placement, due to concerns regarding catheter-related complications. However, these risks are balanced by widely accepted benefits of CSFDs in open repairs to either prevent and/or rescue patients with SCI. Read More

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Nationwide study of surgery for primary infected abdominal aortic and common iliac artery aneurysms.

Br J Surg 2021 Jan 24. Epub 2021 Jan 24.

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, Nagoya University, Aichi, Japan.

Background: Primary infected aneurysms of the abdominal aorta and iliac arteries are potentially life-threatening. However, because of the rarity of the disease, its pathogenesis and optimal treatment strategy remain poorly defined.

Methods: A nationwide retrospective cohort study investigated patients who underwent surgical treatment for a primary infected abdominal aortic and/or common iliac artery (CIA) aneurysm between 2011 and 2017 using a Japanese clinical registry. Read More

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January 2021

Clinical evaluation of endovascular repair of abdominal aortic aneurysm based on long-term experiences.

Wideochir Inne Tech Maloinwazyjne 2021 Mar 27;16(1):191-198. Epub 2020 Mar 27.

Department of Vascular Surgery, University Hospital, Krakow, Poland.

Introduction: The endovascular method as a less invasive treatment for patients with abdominal aortic aneurysm (AAA) has become an alternative to conventional open surgery.

Aim: The objective of the present study was to analyse the outcomes of endovascular treatment of AAA patients in long-term observation.

Material And Methods: A group of 236 AAA patients subjected to planned endovascular aneurysm repair (EVAR) between 2010 and 2015 was reviewed. Read More

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Abdominal Aortic Neck Wrap for Refractory Type 1a Endoleak: A Case Series and a Novel Intraoperative Assessment Technique.

Ann Vasc Dis 2021 Mar;14(1):19-22

Department of Vascular and Endovascular Surgery, Broomfield Hospital, Chelmsford, CM1 7ET, United Kingdom.

: Refractory type 1a endoleak after endovascular aneurysm repair (EVAR) can pose a significant challenge to surgeons and interventional radiologists. Continuous sac expansion results in aneurysm rupture and mortality. In such circumstances, an external infrarenal aortic wrap could serve as an essential and alternative solution. Read More

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Outcome of elective endovascular repair of abdominal aortic aneurysms in octogenarians.

Geriatr Gerontol Int 2021 Mar 22. Epub 2021 Mar 22.

Vascular Surgery, Hospital del Mar, Barcelona, Spain.

Aim: The need to adjust the indications of elective abdominal aortic aneurysm (AAA) repair among patients with a limited life-span deserves a specific evaluation for octogenarians. The aim of this study was to compare the postoperative results and the long-term survival after endovascular repair of abdominal aortic and/or iliac aneurysms (EVAR) in octogenarians compared with patients under 80 years of age.

Methods: Retrospective analysis of 241 consecutive patients who underwent an elective EVAR between 2000 and 2017. Read More

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Shockwave lithotripsy facilitates large-bore vascular access through calcified arteries.

J Vasc Surg Cases Innov Tech 2021 Mar 12;7(1):164-170. Epub 2020 Sep 12.

Division of Vascular Surgery, Department of Surgery, The Icahn School of Medicine at Mount Sinai, New York, NY.

Background: Our objective is to explore the Peripheral Intravascular Lithotripsy (IVL) System in the treatment of calcific access vessels during thoracic endovascular aortic repair (TEVAR), endovascular aortic repair (EVAR), and transcatheter aortic valve intervention.

Methods: This retrospective, single-center study evaluated the outcomes of patients undergoing TEVAR, EVAR, or transcatheter aortic valve intervention with severe calcific arterial disease between July 2018 and August 2019. Maximum circumferential calcification, length of calcification, and inner/outer diameter measurements were collected with curved planar reformation by medical imaging software (Aquarius APS, TeraRecon, Foster City, Calif). Read More

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Towards a Core Outcome Set for Abdominal Aortic Aneurysm: Systematic Review of Outcomes Reported Following Intact and Ruptured Abdominal Aortic Aneurysm Repair.

Eur J Vasc Endovasc Surg 2021 Mar 16. Epub 2021 Mar 16.

Department of Surgery & Cancer, Imperial College London, London, UK. Electronic address:

Objective: To encompass the needs of all stakeholders and allow effective data synthesis from trials, registries, and other studies; a core outcome set for infrarenal abdominal aortic aneurysm (AAA) repair is needed. In this first stage, the aim was to report the range, frequency, and time of pre-specified outcomes reported following AAA repair.

Data Sources: Medline, Embase, and CENTRAL databases 2010 - 2019 were searched using ProQuest Dialog™. Read More

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10-year single center experience in elective standard endovascular abdominal aortic aneurysm repair.

Int Angiol 2021 Mar 19. Epub 2021 Mar 19.

