Objective: This study aims to determine how instructions for use affect the occurrence of aneurysm sac growth and endoleaks after an endovascular aneurysm repair (EVAR). Materials and Methods: We reviewed 302 patients who underwent EVAR for abdominal aortic aneurysm between 2007 and 2013, and we were able to enroll 159 patients (74% men, mean age 78±7 years) with adequate data (mean follow-up; 48±20 months). Results: The angle of the proximal landing zone (LZ) (hazard ratio: 1.02, 95% confidence interval: 1.00-1.03, p=0.01) was recognized as an independent risk factor of sac growth (≥5 mm). The receiver operating characteristics curve (area under the curve: 0.72) showed a cutoff value of 47° of the minimum angle of the proximal LZ to predict sac growth. Freedom rates for persistent type Ia endoleaks were also found to be lower in the angulated group than those in the other groups (p=0.0095, log-rank). Conclusion: The angle of the proximal LZ was identified as an independent risk factor for sac growth post-EVAR. The incidence of persistent type Ia endoleaks was significantly higher in the angulated group.
Objective: This study aims to determine how instructions for use affect the occurrence of aneurysm sac growth and endoleaks after an endovascular aneurysm repair (EVAR). Materials and Methods: We reviewed 302 patients who underwent EVAR for abdominal aortic aneurysm between 2007 and 2013, and we were able to enroll 159 patients (74% men, mean age 78±7 years) with adequate data (mean follow-up; 48±20 months). Results: The angle of the proximal landing zone (LZ) (hazard ratio: 1.02, 95% confidence interval: 1.00-1.03, p=0.01) was recognized as an independent risk factor of sac growth (≥5 mm). The receiver operating characteristics curve (area under the curve: 0.72) showed a cutoff value of 47° of the minimum angle of the proximal LZ to predict sac growth. Freedom rates for persistent type Ia endoleaks were also found to be lower in the angulated group than those in the other groups (p=0.0095, log-rank). Conclusion: The angle of the proximal LZ was identified as an independent risk factor for sac growth post-EVAR. The incidence of persistent type Ia endoleaks was significantly higher in the angulated group.
Authors: William E Beckerman; Rami O Tadros; Peter L Faries; Marielle Torres; Sean P Wengerter; Ageliki G Vouyouka; Robert A Lookstein; Michael L Marin Journal: J Vasc Surg Date: 2016-03-23 Impact factor: 4.268
Authors: Ali F Aburahma; John E Campbell; Albeir Y Mousa; Stephen M Hass; Patrick A Stone; Akhilesh Jain; Aravinda Nanjundappa; L Scott Dean; Tammi Keiffer; Joseph Habib Journal: J Vasc Surg Date: 2011-02-16 Impact factor: 4.268
Authors: Joy Walker; Lue-Yen Tucker; Philip Goodney; Leah Candell; Hong Hua; Steven Okuhn; Bradley Hill; Robert W Chang Journal: J Vasc Surg Date: 2015-02-03 Impact factor: 4.268
Authors: F A Lederle; S E Wilson; G R Johnson; D B Reinke; F N Littooy; C W Acher; L M Messina; D J Ballard; H J Ansel Journal: J Vasc Surg Date: 1995-06 Impact factor: 4.268