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1

Zoethout, Aleksandra C., Arshad Sheriff, Clark J. Zeebregts, Andrew Hill, Michel M. P. J. Reijnen, and Andrew Holden. "Survival After Endovascular Aneurysm Sealing Compared With Endovascular Aneurysm Repair." Journal of Endovascular Therapy 28, no. 5 (2021): 788–95. http://dx.doi.org/10.1177/15266028211025030.

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Introduction Endovascular aneurysm sealing (EVAS) is a sac-filling device with a blunted systemic inflammatory response compared to conventional endovascular aneurysm repair (EVAR), with a suggested impact on all-cause mortality. This study compares mortality after both EVAS and EVAR. Materials and Methods This is a retrospective observational study including data from 2 centres, with ethical approval. Elective procedures on asymptomatic infrarenal aneurysms performed between January 2011 until April 2018 were enrolled. Laboratory values (serum creatinine, haemoglobin, white blood cell count,
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Youssef, Marwan, Sebastian Zerwes, Rudolf Jakob, et al. "Endovascular Aneurysm Sealing (EVAS) and Chimney EVAS in the Treatment of Failed Endovascular Aneurysm Repairs." Journal of Endovascular Therapy 24, no. 1 (2016): 115–20. http://dx.doi.org/10.1177/1526602816675622.

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Purpose: To assess the technical success and clinical outcome of reinterventions using the Nellix Endovascular Aneurysm Sealing (EVAS) System to treat complications after endovascular aneurysm repair (EVAR). Methods: Fifteen consecutive patients (mean age 79 years; 14 men) with prior EVAR were treated with EVAS between March 2014 and December 2015 at 2 institutions. The failed prior EVARs included 13 bifurcated endografts, 1 bifurcated graft plus fenestrated cuff, and 1 tube endograft. Endoleaks were the predominant indications: type Ia in 10 and type III in 5 (3 type IIIa and 2 type IIIb). Al
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3

Casciaro, Mariano E., Javier Dottori, Salma El-Batti, et al. "Effects on Aortoiliac Fluid Dynamics After Endovascular Sealing of Abdominal Aneurysms." Vascular and Endovascular Surgery 52, no. 8 (2018): 621–28. http://dx.doi.org/10.1177/1538574418791059.

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Objectives: To evaluate the effects on aortoiliac fluid dynamics after the implantation of an endograft based on endovascular aneurysm sealing (EVAS) versus endovascular aneurysm repair (EVAR) strategy. Methods: An adaptive geometrical deformable model was used for aortic lumen segmentation in 8 patients before and after the surgery. Abdominal aneurysms were treated with an endograft based on the EVAS system (Nellix, n = 4) and with a device based on an anatomical fixation technology (n = 4). Pressure, blood velocity, and wall shear stress (WSS) were estimated at different aortic regions using
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Lareyre, Fabien, Claude Mialhe, Carine Dommerc, Aurélie Mbeutcha, and Juliette Raffort. "Endovascular aneurysm sealing as an alternative for the treatment of failed endovascular aneurysm repair." Vascular 28, no. 3 (2020): 251–58. http://dx.doi.org/10.1177/1708538119897525.

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Objective The Nellix EndoVascular Aneurysm Sealing (EVAS) system has offered a novel approach in the treatment of abdominal aortic aneurysm (AAA). While it is currently indicated as a primary procedure in patients with infrarenal AAA with suitable anatomy according to the indications for use, a few studies aimed to address its potential interest in failed endovascular aneurysm repair (EVAR). The aim of this systematic review was to analyze the postoperative outcomes of patients with prior EVAR who underwent EVAS. Design of the study A literature search was performed according to Preferred Repo
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5

Cheng, Christopher P., Ga-Young Suh, John J. Kim, and Andrew Holden. "Cardiac Pulsatility– and Respiratory-Induced Deformations of the Renal Arteries and Snorkel Stents After Snorkel Endovascular Aneurysm Sealing." Journal of Endovascular Therapy 26, no. 4 (2019): 556–64. http://dx.doi.org/10.1177/1526602819856363.

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Purpose: To quantify deformations of renal arteries and snorkel stents after snorkel endovascular aneurysm sealing (Sn-EVAS) resulting from cardiac pulsatility and respiration and compare these deformations to patients with untreated abdominal aortic aneurysms (AAA) and snorkel endovascular aneurysm repair (Sn-EVAR). Materials and Methods: Ten Sn-EVAS patients (mean age 75±6 years; 8 men) were scanned with cardiac-gated, respiration-resolved computed tomography angiography. From 3-dimensional geometric models, changes in renal artery and stent angulation and curvature due to cardiac pulsatilit
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Berg, Patrick, Roland A. Stroetges, Larry E. Miller, and Jochen Schoefferle. "A Propensity Score–Matched Analysis of Inflammatory Response With Endovascular Aneurysm Sealing vs Endovascular Aneurysm Repair." Journal of Endovascular Therapy 24, no. 5 (2017): 670–74. http://dx.doi.org/10.1177/1526602817722019.

