Systematic review of follow-up compliance after endovascular abdominal aortic aneurysm repair
Date
2018Language
en
Sujet
Résumé
Introduction: lifelong surveillance after endovascular aortic aneurysm repair (eVar) is recommended to monitor the effectiveness and durability of the treatment. The aim of this study was to assess patients' compliance with the follow-up imaging protocol, the presence of any factors associated with compliance and the potential influence of imaging-protocol adherence on outcomes. eVideNCe aCQuisiTioN: MedliNe, eMBase, and Cochrane Central databases and key references were searched. EVIDENCE SYNTHESIS: One multicenter observational study (registry) and nine retrospective studies were identifed reporting on EVAR surveillance compliance. The studies included 36,119 patients with mean age of 76±3.1 years under mean follow-up ranging from 25 to 73 months. Most of them were males (51-89%), white (51-97.7%) and the majority of them were living over 100 miles from the treatment center. The data were too heterogeneous to perform a meta-analysis. incomplete follow-up and complete loss of follow-up were ranging from 15% to 65% and 22% to 56%, respectively. advanced age, symptomatic or ruptured aneurysm, history of chronic diseases, and social-economic factors were associated with poor follow-up compliance. Five studies suggested that complete follow-up did not offer any survival beneft, while only one study suggested that incomplete follow-up was associated with higher fatal complication rates. CONCLUSIONS: Patients' compliance with follow-up protocol after EVAR is about 50%. Several factors have been associated with this poor compliance, however there is lack of solid evidence to show that this poor compliance results in worse outcomes. Prospective studies focusing on follow-up adherence are needed in order to evaluate its impact on the outcomes. © 2018 Edizioni Minerva Medica.
Collections
Related items
Showing items related by title, author, creator and subject.
-
The Association of Spondylitis and Aortic Aneurysm Disease
Patelis N., Nana P., Spanos K., Tasoudis P., Brotis A., Bisdas T., Kouvelos G. (2021)Objectives: The aim of this study is to assess any relation between spondylitis and aortic aneurysmal disease by reviewing the current literature. Methods: A systematic search was undertaken using MEDLINE, EMBASE and CENTRAL ... -
Clipping Versus Coiling in Anterior Circulation Ruptured Intracranial Aneurysms: A Meta-Analysis
Fotakopoulos G., Tsianaka E., Fountas K., Makris D., Spyrou M., Hernesniemi J. (2017)Objective To evaluate open surgical versus endovascular repair of anterior circulation ruptured intracranial aneurysms based on operative mortality, permanent neurologic deficit, late mortality, and need for reintervention. ... -
Endovascular treatment of complex abdominal and thoracoabdominal type IV aortic aneurysms with fenestrated technology
Georgiadis G.S., Van Herwaarden J.A., Saengprakai W., Georgakarakos E.I., Argyriou C., Schoretsanitis N., Giannoukas A.D., Lazarides M.K., Moll F.L. (2017)The establishment use of fenestrated and branched devices to treat complex aortic aneurysms as a first-line management option has been previously reported. This article reviews the current literature of the use of fenestrated ...