Endovascular Aneurysm Repair May Provide a Survival Advantage in Patients Deemed Physiologically Ineligible for Open Abdominal Aortic Aneurysm Repair

2019 ◽  
Vol 61 ◽  
pp. 334-340
Author(s):  
Owain Fisher ◽  
Zoe Gates ◽  
Edward Parkes ◽  
Joanna Shakespeare ◽  
Steven J. Goodyear ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysm Repair ◽  
Survival Advantage ◽  
Abdominal Aortic ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Does the diameter of abdominal aortic aneurysm influence late survival following abdominal aortic aneurysm repair? A systematic review and meta-analysis

Vascular ◽  
2016 ◽  
Vol 24 (6) ◽  
pp. 658-667 ◽  
Author(s):  
Manar Khashram ◽  
Phil N Hider ◽  
Jonathan A Williman ◽  
Gregory T Jones ◽  
Justin A Roake
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysm Repair ◽  
Hazard Ratio ◽  
Abdominal Aortic ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair ◽  
Aneurysm Diameter ◽  
Late Survival

Background Studies reporting the influence of preoperative abdominal aortic aneurysm diameter on late survival following abdominal aortic aneurysm repair have not been consistent. Aim: To report the influence of abdominal aortic aneurysm diameter on overall long-term survival following abdominal aortic aneurysm repair. Methods Embase, Medline and the Cochrane electronic databases were searched to identify articles reporting the influence of abdominal aortic aneurysm diameter on late survival following open aneurysm repair and endovascular aneurysm repair published up to April 2015. Data were extracted from multivariate analysis; estimated risks were expressed as hazard ratio. Results A total of 2167 titles/abstracts were retrieved, of which 76 studies were fully assessed; 19 studies reporting on 22,104 patients were included. Preoperative larger abdominal aortic aneurysm size was associated with a worse survival compared to smaller aneurysms with a pooled hazard ratio of 1.14 (95% CI: 1.09–1.18), per 1 cm increase in abdominal aortic aneurysm diameter. Subgroup analysis of the different types of repair was performed and the hazard ratio (95% CI), for open aneurysm repair and endovascular aneurysm repair were 1.08 (1.03–1.12) and 1.20 (1.15–1.25), respectively, per 1 cm increase. There was a significant difference between the groups p < 0.02. Conclusions This meta-analysis suggests that preoperative large abdominal aortic aneurysm independently influences overall late survival following abdominal aortic aneurysm repair, and this association was greater in abdominal aortic aneurysm repaired with endovascular aneurysm repair.

Scrotal Necrosis following Endovascular Abdominal Aortic Aneurysm Repair

Vascular ◽  
2007 ◽  
Vol 15 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Wayne W. Zhang ◽  
Joe P. Chauvapun ◽  
Hasan H. Dosluoglu
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Rare Complication ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysm Repair ◽  
Artery Occlusion ◽  
Abdominal Aortic ◽  
Ischemic Complications ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Scrotal necrosis is an extremely rare complication following endovascular abdominal aortic aneurysm repair. Sloughing of scrotal skin and penile necrosis owing to therapeutic hypogastric artery occlusion for endoluminal aortoiliac aneurysm repair have been documented. We present herein one case of scrotal necrosis following endovascular abdominal aortic aneurysm repair. The presentation of combined scrotal necrosis, buttock ischemia, lower extremity livedo reticularis, and left blue toes with palpable pulses in the posterior tibial and dorsalis pedis arteries suggested that microembolization during endovascular aneurysm repair was the major cause of the devastating ischemic complications in this patient.

An Update on the Important Findings from the EUROSTAR EVAR Registry

Vascular ◽  
2004 ◽  
Vol 12 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Peter L. Harris ◽  
Jacob Buth
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysm Repair ◽  
Vital Role ◽  
Intention To Treat ◽  
Early Results ◽  
Abdominal Aortic ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

This article summarizes the important findings to emerge from the European Collaborators on Stent-Graft Techniques for Abdominal Aortic Aneurysm Repair (EUROSTAR) Registry since its inception in 1996. The Registry is an open observational study of the outcomes from endovascular aneurysm repair (EVAR). Data have been contributed, on a voluntary basis, by 135 vascular centers from 18 European countries. Patients are registered prospectively, and data analysis is on an intention-to-treat basis. Results from the first generations of endograft were characterized by excellent early results but poor durability of abdominal aortic aneurysm repair. EUROSTAR data have played a vital role in informing the technical evolution of subsequent generations of endograft and their clinical application. The latest data from EUROSTAR show significant improvements in all outcome measures, most importantly, those relating to durability. EUROSTAR has tracked and informed the evolution of EVAR. Improving results confirm that substantial progress has been made since 1996. EUROSTAR continues to contribute to this ongoing process.

Fenestrated endovascular abdominal aortic aneurysm repair with concomitant horseshoe kidney

2021 ◽  
Vol 14 (1) ◽  
pp. e236755
Author(s):  
Sylvie Bowden ◽  
Graham Roche-Nagle
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Horseshoe Kidney ◽  
Abdominal Aortic Aneurysm Repair ◽  
Renal Vasculature ◽  
Current Trends ◽  
Abdominal Aortic ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Horseshoe kidney, representing abnormal fusion of the inferior renal poles, is a rare anatomic anomaly posing challenges in the setting of surgical abdominal aortic aneurysm repair. Historically, open repair has been the favoured surgical approach. However, due to the location of the renal isthmus and wide-ranging variation in anomalous renal vasculature, endovascular aneurysm repair (EVAR) has emerged as a popular, less invasive alternative. We describe one of the first published cases of two-fenestration EVAR in a patient with concomitant horseshoe kidney, followed by a discussion of current trends in surgical management. With the increasing availability to customise fenestrated grafts to patients’ unique anatomy, this advanced EVAR technique may emerge as the preferred approach in certain cases.

Sign in / Sign up

Export Citation Format

Share Document