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Purpose: To evaluate the risk of postimplantation syndrome associated with endovascular aneurysm sealing (EVAS) and endovascular aneurysm repair (EVAR) in patients treated for abdominal aortic aneurysm (AAA). Methods: From December 2013 to May 2015, 41 AAA patients treated with EVAS (mean age 72±9 years; 38 men) and 63 with EVAR (mean age 74±10 years; 55 men) at a single center were retrospectively reviewed. To control for treatment selection bias, propensity score matching was used to compare outcomes by treatment mode. Main outcomes were postimplantation syndrome (defined as temperature >
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Mazer, Laura M., L. Elliot Chiakof, Philip P. Goodney, Matthew S. Edwards, and Matthewa Corriere. "Single versus Multi-Specialty Operative Teams: Association with Perioperative Mortality after Endovascular Abdominal Aortic Aneurysm Repair." American Surgeon 78, no. 2 (2012): 207–12. http://dx.doi.org/10.1177/000313481207800239.

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Endovascular abdominal aortic aneurysm repair (EVAR) requires both endovascular and open surgical skills. Although usually performed by a single operating specialist, EVAR may alternatively involve multiple teams from different specialties performing separate procedural components. We examined the relative frequencies of single versus multi-specialty EVAR in the 2005 to 2008 American College of Surgeons National Surgical Quality Improvement Participant Use Datafile and explored the influence of multi-specialty EVAR on 30-day mortality. EVARs were identified and classified as single or multiple
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8

Maldonado, Thomas S., Mark E. Ranson, Caron B. Rockman, et al. "Decreased Ischemic Complications After Endovascular Aortic Aneurysm Repair With Newer Devices." Vascular and Endovascular Surgery 41, no. 3 (2007): 192–99. http://dx.doi.org/10.1177/1538574407300915.

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Ischemic complications after endovascular abdominal aortic aneurysm repair (EVAR) are well-recognized and have been reported to be as high as 9%. The goal of our study was to examine the incidence, management, and outcome of ischemic complications at our institution after EVAR and to compare complications according to graft type and time period. This is a retrospective review of all EVARs performed at our institution from 1993 through 2005 (n = 430). EVAR was performed in asymptomatic patients in most cases. Follow-up consisted of a computed tomography scan and office visit at 1, 6, and 12 mon
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9

Ammar, Alex D. "Mortality for Open Abdominal Aortic Aneurysm Repair before and after Endovascular Aortic Repair (EVAR)." American Surgeon 85, no. 12 (2019): 1341–44. http://dx.doi.org/10.1177/000313481908501226.

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The purpose of this study was to determine whether endovascular aortic repair (EVAR) has impacted inhospital mortality for patients undergoing open repair (OR). From 1982 through 2016, 1572 repairs were performed for abdominal aortic aneurysms (AAAs). Both ORs and EVARs were performed by the author at two large, tertiary-care, community-based hospitals. In Period I (1982–1999, n = 863), all AAA repairs were performed open. In Period II (2000–2016; n = 709), repairs were performed both by ORs and EVARs. Demographics were similar between study groups. Mortality for elective repairs in Periods I
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10

Butler, Michael, Madhukar S. Patel, and Samuel E. Wilson. "Analysis of Radiation Exposure during Endovascular Aneurysm Repair." American Surgeon 78, no. 10 (2012): 1029–32. http://dx.doi.org/10.1177/000313481207801003.

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Endovascular aneurysm repair (EVAR) is now the preferred procedure for abdominal aortic aneurysm repair. As a result of the need for fluoroscopy during EVAR, radiation exposure is a potential hazard. We studied the quantity of radiation delivered during EVAR to identify risks for excessive exposure. Fluoroscopy time, contrast volume used, and procedural details were recorded prospectively during EVARs. Using data collected from similar EVARs, an equation was derived to calculate approximate dose-area product (DAP) from fluoroscopy time. DAP values were then compared between procedures in which
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Cáceres Castrillón, Douglas, Ruddy Guzmán Gutiérrez, Romeo Guevara Rodríguez, David Gómez Garnica, Ivan David Lozada Martinez, and Luis Felipe Cabrera Vargas. "OUTCOMES OF DIFFERENT TYPES OF STENT-GRAFT IN ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR: LONG-TERM EXPERIENCE OF A HIGH COMPLEXITY COLOMBIAN CENTER, THE FIRST LATIN AMERICAN EXAMPLE." Revista Argentina de Cirugía Cardiovascular 20, no. 1 (2022): 5–11. http://dx.doi.org/10.55200/raccv.v20.n1.0003.

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Introduction: Endovascular abdominal aortic aneurysm repair (EVAR) devices are associated with a higher rate of complications at 5-year follow-up. At least 30% of patients with EVAR devices require some type of reintervention (whether endovascular or open) at 10-year follow-up. These complications include endoleak, abdominal aortic aneurysms rupture, graft migration, occlusion or infection. The objective of this paper was to determine the rates of failure for each type of EVAR stent-graft used in our local population. Also, this paper is the first step to create a Colombian and Latin American
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Lozada Martínez, Iván David, Douglas Cáceres Castrillón, Ruddy Guzmán Gutiérrez, David Gómez Garnica, Romeo Guevara Rodríguez, and Luis Felipe Cabrera Vargas. "RESULTADOS DE LOS TIPOS DE ENDOPRÓTESIS EN LA REPARACIÓN ENDOVASCULAR DEL ANEURISMA AÓRTICO ABDOMINAL: EXPERIENCIA A LARGO PLAZO DE UN CENTRO COLOMBIANO DE ALTA COMPLEJIDAD, EL PRIMER EJEMPLO LATINOAMERICANO." Revista Argentina de Cirugía Cardiovascular 20, no. 1 (2022): 5–18. http://dx.doi.org/10.55200/raccv.es.v20.n1.0004.

