Rupture after endovascular abdominal aortic aneurysm repair: a multicenter study.
| Title | Rupture after endovascular abdominal aortic aneurysm repair: a multicenter study. |
| Publication Type | Journal Article |
| Year of Publication | 2014 |
| Authors | Antonopoulos, C. N., Kakisis J. D., Giannakopoulos T. G., Andrikopoulos V., Antoniadis P., Bessias N., Dervisis K., Georgopoulos S., Giannoukas A., Kaperonis E., Kiskinis D., Klonaris C., Machairas A., Papavassiliou V., Saleptsis V., Saratzis N., Seretis K., Tampakis C., & Liapis C. D. |
| Journal | Vasc Endovascular Surg |
| Volume | 48 |
| Issue | 7-8 |
| Pagination | 476-81 |
| Date Published | 2014 Oct-Nov |
| ISSN | 1938-9116 |
| Keywords | Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal, Aortic Rupture, Aortography, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Databases, Factual, Endoleak, Endovascular Procedures, Female, Foreign-Body Migration, Greece, Hospital Mortality, Humans, Male, Patient Compliance, Prosthesis Design, Retrospective Studies, Risk Factors, Stents, Time Factors, Tomography, X-Ray Computed, Treatment Outcome |
| Abstract | A total of 22 patients with ruptured abdominal aortic aneurysms (rAAAs) after previous endovascular aortic repair (EVAR; rAAAevar) were presented to 7 referral hospitals in Greece, between January 2006 and April 2012. Type Ia endoleak and endograft migration were identified in 72.7% and 50%, respectively. Compliance to follow-up protocol prior to rupture was 31.8%. In-hospital mortality was 36.4% (9.1% for those treated with secondary EVAR and 63.6% for those treated with open surgical repair, P = .02). An increase in the proportion of patients with rAAAevar among the total number of patients with rAAAs from 1.3% in 2007 to 18.2% in 2012 (P for trend = .04) was recorded, corresponding to an annual increase of 2.8% (b = 2.84, P = .04). Rupture after EVAR seemed to be a clinical entity encountered with increasing frequency over the past years. Type I endoleak and endograft migration were most frequently observed, whereas compliance to follow-up was low. |
| DOI | 10.1177/1538574414561225 |
| Alternate Journal | Vasc Endovascular Surg |
| PubMed ID | 25480667 |
