Endovascular abdominal aortic aneurysm repair: 5-year follow-up results. 2008

R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
Vascular Surgery Group, Department of Cardiovascular Sciences, University of Leicester, Leicester Royal Infirmary, Leicester, UK. rs173@le.ac.uk

Endovascular aneurysm repair (EVAR) offers a minimally invasive alternative to open repair and has the benefits of reduced perioperative morbidity and mortality. There are potential complications specific to EVAR, including device failure, graft migration, and endoleak, which necessitate long-term follow-up. This remains a relatively novel technique, and therefore, little long-term data exist. This study reports 5-year EVAR outcome data from a single center. Five-year follow-up data for 58 patients at a single center who underwent EVAR using a variety of different commercial devices was reviewed. All patients were followed up with 6-monthly duplex ultrasound scanning and clinical assessment in a nurse-led clinic, in addition to yearly computed tomographic (CT) scans for those participating in the EVAR trial. All patients in this series were male, with a median age of 72 years (range 58-81). Mean preoperative aortic diameter was 5.95 cm, and this reduced following EVAR to 5.2 cm (mean diameter) at 5 years. Mean hospital stay was 7 days, and there were no perioperative deaths. There were 20 (34%) early and 15 (26%) late complications. There were 13 endoleaks confirmed on CT; four (31%) were type I and nine (69%) were type II. All-cause mortality was 26%. There were no late aneurysm-related deaths. EVAR has the advantages of shorter hospital stay and reduced perioperative morbidity and mortality. Long-term follow-up remains a priority following aortic stenting in order to detect late complications such as endoleak.

UI MeSH Term Description Entries
D007902 Length of Stay The period of confinement of a patient to a hospital or other health facility. Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D011475 Prosthesis Failure Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking. Prosthesis Loosening,Prosthesis Durability,Prosthesis Migration,Prosthesis Survival,Durabilities, Prosthesis,Durability, Prosthesis,Failure, Prosthesis,Failures, Prosthesis,Loosening, Prosthesis,Loosenings, Prosthesis,Migration, Prosthesis,Migrations, Prosthesis,Prosthesis Durabilities,Prosthesis Failures,Prosthesis Loosenings,Prosthesis Migrations,Prosthesis Survivals,Survival, Prosthesis,Survivals, Prosthesis
D001807 Blood Vessel Prosthesis Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels. Vascular Prosthesis,Blood Vessel Prostheses,Tissue-Engineered Vascular Graft,Graft, Tissue-Engineered Vascular,Grafts, Tissue-Engineered Vascular,Prostheses, Blood Vessel,Prostheses, Vascular,Prosthesis, Blood Vessel,Prosthesis, Vascular,Tissue Engineered Vascular Graft,Tissue-Engineered Vascular Grafts,Vascular Graft, Tissue-Engineered,Vascular Grafts, Tissue-Engineered,Vascular Prostheses,Vessel Prostheses, Blood,Vessel Prosthesis, Blood
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old

Related Publications

R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
January 2020, Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
October 2009, Radiology,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
August 2000, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
May 2014, Archives of medical science : AMS,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
December 2022, Brazilian journal of cardiovascular surgery,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
January 2015, Journal of vascular surgery,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
November 2010, Annals of vascular surgery,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
August 2018, The Journal of cardiovascular surgery,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
July 2004, Surgery,
R M Sandford, and M J Bown, and R D Sayers, and G Fishwick, and N J London, and A Nasim
January 2014, Chinese medical journal,
Copied contents to your clipboard!