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Introducción y objetivos: La incidencia de complicaciones asociadas a la reparación endovascular (EVAR) del aneurisma aórtico abdominal (AAA) aumenta a los 5 años. Al menos el 30% de los pacientes con dispositivos de EVAR necesitan algún tipo de nueva intervención (endovascular o abierta) trascurridos 10 años. Algunas de las complicaciones descritas son endofugas, roturas de aneurismas aórticos abdominales e incluso migración, oclusión o infección de la endoprótesis. El objetivo de este artículo fue determinar los índices de fracaso para cada tipo de endoprótesis de EVAR empleada en nuestra po
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Stackelberg, Otto, David Lindström, Kevin Mani, et al. "Outcomes after endovascular repair of abdominal aortic aneurysm involving the renovisceral arteries: A multi-center follow-up study." Vascular 27, no. 4 (2019): 397–404. http://dx.doi.org/10.1177/1708538119836016.

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Objectives To evaluate outcomes after endovascular treatment of abdominal aortic aneurysms (AAA) involving the renovisceral arteries and to compare outcomes after fenestrated/branched endovascular aortic repair (f/b-EVAR), chimney/periscope EVAR (ch-EVAR), and bailout ch-EVAR. Methods A retrospective multicenter study including all patients with AAA involving the renovisceral segment, treated with f/b-EVAR, ch-EVAR, or bailout ch-EVAR, between 1 January 2005 and 30 June 2015, in three Swedish vascular centers. Patient charts were reviewed for data. Renovisceral stent graft patency was assessed
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14

Luttman, Suzanne M., and Peter A. Silhan. "Determinants Of Earnings Variability." Journal of Applied Business Research (JABR) 11, no. 1 (2011): 117. http://dx.doi.org/10.19030/jabr.v11i1.5898.

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Corporate earnings variability (EVAR) affects earnings predictability and firm value. Given the importance of EVAR to the business community, it is surprising that research identifying its determinants has not received more attention. In this study, firm and industry characteristics associated with cross-sectional differences in Value Line EVAR are investigated. Consistent with prior research, regression results indicate that firm size and product durability affect EVAR. The results, however, also indicate that corporate performance, capital structure, and industry membership affect EVAR. Addi
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15

Lowe, Christopher, Oussama El Bakbachi, Damian Kelleher, Imran Asghar, Francesco Torella, and George A. Antoniou. "Bowel ischaemia after endovascular aneurysm repair." Vasa 47, no. 4 (2018): 273–77. http://dx.doi.org/10.1024/0301-1526/a000698.

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Abstract. The aim of this review was to investigate presentation, aetiology, management, and outcomes of bowel ischaemia following EVAR. We present a case report and searched electronic bibliographic databases to identify published reports of bowel ischaemia following elective infra-renal EVAR not involving hypogastric artery coverage or iliac branch devices. We conducted our review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards. In total, five cohort studies and three case reports were included. These studies detailed some 6,18
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Abatzis-Papadopoulos, Manolis, Konstantinos Tigkiropoulos, Spyridon Nikas, et al. "Study Protocol of a Prospective, Monocentric, Single-Arm Study Investigating the Correlation of Endograft Properties with Aortic Stiffness in Abdominal Aortic Aneurysm Patients Subjected to Endovascular Aortic Repair." Journal of Clinical Medicine 13, no. 8 (2024): 2205. http://dx.doi.org/10.3390/jcm13082205.

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The number of endovascular aortic repairs (EVARs) has surpassed the number of open surgical repairs of abdominal aortic aneurysms (AAAs) worldwide. The available commercial endoprostheses are composed of materials that are stiffer than the native aortic wall. As a consequence, the implantation of stent–graft endoprostheses during EVAR increases aortic rigidity and thus aortic stiffness, resulting in a decrease in abdominal aorta compliance. EVAR has been found to have a possibly harmful effect not only on heart functions but also on other vascular beds, including kidney function, due to the de
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Trenner, Matthias, Michael Salvermoser, Benedikt Reutersberg, et al. "Regional variation in endovascular treatment rate and in-hospital mortality of abdominal aortic aneurysms in Germany." Vasa 49, no. 2 (2020): 107–14. http://dx.doi.org/10.1024/0301-1526/a000830.

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Summary: Background: Abdominal aortic aneurysms (AAA) can be treated by either open surgery (OAR) or endovascular aortic repair (EVAR). The aim of this study was to analyze regional variations in application of (EVAR) and in-hospital mortality after intact AAA (iAAA) repair. Methods: Using data provided by the German Federal Statistical Office, a nationwide analysis for 2012 to 2014 was conducted. Patients with a diagnosis of iAAA (I71.4) and corresponding procedure codes for OAR (5-384.5/7) or EVAR (5-38a.1) were included. Odds ratios (ORs) for use of EVAR (proportion of EVAR among total EVAR
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Arnautovic, Amir, Waseem Garabet, Reinhold Thomas Ziegler, et al. "Radiation Exposure and Contrast Agent Use during Endovascular Aortic Repair Using Mobile Versus Fixed Angiography Systems." Journal of Cardiovascular Development and Disease 11, no. 3 (2024): 83. http://dx.doi.org/10.3390/jcdd11030083.

