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Rupture of Infra-renal Aortic Aneurysm after Endovascular Repair: A Series from EUROSTAR Registry

Fransen, G.A.J. ; Vallabhaneni, S.R. ; van Marrewijk, C.J. ; Laheij, R.J.F. ; Harris, P.L. ; Buth, J.

European journal of vascular and endovascular surgery, 2003-11, Vol.26 (5), p.487-493 [Periódico revisado por pares]

England: Elsevier Ltd

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Título:
Rupture of Infra-renal Aortic Aneurysm after Endovascular Repair: A Series from EUROSTAR Registry
Autor: Fransen, G.A.J. ; Vallabhaneni, S.R. ; van Marrewijk, C.J. ; Laheij, R.J.F. ; Harris, P.L. ; Buth, J.
Assuntos: Abdominal aortic aneurysm ; Adult ; Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - surgery ; Aortic Rupture - etiology ; Aortic Rupture - mortality ; Aortic Rupture - surgery ; Blood Vessel Prosthesis Implantation ; Endovascular aneurysm repair ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Complications ; Reoperation ; Rupture ; Stents ; Survival Rate
É parte de: European journal of vascular and endovascular surgery, 2003-11, Vol.26 (5), p.487-493
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Objectives. Although small, the risk of rupture after EVAR remains a major concern. The aim of this study was to identify mechanisms of late aneurysm rupture after endovascular repair. Methods. Patients who suffered a proven aneurysm rupture after EVAR were identified from the EUROSTAR (European Collaborators on Stent-graft Techniques for Abdominal Aortic Aneurysm Repair) registry. Complications preceding rupture were studied to identify common patterns and possible mechanisms of late rupture. Results. A rupture was documented in 34 patients resulting in death of 21 (62%). Adverse events documented during previous follow-up in these patients included endoleak (30%), migration (18%), limb occlusion (12%) and kinking (12%). The findings at time of rupture were documented in 24 patients and including endoleak: Type III (10), Type I (9), Type II (1); stent-graft disintegration (2) and migration (3). Aneurysm diameter changes could be ascertained in 24 patients and had increased in only seven. Conclusion. The importance of graft-related endoleak, stent-graft disintegration and migration in the causation of aneurysm rupture was confirmed. Poor compliance with follow-up schedule was also identified as a common feature. However, the absence of complications in some patients, who attended regularly for follow-up, highlights the difficulty of predicting rupture after EVAR.
Editor: England: Elsevier Ltd
Idioma: Inglês

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Rupture of Infra-renal Aortic Aneurysm after Endovascular Repair: A Series from EUROSTAR Registry

Fransen, G.A.J. ; Vallabhaneni, S.R. ; van Marrewijk, C.J. ; Laheij, R.J.F. ; Harris, P.L. ; Buth, J.

England: Elsevier Ltd

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