Vascular Surgery Department, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

Introduction: Endovascular aneurysm repair (EVAR) has become the treatment of choice for abdominal aortic aneurysm (AAA), demonstrating excellent early outcomes. However, EVAR durability has been questioned in the long-term period. The aim of this study was to assess EVAR outcomes in terms of survival and freedom from re-intervention during a long-term period. Read More

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Systematic Review and Meta-Analysis of Endovascular Abdominal Aortic Repair in Large Diameter Infrarenal Necks.

J Vasc Surg 2021 Mar 12. Epub 2021 Mar 12.

Department of Vascular Surgery, Cleveland Clinic Foundation.

Objective: The aim of this study was to perform a meta-analysis of relevant published literature to investigate the impact of wide proximal aortic neck diameter on outcomes of EVAR for the repair of AAA.

Methods: A systematic literature review was performed to examine the rate of clinical safety and effectiveness endpoints associated with wide proximal aortic neck diameter following EVAR for the treatment of AAA. A literature search was performed on August 9, 2019 using PubMed as the primary database and Cochrane as the secondary database. Read More

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Optimal Threshold for the Volume-Outcome Relationship After Open AAA Repair in the Endovascular Era: Analysis of the International Consortium of Vascular Registries.

Eur J Vasc Endovasc Surg 2021 Mar 12. Epub 2021 Mar 12.

Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Objective: As open abdominal aortic aneurysm (AAA) repair (OAR) rates decline in the endovascular era, the endorsement of minimum volume thresholds for OAR is increasingly controversial, as this may affect credentialing and training. The purpose of this analysis was to identify an optimal centre volume threshold that is associated with the most significant mortality reduction after OAR, and to determine how this reflects contemporary practice.

Methods: This was an observational study of OARs performed in 11 countries (2010 - 2016) within the International Consortium of Vascular Registry database (n = 178 302). Read More

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The Effect of Abdominal Aortic Aneurysm Size on Endoleak, Secondary Intervention and Overall Survival Following Endovascular Aortic Aneurysm Repair.

Vasc Endovascular Surg 2021 Mar 15:15385744211000572. Epub 2021 Mar 15.

22606MercyOne Medical Center, Des Moines, IA, USA.

Objective: The purpose of this study was to identify the effect of abdominal aortic aneurysm (AAA) size on endoleak development and secondary intervention after endovascular repair (EVAR), as well as to examine the effect on overall survival and cause of mortality.

Methods: Retrospective analysis was performed on all non-ruptured AAA treated by elective EVAR using FDA-approved endografts in our facility from July 2004 to December 2017. Patients were grouped into 3 cohorts based on preoperative aneurysm size: Group I (<5. Read More

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Prognostic Value of Inflammatory Biomarkers in 5-Year Survival After Endovascular Repair of Abdominal Aortic Aneurysms in a Predominantly Male Cohort: Implications for Practice.

World J Surg 2021 Mar 15. Epub 2021 Mar 15.

Vascular Surgery Department, Hospital del Mar, Passeig Marítim 25-29, 08003, Barcelona, Spain.

Background: Prognostic factors of long-term survival can guide selection of patients for endovascular repair of abdominal aortic aneurysms (EVAR). The aim of this study was to evaluate the relationship between the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), the lymphocyte-to-monocyte ratio (LMR) and the systemic immune-inflammation index (SIII) with survival after EVAR and to assess whether the addition of these biomarkers improved the prediction of survival after surgery.

Methods: Retrospective analysis of 284 consecutive patients who underwent an EVAR at a single institution. Read More

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Late outcomes after endovascular and open repair of large abdominal aortic aneurysms.

J Vasc Surg 2021 Mar 6. Epub 2021 Mar 6.

Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Boston, Mass. Electronic address:

Objective: The risk of aortic abdominal aneurysm (AAA) rupture increases with an increasing aneurysm diameter. However, the effect of the AAA diameter on late outcomes after aneurysm repair is unclear. Therefore, we assessed the association of a large AAA diameter with late outcomes for patients undergoing open and endovascular AAA repair. Read More

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Management of Nellix migration and type Ia endoleak from proximal endovascular aneurysm sealing relining to late open conversion.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.

Background: Despite promising early results, mid-term failures of the Nellix endovascular aneurysm sealing (EVAS) system (Endologix Inc, Irvine, Calif) have been reported at higher than expected rates. The management of proximal endoleaks and migration differs from those after conventional endovascular aortic aneurysm repair (EVAR) owing to the peculiar design of the Nellix device. In the present study, we report a monocentric experience in the management of EVAS complications using various techniques. Read More

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Stress testing before abdominal aortic aneurysm repair does not lead to a reduction in perioperative cardiac events.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH; Geisel School of Medicine at Dartmouth, Hanover, NH.