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Background: For (thoracic) endovascular aortic repair ((T)EVAR) procedures, both mobile (standard operating room (SOR)) and fixed C-arm (hybrid operating room (HOR)) systems are available. This study evaluated differences in key procedural parameters, and procedural success for (T)EVAR in the SOR versus the HOR. Methods: All patients who underwent standard elective (T)EVAR at the Clinic for Vascular and Endovascular Surgery at the University Hospital Duesseldorf, Germany, between 1 January 2012 and 1 January 2019 were included. Data were retrieved from archived medical records. Endpoints were
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Joels, Charles S., Eugene M. Langan, Charles A. Daley, et al. "Changing Indications and Outcomes for Open Abdominal Aortic Aneurysm Repair since the Advent of Endovascular Repair." American Surgeon 75, no. 8 (2009): 665–70. http://dx.doi.org/10.1177/000313480907500806.

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The indications for open abdominal aortic aneurysm (AAA) repair have changed with the development of endovascular techniques. The purpose of this study is to clarify the indications and outcomes for open repair since endovascular aneurysm repair (EVAR) and to compare contemporary AAA repair with the pre-EVAR era. Patients undergoing open AAA repair were identified; the demographics, outcomes, and indications for open repair were reviewed. Outcomes were compared based on indication for open repair in the EVAR era and between the pre-EVAR and EVAR eras. Open indications in the EVAR era included:
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Cercenelli, Laura, Simone Lodi, Barbara Bortolani, Chiara Mascoli, Mauro Gargiulo, and Emanuela Marcelli. "EVAR-eaSE: An Easy-to-Use Software for Planning Sac Embolization in EndoVascular Aneurysm Repair Procedure." Applied Sciences 10, no. 18 (2020): 6252. http://dx.doi.org/10.3390/app10186252.

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Background: Endovascular aneurysm repair (EVAR) has become the primary choice of treatment for abdominal aortic aneurysm (AAA) and preventive intraoperative AAA sac embolization (SE) is an effective way to reduce endoleaks after EVAR. Preoperative planning of AAA SE has not been standardized yet, and typically requires a quite long and operator-dependent procedure using standard EVAR planning software. Methods: We introduce ‘EVAR-eaSE’, a software tool that we have developed to help vascular surgeons to plan the optimal SE procedure during EVAR, providing semi-automatic AAA segmentation and 3D
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Patel, Rajesh, Janet T. Powell, Michael J. Sweeting, David M. Epstein, Jessica K. Barrett, and Roger M. Greenhalgh. "The UK EndoVascular Aneurysm Repair (EVAR) randomised controlled trials: long-term follow-up and cost-effectiveness analysis." Health Technology Assessment 22, no. 5 (2018): 1–132. http://dx.doi.org/10.3310/hta22050.

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BackgroundShort-term survival benefits of endovascular aneurysm repair (EVAR) compared with open repair (OR) of intact abdominal aortic aneurysms have been shown in randomised trials, but this early survival benefit is soon lost. Survival benefit of EVAR was unclear at follow-up to 10 years.ObjectiveTo assess the long-term efficacy of EVAR against OR in patients deemed fit and suitable for both procedures (EVAR trial 1; EVAR-1); and against no intervention in patients unfit for OR (EVAR trial 2; EVAR-2). To appraise the long-term significance of type II endoleak and define criteria for interve
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Preece, Ryan, Sarah Shaw, Joseph Wiltshire, et al. "Development of novel patient selection criteria for a short stay endovascular aneurysm repair pathway: Improving patient selection for short stay endovascular aneurysm repair." Vascular 28, no. 1 (2019): 59–67. http://dx.doi.org/10.1177/1708538119867523.

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Objectives A short-stay endovascular aneurysm repair (SS-EVAR) pathway for infrarenal abdominal aortic aneurysms offers the potential to improve service efficiency and patient satisfaction by reducing the hospital length of stay. This study aimed to determine whether the implementation of a novel set of patient selection criteria for a theoretical SS-EVAR pathway could facilitate an expansion of the proportion of suitable patients, whilst maintaining patient safety and limiting unplanned emergency readmissions. Methods Two SS-EVAR selection criteria (low and high risk) were generated based upo
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Yamaguchi, Dean J., Thomas C. Matthews, Marjan Mujib, et al. "Survival Comparison of Patients Undergoing Secondary Aortic Repair." Advances in Vascular Medicine 2015 (April 5, 2015): 1–5. http://dx.doi.org/10.1155/2015/395921.

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Introduction. Infrarenal abdominal aortic aneurysm (AAA) repair warrants lifelong surveillance. Secondary aortic intervention (SAI) outcomes may be affected by the therapeutic approach. We compared short- and long-term mortality in patients who underwent SAIs after initial aortic repair, either endovascular (EVAR) or open. Methods. Patients who underwent AAA repair between 1986 and 2010 were retrospectively identified in a vascular surgery database as well as those who underwent SAIs. All-cause mortality and Kaplan-Meier survival curves were calculated. Results. We identified 149 patients who
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Kalender, G., Milan Lisy, U. A. Stock, A. Endisch, and A. Kornberger. "Identification of Factors Influencing Cumulative Long-Term Radiation Exposure in Patients Undergoing EVAR." International Journal of Vascular Medicine 2017 (2017): 1–10. http://dx.doi.org/10.1155/2017/9763075.

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Patients who undergo endovascular repair of aortic aneurysms (EVAR) require life-long surveillance because complications including, in particular, endoleaks, aneurysm rupture, and graft dislocation are diagnosed in a certain share of the patient population and may occur at any time after the original procedure. Radiation exposure in patients undergoing EVAR and post-EVAR surveillance has been investigated by previous authors. Arriving at realistic exposure data is essential because radiation doses resulting from CT were shown to be not irrelevant. Efforts directed at identification of factors
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Fortes, Daniel L., B. Zane Atkins, and Andy C. Chiou. "Delayed Paraplegia Following Infrarenal Abdominal Aortic Endograft Placement: Case Report and Literature Review." Vascular 12, no. 2 (2004): 130–35. http://dx.doi.org/10.1258/rsmvasc.12.2.130.

