| Frequency and outcome of re-interventions after endovascular repair for abdominal aortic aneurysm: a prospective cohort study. | |
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MedLine Citation:
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PMID: 15350556 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe frequency, type, and outcome of re-intervention after endovascular aortic aneurysm repair (EVAR). METHODS: Between September 1996 and December 2003, 308 patients were treated, with data collected prospectively. No patient was lost to follow up, but two were excluded (one primary conversion, and one post-operative death). Vanguard, Talent, Excluder, Zenith, and Quantum devices were used. Follow up required a CT scan before discharge. Initially, a CT scan was done at each follow up. Subsequently, we used duplex ultrasound and abdominal X-ray, with CT scan used selectively. RESULTS: Mean follow-up was 36+/-22 months. Re-interventions were required in 47 (15%) patients, 31 (66%) elective and 16 (34%) emergency cases. In 32 patients, the primary re-intervention was successful; in 15 patients an additional 13 secondary and four tertiary re-interventions were required. A total of 72 adjunctive manoeuvres were performed: 49 endovascular (68%) and 23 open (32%). The success of endovascular re-interventions was 80%. The success of open re-interventions was 96%. Open conversions were required in nine patients (3%). There was no mortality. CONCLUSION: EVAR was associated with a low burden of re-interventions, with only 15% patients requiring re-intervention. Our long-term follow up, without regular CT, was simple and effective. |
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Authors:
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E L G Verhoeven; I F J Tielliu; T R Prins; C J A M Zeebregts; M G van Andringa de Kempenaer; C S Cinà; J J A M van den Dungen |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 28 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-09-07 Completed Date: 2004-11-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 357-64 Citation Subset: IM |
Affiliation:
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Department of Surgery, University Hospital Groningen, Groningen, The Netherlands. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aortic Aneurysm, Abdominal / radiography, surgery* Aortic Rupture / radiography, surgery Blood Vessel Prosthesis Disease-Free Survival Female Follow-Up Studies Humans Male Middle Aged Postoperative Complications / etiology, mortality, surgery Prospective Studies Prosthesis Design Reoperation* Stents Tomography, X-Ray Computed Treatment Outcome Vascular Surgical Procedures* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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