dc.creator | NANA P., SPANOS K., KOUVELOS G., STAMOULIS K., ROUNTAS C., ARNAOUTOGLOU E., MATSAGKAS M., GIANNOUKAS A.D. | en |
dc.date.accessioned | 2023-01-31T09:03:26Z | |
dc.date.available | 2023-01-31T09:03:26Z | |
dc.date.issued | 2021 | |
dc.identifier | 10.23736/S0392-9590.21.04648-4 | |
dc.identifier.issn | 03929590 | |
dc.identifier.uri | http://hdl.handle.net/11615/76904 | |
dc.description.abstract | Background: 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. Methods: All consecutive patients being treated, with elective standard EVAR, in a single tertiary center, were included between 2008 and 2018. Outcomes were defined as survival and freedom from re-intervention and were reported using Kaplan-Meyer lifetables. In subgroup analyses, sex, age (threshold at 65 and 80 years), neck diameter>28mm and type of fixation were also analyzed. Type of re-intervention and endoleak type I (ETIa) were also reported. Results: Five hundred and eight patients (94% males, mean age 72±7.3, mean AAA diameter 59±9mm) were included. The median follow-up was 3 years (range 0-10 years). The survival rate was 92.8% (SE 1.5%), 76.5% (SE 3.1%) and 41.6% (SE 6%), at 2, 5 and 10 years of follow-up, respectively. In total, 78 patients died; 8 deaths (8/75, 10%) were aneurysm related. In multivariate regression analysis, age (CI. 1.02-1.14; p=0.006) and ever tobacco use (CI. 1.02-6.12, P=0.045) were associated with the long-term mortality. Freedom from re-intervention was 96% (SE 1.1%), 93% (SE 1.8%), 85.5% (SE 5%) at 2, 5 and 9 years of follow-up. Limb occlusion was a common complication (n/n; 30% of re-intervention), particularly within the first 2 postoperative years. Six patients presented with rupture and were treated with open conversion. EVAR cases with supra-renal fixation graft presented lower rates of ETIa (CI. 76-87.27, P<0.001). Conclusions: Elective standard EVAR is associated with good long-term survival showing low aneurysm-related mortality. Common risk factors such as advanced age and smoking are associated to higher mortality. The procedure presents low re-intervention rates, while limb occlusion is a complication presented within the first 2 postoperative years. © 2021 Edizioni Minerva Medica. All rights reserved. | en |
dc.language.iso | en | en |
dc.source | International Angiology | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107091683&doi=10.23736%2fS0392-9590.21.04648-4&partnerID=40&md5=97c476904a513b591808403b21fd9129 | |
dc.subject | abdominal aortic aneurysm | en |
dc.subject | adult | en |
dc.subject | aged | en |
dc.subject | aneurysm diameter | en |
dc.subject | aneurysm rupture | en |
dc.subject | Article | en |
dc.subject | clinical assessment | en |
dc.subject | clinical outcome | en |
dc.subject | cohort analysis | en |
dc.subject | computed tomographic angiography | en |
dc.subject | computer assisted tomography | en |
dc.subject | controlled study | en |
dc.subject | coronary artery bypass graft | en |
dc.subject | duplex Doppler ultrasonography | en |
dc.subject | endoleak | en |
dc.subject | endovascular aneurysm repair | en |
dc.subject | female | en |
dc.subject | follow up | en |
dc.subject | glomerulus filtration rate | en |
dc.subject | hospitalization | en |
dc.subject | human | en |
dc.subject | incidence | en |
dc.subject | length of stay | en |
dc.subject | limb occlusion | en |
dc.subject | long term survival | en |
dc.subject | major clinical study | en |
dc.subject | male | en |
dc.subject | mortality | en |
dc.subject | neck circumference | en |
dc.subject | occlusion | en |
dc.subject | open surgery | en |
dc.subject | overall survival | en |
dc.subject | prevalence | en |
dc.subject | prospective study | en |
dc.subject | questionnaire | en |
dc.subject | retrospective study | en |
dc.subject | risk factor | en |
dc.subject | smoking | en |
dc.subject | survival rate | en |
dc.subject | tobacco use | en |
dc.subject | transluminal coronary angioplasty | en |
dc.subject | treatment outcome | en |
dc.subject | very elderly | en |
dc.subject | adverse event | en |
dc.subject | blood vessel transplantation | en |
dc.subject | diagnostic imaging | en |
dc.subject | elective surgery | en |
dc.subject | endoleak | en |
dc.subject | endovascular surgery | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Aortic Aneurysm, Abdominal | en |
dc.subject | Blood Vessel Prosthesis Implantation | en |
dc.subject | Elective Surgical Procedures | en |
dc.subject | Endoleak | en |
dc.subject | Endovascular Procedures | en |
dc.subject | Female | en |
dc.subject | Humans | en |
dc.subject | Male | en |
dc.subject | Edizioni Minerva Medica | en |
dc.title | Ten-year single center experience in elective standard endovascular abdominal aortic aneurysm repair | en |
dc.type | journalArticle | en |