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The treatment of abdominal aortic aneurysms (AAAs) has changed over the past 12 years, with increased numbers of endovascular procedures being performed. Early morbidity is decreased following endovascular abdominal aortic aneurysm repair (EVAR) compared with open repair, and long-term studies of EVAR have focused on freedom from death, rupture, and conversion to open repair. Other less commonly encountered complications of EVAR are rarely reported. For instance, spinal cord ischemia (SCI) is a devastating complication infrequently seen after open AAA repair. This report discusses a case of de
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Spath, Paolo, Stefania Caputo, Federica Campana, et al. "CO2 Angiography in the Standard and Complex Endovascular Repair of the Abdominal Aorta—A Narrative Review of the Literature." Journal of Clinical Medicine 13, no. 16 (2024): 4634. http://dx.doi.org/10.3390/jcm13164634.

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Background/Objectives: Carbon dioxide digital-subtraction angiography (CO2-DSA) is an increasingly adopted technique in endovascular aortic repair (EVAR) and fenestrated/branched EVAR (F/B-EVAR); it is used to reduce the amount of iodinate contrast medium (ICM) and prevent postoperative renal function worsening (PO-RFW). Our aim is to report results from the literature on EVAR and F/B-EVAR procedures using CO2-DSA, together with wider applications in aortic endovascular treatment. Methods: We performed a literature review by searching electronic databases for published data on CO2-DSA during E
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Tarride, Jean-Eric, Gord Blackhouse, Guy De Rose, et al. "Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada." International Journal of Vascular Medicine 2011 (2011): 1–10. http://dx.doi.org/10.1155/2011/308685.

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Background. This paper presents unpublished clinical and economic data associated with open surgical repair (OSR) in low risk (LR) patients and how it compares with EVAR and OSR in high risk (HR) patients with an AAA > 5.5 cm.Design. Data from a 1-year prospective observational study was used to compare EVAR in HR patients versus OSR in HR and LR patients.Results. Between 2003 and 2005, 140 patients were treated with EVAR and 195 with OSR (HR: 52; LR: 143). The 1-year mortality rate with EVAR was statistically lower than HR OSR patients and comparable to LR OSR patients. One-year health-rel
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Wang, Kaifeng, Shiyan Ren, Songyi Qian, and Peng Liu. "Grey Relational Analysis of Benefit of Surgical Management for Abdominal Aortic Aneurysm." International Surgery 99, no. 2 (2014): 189–94. http://dx.doi.org/10.9738/intsurg-d-12-00012.1.

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Abstract Grey relational analysis was used to compare the long-term outcomes of endovascular repair (EVAR) versus open repair for patients with abdominal aortic aneurysm (AAA). Patients with AAA undergoing open repair (n = 133) or EVAR (n = 88) from July 1995 to January 2009 were studied retrospectively. Compared with EVAR, longer periods of postoperative intubation and hospital stay (P < 0.001) were required for open repair. The operation time was significantly longer in open surgery than in EVAR (P < 0.001). Patients in the open repair group required larger volumes of intraoper
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Thomas, Dustin M., Edward A. Hulten, Shane T. Ellis, et al. "Open versus Endovascular Repair of Abdominal Aortic Aneurysm in the Elective and Emergent Setting in a Pooled Population of 37,781 Patients: A Systematic Review and Meta-Analysis." ISRN Cardiology 2014 (April 2, 2014): 1–9. http://dx.doi.org/10.1155/2014/149243.

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Background. We evaluated the incidence of mortality and myocardial infarction (MI) in endovascular repair (EVAR) as compared to open aneurysm repair (OAR) in both elective and ruptured abdominal aortic aneurysm (AAA ) setting. Methods. We analyzed the rates of 30-day mortality, 30-day MI, and hospital length of stay (LOS) based on comparative observation and randomized control trials involving EVAR and OAR. Results. 41 trials compared EVAR to OAR with a total pooled population of 37,781 patients. Analysis of elective and ruptured AAA repair favored EVAR with respect to 30-day mortality with a
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Kimura, Yuki, Hiroshi Ohtsu, Naohiro Yonemoto, Nobuyoshi Azuma, and Kazuhiro Sase. "Endovascular versus open repair in patients with abdominal aortic aneurysm: a claims-based data analysis in Japan." BMJ Surgery, Interventions, & Health Technologies 4, no. 1 (2022): e000131. http://dx.doi.org/10.1136/bmjsit-2022-000131.

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ObjectivesEndovascular aortic repair (EVAR) evolved through competition with open aortic repair (OAR) as a safe and effective treatment option for appropriately selected patients with abdominal aortic aneurysm (AAA). Although endoleaks are the most common reason for post-EVAR reintervention, compliance with lifelong regular follow-up imaging remains a challenge.DesignRetrospective data analysis.SettingThe Japan Medical Data Center (JMDC), a claims database with anonymous data linkage across hospitals, consists of corporate employees and their families of ≤75 years of age.ParticipantsThe analys
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Kuhelj, Dimitrij, Vladka Salapura, and Nina Boc. "Haemostasis for 568 large femoral artery access sites - outcomes and predictors of success." Vasa 43, no. 1 (2014): 62–68. http://dx.doi.org/10.1024/0301-1526/a000329.