Objective: Stress testing is often used before abdominal aortic aneurysm (AAA) repair. Whether stress testing leads to a reduction in cardiac events after AAA repair has remained unclear. Our objective was to study the national stress test usage rates and compare the perioperative outcomes between centers with high and low usage of stress testing. Read More

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Adjunctive branch interventions during thoracic endovascular aortic repair for acute complicated type B dissection are not associated with inferior outcomes.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Division of Vascular Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IIl. Electronic address:

Objective: Thoracic endovascular aortic repair (TEVAR) has been shown to effectively treat malperfusion associated with acute type B thoracic aortic dissection (TBAD). A subset of patients might still require adjunctive peripheral or visceral artery branch interventions during TEVAR to remedy persistent end organ malperfusion. Our objectives were to determine the incidence of these adjunctive interventions and to compare the outcomes between patients who had and had not undergone such interventions. Read More

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Risk of renal failure and death when renal arteries are involved in endovascular aortic aneurysm repair.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif. Electronic address:

Objective: Endovascular abdominal aortic repair can involve the incorporation of renal arteries. Revascularization after intentional or unintentional renal artery (RA) coverage is not always technically successful, and the loss of a single RA may result in the need for postoperative dialysis. Thus, we compared the outcomes after endovascular aneurysm repair (EVAR) stratified by RA involvement (RAI). Read More

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Aortoduodenal fistulas after endovascular abdominal aortic aneurysm repair and open aortic repair.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of vascular surgery, Berlin, Germany.

Objective: In the present study, we have reported and compared aortoduodenal fistulas (ADFs) after endovascular abdominal aortic aneurysm repair (EVAR) vs after open aortic repair (OAR).

Methods: We retrospectively analyzed the data from patients treated for ADFs from January 2015 to May 2020 in our hospital. The clinical data, diagnostic procedures, and surgical options were evaluated. Read More

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Endovascular repair for abdominal aortic aneurysms.

Heart 2021 Mar 4. Epub 2021 Mar 4.

British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.

Management of abdominal aortic aneurysms has been the subject of rigorous scientific scrutiny. Prevalence studies have directed the formation of screening programmes, and observational studies and randomised controlled trials have defined aneurysm growth and treatment thresholds. Pre-emptive intervention with traditional open surgical repair has been the bedrock of improving long-term outcome and survival in patients with abdominal aortic aneurysms but it is associated with a significant procedural morbidity and mortality. Read More

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Early outcomes of Jotec inner-branched endografts in complex endovascular aortic aneurysm repair.

J Vasc Surg 2021 Feb 26. Epub 2021 Feb 26.

Department of Vascular Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.

Objective: Complex aortic endografts have evolved to include inner branches to overcome specific challenges with existing technologies. We have reported the early outcomes of endovascular aortic aneurysm repair (EVAR) using a Jotec inner branched endograft (iBEVAR).

Methods: All patients who had undergone complex EVARs using extra-design engineering iBEVAR (Jotec GmbH, Hechingen, Germany) from 2018 to 2020 at a single center were reviewed. Read More

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February 2021

Mid Term Outcomes of Crossed Limb vs. Standard Limb Configuration in Endovascular Abdominal Aortic Aneurysm Repair: A Propensity Score Analysis.

Eur J Vasc Endovasc Surg 2021 Feb 26. Epub 2021 Feb 26.

Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, China.

Objective: The aim was to compare mid term outcomes between crossed limb (CL) and standard limb (SL) configuration in patients who underwent endovascular aortic aneurysm repair (EVAR).

Methods: This was a comparative cohort study. Eligible patients who underwent EVAR between September 2011 and March 2019 in a tertiary academic centre were included. Read More

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February 2021

Midterm single-center results after endovascular aneurysm sealing reveal a high rate of stent graft migration, secondary aneurysm ruptures, and device-related reinterventions.

J Vasc Surg 2021 Feb 24. Epub 2021 Feb 24.

Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, Heidelberg, Germany.

Objective: To report procedural results and mid-term follow-up outcomes of patients treated with endovascular aneurysm sealing (EVAS) for abdominal aortic disease.

Methods: In this retrospective observational study, all patients treated with EVAS between March 2013 and January 2018 for abdominal aortic aneurysm (AAA) or abdominal penetrating aortic ulcer were included. The datasets included demographics, aneurysm morphology, and procedural and clinical surveillance outcomes. Read More

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February 2021

Up to 10-years follow-up after EVAR with the Endurant stent graft system: a single-center experience.

J Cardiovasc Surg (Torino) 2021 Feb 26. Epub 2021 Feb 26.

Department of Vascular Surgery Isala, Zwolle, The Netherlands.

Background: Endovascular aneurysm repair (EVAR) has become the preferred treatment for infrarenal abdominal aortic aneurysms (AAA) over open surgical repair. The Endurant stent graft is widely used and large registries report low rates of aneurysm-related mortality and reinterventions at midterm follow-up. Reports of long-term follow-up are limited. Read More

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February 2021