A 15-Year Single-Center Experience of Endovascular Repair for Elective and Ruptured Abdominal Aortic Aneurysms

Pieter P. H. L. Broos, Yannick 't Mannetje, Rutger A. Stokmans, Saskia Houterman, Giuseppe Corte, Philippe W. M. Cuypers, Joep A. W. Teijink, Marc R. H. M. van Sambeek*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Web of Science)

Abstract

Purpose: To evaluate the differences in technical outcomes and secondary interventions between elective endovascular aneurysm repair (el-EVAR) procedures and those for ruptured aneurysms (r-EVAR). Methods: Of the 906 patients treated with primary EVAR from September 1998 until July 2012, 43 cases were excluded owing to the use of first-generation stent-grafts. Among the remaining 863 patients, 773 (89.6%) patients (mean age 72 years; 697 men) with asymptomatic or symptomatic abdominal aortic aneurysms (AAAs) were assigned to the el-EVAR group; 90 (10.4%) patients (mean age 73 years; 73 men) were assigned to the r-EVAR group based on blood outside the aortic wall on preoperative imaging. The primary study outcome was technical success; secondary endpoints, including freedom from secondary interventions and late survival, were examined with Kaplan-Meier analyses. Results: At baseline, r-EVAR patients had larger aneurysms on average (p
Original languageEnglish
Pages (from-to)566-573
JournalJournal of Endovascular Therapy
Volume23
Issue number4
DOIs
Publication statusPublished - Aug 2016

Keywords

  • abdominal aortic aneurysm
  • complications
  • endoleak
  • endovascular aneurysm repair
  • ruptured aneurysm
  • reinterventions
  • stent-graft

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