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Background: The introduction of stent grafts for thoracic and abdominal aorta (T / EVAR) has raised the demand for percutaneous closure devices for larger femoral arterial access sites. The aim of our study was to evaluate the success and complication rate of completely percutaneous T / EVAR with Prostar XL® and surgical haemostasis over a 50- month period. Patients and methods: Between December 16th 2005 and February 17th 2010 T / EVAR was performed in 306 patients with 568 arterial access sites with diameters of 12 to 24 Fr. The exclusion criteria for percutaneous haemostasis were a calcifie
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Rucińska, Zuzanna, Jan Juzwiszyn, Zofia Bolanowska, et al. "The evaluation of the postoperative course in patients operated due to abdominal aortic aneurysm as urgent or elective procedure." Polish Journal of Surgery 90, no. 5 (2018): 1–5. http://dx.doi.org/10.5604/01.3001.0012.4713.

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Introduction. The patients with the aortic abdominal aneurysm of 55mm in diameter are qualified for surgery. There is open repair (OR) by means of the vascular prosthesis implantation or the less invasive endovascular method by means of the stent graft implantation through femoral arteries incision (EndovascularAorticRepair - EVAR). The aim of the study was the evaluation of the postoperative course in patients operated due to the aortic abdominal aneurysm and the evaluation of the impact of the surgical method on the short-time results. Material and methods. 124 patients operated due to the a
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Igari, Kimihiro, Toshifumi Kudo, Takahiro Toyofuku, and Yoshinori Inoue. "A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique." Case Reports in Vascular Medicine 2016 (2016): 1–4. http://dx.doi.org/10.1155/2016/5307416.

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Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can lead to type Ia endoleak (EL). Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment. Type Ia ELs are associated w
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Ananthanarayanan, Chandrasekaran, Kartik Patel, Chirag Doshi, et al. "Open Surgery for Pseudoaneurysm after EVAR: A Unique Surgical Challenge." Journal of the Practice of Cardiovascular Sciences 10, no. 2 (2024): 96–99. http://dx.doi.org/10.4103/jpcs.jpcs_88_23.

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Endovascular repair of abdominal aneurysm (EVAR) has become the main stay of treatment for abdominal aortic aneurysm. Long-term follow-up studies have shown a variety of complications following EVAR, few of which are dangerous with high morbidity and mortality. Open surgery for complications of EVAR poses unique challenges to the surgeon. We present one of the serious complications following EVAR which was successfully managed by open surgery.
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Sirignano, Pasqualino, Francesco Speziale, Nunzio Montelione, et al. "Abdominal Aortic Aneurysm Repair: Results from a Series of Young Patients." BioMed Research International 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/7893413.

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Objectives.To compare durability and survival after endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysms (AAAs) in young patients.Material and Methods.A retrospective study was conducted between 2005 and 2014 on all consecutive patients of 60 years of age or younger. Measures considered for analysis were reintervention related to AAA, laparotomy and access vessel injury during EVAR, and all-cause mortality during hospitalization and follow-up.Results.Seventy out of 119 patients were treated by OR (58.8%) and 49 (41.2%) by EVAR, 9 in off-label fashion (18.3%).
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Png, C. Y. Maximilian, A. Alaska Pendleton, Martin Altreuther, et al. "Effect of EVAR on International Ruptured AAA Mortality—Sex and Geographic Disparities." Journal of Clinical Medicine 13, no. 9 (2024): 2464. http://dx.doi.org/10.3390/jcm13092464.

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Background: We sought to investigate the differential impact of EVAR (endovascular aneurysm repair) vis-à-vis OSR (open surgical repair) on ruptured AAA (abdominal aortic aneurysm) mortality by sex and geographically. Methods: We performed a retrospective study of administrative data on EVAR from state statistical agencies, vascular registries, and academic publications, as well as ruptured AAA mortality rates from the World Health Organization for 14 14 states across Australasia, East Asia, Europe, and North America. Results: Between 2011–2016, the proportion of treatment of ruptured AAAs by
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Serafini, Francesco Lorenzo, Andrea Delli Pizzi, Pasquale Simeone, et al. "Circulating Extracellular Vesicles: Their Role in Patients with Abdominal Aortic Aneurysm (AAA) Undergoing EndoVascular Aortic Repair (EVAR)." International Journal of Molecular Sciences 23, no. 24 (2022): 16015. http://dx.doi.org/10.3390/ijms232416015.

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Abdominal aortic aneurysm (AAA) is a frequent aortic disease. If the diameter of the aorta is larger than 5 cm, an open surgical repair (OSR) or an endovascular aortic repair (EVAR) are recommended. To prevent possible complications (i.e., endoleaks), EVAR-treated patients need to be monitored for 5 years following the intervention, using computed tomography angiography (CTA). However, this radiological method involves high radiation exposure in terms of CTA/year. In such a context, the study of peripheral-blood-circulating extracellular vesicles (pbcEVs) has great potential to identify biomar
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Dzieciuchowicz, Łukasz, Jolanta Tomczak, Ewa Strauss, and Grzegorz Oszkinis. "Mid-Term Results of Endovascular Aneurysm Sealing in the Treatment of Abdominal Aortic Aneurysm With Unfavorable Morphology." Vascular and Endovascular Surgery 55, no. 1 (2020): 39–49. http://dx.doi.org/10.1177/1538574420965736.

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Purpose: To report mid-term results of endovascular aneurysm sealing (EVAS) of abdominal aortic aneurysms (AAA) deemed unsuitable for a standard endovascular aneurysm repair (EVAR). Methods: A prospectively maintained database of 42 patients with EVAR-unfavorable anatomy treated by EVAS combined with chimney grafts in case of the proximal AAA neck shorter than 5 mm was analyzed. Early outcomes included final angiographic result, intra- and early post-operative deaths, and complications. Mid-term outcomes included all-cause mortality (ACM), aneurysm-related mortality (ARM), patency of the stent
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Newton, Laura E., Aravind Ponukumati, Gabrielle Zwain, et al. "Imaging Surveillance Adherence After Endovascular Abdominal Aortic Aneurysm Repair at VA Hospitals." JAMA Network Open 8, no. 4 (2025): e256852. https://doi.org/10.1001/jamanetworkopen.2025.6852.

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ImportanceGuidelines recommend annual imaging surveillance after endovascular abdominal aortic aneurysm repair (EVAR). How these guidelines translate into practice among veterans remains poorly described.ObjectiveTo characterize post-EVAR surveillance among veterans.Design, Setting, and ParticipantsThis retrospective cohort study evaluated veterans who underwent EVAR between January 1, 2000, and December 31, 2023, at US Department of Veterans Affairs (VA) hospitals and received follow-up care at VA and non-VA hospitals and imaging centers with payment via Medicare or the VA. Veterans treated w
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von Tengg-Kobligk, Hendrik, Dittmar Böckler, Tania M. Jose, et al. "Feeding Arteries of the Spinal Cord at CT Angiography before and after Thoracic Aortic Endografting." Journal of Endovascular Therapy 14, no. 5 (2007): 639–49. http://dx.doi.org/10.1177/152660280701400507.

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Purpose: To study the visualization of spinal cord feeding arteries in patients with complex thoracic aortic pathology undergoing endovascular aortic repair (EVAR) using an optimized protocol for multislice computed tomographic angiography (MSCTA). Methods: Eighteen consecutive patients (13 men; mean age 63 years, range 45–79) with aortic type B dissections (n=5), chronic expanding aortic dissections (n=5), thoracic aortic aneurysms (n=6), or penetrating aortic ulcers (n=2) underwent 16-slice CTA before and after (mean interval 9 days) EVAR. Pulse rate and neurological status were documented.
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Karkos, Christos D., Dale Vimalachandran, Janet M. Lavelle, Paul Wilson, and John S. Abraham. "Endovascular Abdominal Aortic Aneurysm Repair outside a Tertiary Referral Centre: Feasibility and Impact upon Workload." Cardiovascular Surgery 11, no. 1 (2003): 6–11. http://dx.doi.org/10.1177/096721090301100102.

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In the UK, the majority of endovascular abdominal aortic aneurysm repairs (EVAR) are carried out in tertiary referral centres. We studied the feasibility and impact upon workload of an endovascular programme introduced into a district general hospital. Data was collected prospectively on ail patients considered for EVAR since the inception of the programme in April 1999. Evaluation was by contrast enhanced CT scan followed by angiography if potentially suitable for EVAR. We recorded eligibility for EVAR. reasons for exclusion and the outcome of all patients irrespective of the mode of repair.
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Zarkowsky, Devin S., Besma Nejim, Itay Hubara, Caitlin W. Hicks, Philip P. Goodney, and Mahmoud B. Malas. "Deep Learning and Multivariable Models Select EVAR Patients for Short-Stay Discharge." Vascular and Endovascular Surgery 55, no. 1 (2020): 18–25. http://dx.doi.org/10.1177/1538574420954299.

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Objectives: We sought to develop a prediction score with data from the Vascular Quality Initiative (VQI) EVAR in efforts to assist endovascular specialists in deciding whether or not a patient is appropriate for short-stay discharge. Background: Small series describe short-stay discharge following elective EVAR. Our study aims to quantify characteristics associated with this decision. Methods: The VQI EVAR and NSQIP datasets were queried. Patients who underwent elective EVAR recorded in VQI, between 1/2010-5/2017 were split 2:1 into test and analytic cohorts via random number assignment. Cross
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Kovačević, Miljenko, Lovro Kovač, and Lovro Tkalčić. "Kirurško zbrinjavanje kasnih komplikacija nakon endovaskularnog liječenja aneurizme abdominalne aorte." Medicina Fluminensis 60, no. 2 (2024): 136–43. http://dx.doi.org/10.21860/medflum2024_316228.

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Aneurizma abdominalne aorte (AAA) čest je problem u starije populacije, a rizik rupture korelira s promjerom aneurizme. Tradicionalno su se bolesnici s aneurizmom abdominalne aorte većeg promjera liječili otvorenim kirurškim tehnikama, dok u posljednjih 20 godina pratimo porast korištenja tehnike endovaskularnog popravka aneurizme aorte (EVAR-a), koja uključuje postavljanje prostetskog nepropusnog grafta unutar lumena abdominalne aorte s ciljem isključenja aneurizme iz protoka i sprječavanja rupture. Sigurnosni profil i dugoročni podatci metode EVAR rezultirali su značajnim porastom korištenja
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Stilo, Francesco, Vincenzo Catanese, Antonio Nenna, et al. "Biomarkers in EndoVascular Aneurysm Repair (EVAR) and Abdominal Aortic Aneurysm: Pathophysiology and Clinical Implications." Diagnostics 12, no. 1 (2022): 183. http://dx.doi.org/10.3390/diagnostics12010183.

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Circulating biomarkers have been recently investigated among patients undergoing endovascular aortic aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA). Considering the plethora of small descriptive studies reporting potential associations between biomarkers and clinical outcomes, this review aims to summarize the current literature considering both the treated disease (post EVAR) and the untreated disease (AAA before EVAR). All studies describing outcomes of tissue biomarkers in patients undergoing EVAR and in patients with AAA were included, and references were checked for additional
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Qureshi, Mahim I., and Alun H. Davies. "Endovascular aneurysm repair in the elderly: First do no harm." Vascular 26, no. 1 (2017): 113–14. http://dx.doi.org/10.1177/1708538117717855.

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Endovascular aneurysm repair (EVAR) has become the intervention of choice for supra-threshold aortic aneurysms due to the lower 30-day mortality of EVAR as compared with open surgery, despite no long-term longevity gains. Trials such as EVAR-1 that established the current status of endovascular aortic intervention often excluded participants over the age of 80, and specific studies of EVAR in the elderly reveal higher mortality than accepted averages. Analyses of the cost-effectiveness of EVAR have not demonstrated superiority of endovascular intervention over open repair, in particular when c
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Hariyono, Dedy Chandra, Prima Kharisma Hayuningrat, Arif Prasetyo Utomo, Kristanto Yuli Yarsa, and Darmawan Ismail. "Snare Guiding Technique in Bifurcated Endovascular Repair of Abdominal Aortic Aneurysm with Severely Tortuous Iliac Artery Access: A Case Report." NOVEMBER ISSUE 18, no. 6 (2022): 347–49. http://dx.doi.org/10.47836/mjmhs.18.6.45.

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Endovascular aneurysm repair (EVAR) has gained acceptance as a viable alternative to open surgical treatment for abdominal aortic aneurysm (AAA). We report the use of snare guiding wire in bifurcated EVAR case with severely tortuous femoral access. A 63-year-old man referred to the hospital from another facility with complaints of pulsating mass in right iliac and umbilical region for the last 2 years. He was then admitted to the cardiac catheterization lab for EVAR under general anaesthetic. Endovascular aneurysm repair (EVAR), also known as an endoprosthesis, is a stent-graft device-guided t
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Monti, Caterina Beatrice, Paolo Righini, Maria Chiara Bonanno, et al. "Psoas Cross-Sectional Measurements Using Manual CT Segmentation before and after Endovascular Aortic Repair (EVAR)." Journal of Clinical Medicine 11, no. 14 (2022): 4023. http://dx.doi.org/10.3390/jcm11144023.

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Sarcopenia has been associated with an increased incidence of adverse outcomes, including higher mortality, after endovascular aortic repair (EVAR). We aim to use computed tomography (CT) to quantify changes in total psoas muscles area (PMA) and psoas muscle density (PMD) after EVAR, and to evaluate the reproducibility of both measurements. PMA and PMD were assessed via manual segmentation of the psoas muscle on pre- and post-operative CT scans belonging to consecutive patients who underwent EVAR. Wilcoxon test was used to compare PMA and PMD before and after EVAR, and inter- and intra-reader
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Aleksandra C, Zoethout, Hochstenbach Iris, van der Laan Maarten J, de Vries Jean-Paul P.M, Reijnen Michel M.P.J., and Zeebregts Clark J. "Systematic Review on the Mid-Term Outcomes of Elective Endovascular Aneurysm Sealing in Comparison to Endovascular Aneurysm Repair." Journal of Endovascular Therapy, September 27, 2021, 152660282110479. http://dx.doi.org/10.1177/15266028211047941.

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Introduction The Nellix endovascular aneurysm sealing (EVAS) system has been a topic of discussion. Early results were promising but did not deliver on the long-term and the device has been recalled from the market. This study compares literature for EVAS and conventional endovascular aneurysm repair (EVAR). Methods A systematic review and analysis was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. PubMed, Embase, and Cochrane Library were searched and identified the eligible studies. Proportion rates for the outcomes of inter
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Rehman, Zia U. "Endovascular Aortic Aneurysm Repair: A Narrative Review." Arab Journal of Interventional Radiology, June 21, 2022. http://dx.doi.org/10.1055/s-0042-1750105.

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AbstractEndovascular aortic aneurysm repair (EVAR) has evolved as minimally invasive method of treating infrarenal abdominal aortic aneurysms (AAA) with perioperatively mortality of less than 1% compared with 5% with open AAA repair as suggested by many randomized control trials. Computed tomography angiography is the imaging of choice for appropriate selection of a patient with EVAR. For patients with unsuitable anatomy, advanced EVARs techniques, such as fenestrated, branch, and chimney EVARs, are also increasingly being offered to patients with equal success. Patients with ruptured AAA are
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Meekel, Jorn P., Bich L. Tran, Theodorus G. van Schaik, et al. "What we have learned from in-vitro studies of the chimney endovascular technique for treatment of complex abdominal aortic aneurysms: A systematic review." Vascular, May 16, 2022, 170853812210952. http://dx.doi.org/10.1177/17085381221095294.

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Background A considerable number of patients with abdominal aortic aneurysms (AAA) is not eligible for standard endovascular repair. These complex cases require alternative surgical approaches including the readily available chimney graft endovascular aneurysm repair (Ch-EVAR) or sealing (Ch-EVAS). The optimal configuration for Ch-EVAR or Ch-EVAS is important for success but not yet known. Objective The aim of the present study was to analyze current data of the outcomes of in-vitro chimney graft treatment in complex AAA. Methods A systematic review following PRISMA guidelines was conducted in
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