Adam Keefer, MD, Sean Hislop, MD, Michael J

Slides:

Advertisements

Similar presentations

Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery

Advertisements

Endoleak after endovascular aneurysm repair: Duplex ultrasound imaging is better than computed tomography at determining the need for intervention Greg.

Duplex ultrasound imaging alone is sufficient for midterm endovascular aneurysm repair surveillance: A cost analysis study and prospective comparison.

To what extent has endovascular aneurysm repair influenced abdominal aortic aneurysm management in the state of Illinois? Luis R. Leon, MD, RVT, Nicos.

Ultrasound-determined diameter measurements are more accurate than axial computed tomography after endovascular aortic aneurysm repair Sukgu M. Han,

Victor J. Davila, MD, William Stone, MD, Audra A

Significant sac retraction after endovascular aneurysm repair is a robust indicator of durable treatment success Rabih Houbballah, MD, Marek Majewski,

Age-related trends in utilization and outcome of open and endovascular repair for abdominal aortic aneurysm in the United States, Margaret.

Abdominal compartment syndrome associated with endovascular and open repair of ruptured abdominal aortic aneurysms Chen Rubenstein, MD, Gabriel Bietz,

Effect of type II endoleaks and antiplatelet therapy on abdominal aortic aneurysm shrinkage after endovascular repair Atsushi Aoki, MD, Takanori Suezawa,

The impact of body mass index on perioperative outcomes of open and endovascular abdominal aortic aneurysm repair from the National Surgical Quality Improvement.

Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W

Endovascular repair of abdominal aortic aneurysm in octogenarians: An analysis based on EUROSTAR data Conrad Lange, MD, Lina J. Leurs, MSc, Jaap Buth,

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

Endovascular repair of para-anastomotic aortic aneurysms

The influence of gender and aortic aneurysm size on eligibility for endovascular abdominal aortic aneurysm repair Matthew P. Sweet, MD, Mark F. Fillinger,

Endoleak after endovascular aneurysm repair: Duplex ultrasound imaging is better than computed tomography at determining the need for intervention Greg.

Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms Giovanni Torsello, MD, Dierk Scheinert,

Bruce A. Perler, MD, MBA Journal of Vascular Surgery

What is the clinical utility of a 6-month computed tomography in the follow-up of endovascular aneurysm repair patients? Michael R. Go, MD, Joel E. Barbato,

Anahita Dua, MD, MS, MBA, Gilbert R. Upchurch, MD, Jason T

High prevalence of abdominal aortic aneurysms in brothers and sisters of patients despite a low prevalence in the population Anneli Linné, MD, David.

Matthew P. Sweet, MD Journal of Vascular Surgery

Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery Gregorio A. Sicard, MD, Robert M.

Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients Kevin Lee, MD, Elaine.

The natural history of type II endoleaks after endovascular aneurysm repair for ruptured abdominal aortic aneurysm Anna E. Boniakowski, MD, Randall R.

Is three-dimensional computed tomography reconstruction justified before endovascular aortic aneurysm repair? L.Richard Sprouse, MD, George H. Meier,

Is abdominal aortic aneurysm repair appropriate in oxygen-dependent chronic obstructive pulmonary disease patients? Christopher N. Compton, MD, Ellen.

Superior mesenteric artery outcomes after fenestrated endovascular aortic aneurysm repair Salim Lala, MD, Martyn Knowles, MD, David Timaran, MD, Mirza.

Endovascular abdominal aortic aneurysm repair in a patient with Ehlers-Danlos syndrome Maseer A. Bade, MD, Luis A. Queral, MD, Dipankar Mukherjee, MD,

Type II endoleak prevention with coil embolization during endovascular aneurysm repair in high-risk patients Dominique Fabre, MD, Elie Fadel, PhD, Philippe.

Outcomes following endovascular abdominal aortic aneurysm repair (EVAR): An anatomic and device-specific analysis Thomas A. Abbruzzese, MD, Christopher.

Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter Rodney P. Bensley, MD, Rob Hurks, MD, Zhen.

Unusual course of an abdominal aortic aneurysm in a patient treated with chemotherapy for gastric cancer Juergen Zanow, MD, Yvonne Leistner, MD, Stephan.

Outcome of common iliac arteries after straight aortic tube-graft placement during elective repair of infrarenal abdominal aortic aneurysms Réda Hassen-Khodja,

Cost-effectiveness of abdominal aortic aneurysm repair based on aneurysm size Kate C. Young, PhD, Nadia A. Awad, MD, Marcia Johansson, NP, David Gillespie,

Kenneth Ouriel, MD, Daniel G. Clair, MD, K

Long-term outcomes and resource utilization of endovascular versus open repair of abdominal aortic aneurysms in Ontario Prasad Jetty, MD, MSc, FRCSC,

Comparison of outcomes following endovascular repair of abdominal aortic aneurysms based on size threshold Charles J. Keith, BA, Marc A. Passman, MD,

Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery

Anthony Carnicelli, BA, Adam Doyle, MD, Michael Singh, MD

Karthikeshwar Kasirajan, MD, Mark D. Morasch, MD, Michel S

Trends in abdominal aortic aneurysm repair in the era of endovascular technology in Ontario Abdulmajeed Altoijry, MD, Muhammad Mamdani, PharmD, MA, MPH,

Andres Schanzer, MD, Louis M

Regarding “Endovascular repair of ruptured abdominal aortic aneurysms”

Outcomes of original and low-permeability Gore Excluder endoprosthesis for endovascular abdominal aortic aneurysm repair William Tanski, MD, Mark Fillinger,

Adam W. Beck, MD, Philip P. Goodney, MD, Brian W. Nolan, MD, Donald S

Prospective follow-up of sexual function after elective repair of abdominal aortic aneurysms using open and endovascular techniques Monica Pettersson,

Trends of 30-day mortality and morbidities in endovascular repair of intact abdominal aortic aneurysm during the last decade Kanhua Yin, MD, Satinderjit.

Seth A. Waits, MD, Kyle H. Sheetz, MS, Darrell A. Campbell, MD, Amir A

Effect of chronic oral anticoagulation with warfarin on the durability and outcomes of endovascular aortic aneurysm repair Marques S. Johnson, MD, Jasmine.

To what extent has endovascular aneurysm repair influenced abdominal aortic aneurysm management in the state of Illinois? Luis R. Leon, MD, RVT, Nicos.

Franklin S. Yau, MD, Eric B. Rosero, MD, G. Patrick Clagett, MD, R

Journal of Vascular Surgery

Endovascular versus open surgical repair of abdominal aortic aneurysm with concomitant malignancy Massimo Porcellini, MD, Piero Nastro, MD, MRCS, Umberto.

The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair Roel Hobo, MSc, Robert J.F. Laheij,

Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report Roel Hobo, MSc, Jacob Buth,

External validation of the Glasgow Aneurysm Score to predict outcome in elective open abdominal aortic aneurysm repair Osama Hirzalla, MS, Marloes Emous,

What imaging studies are necessary for abdominal aortic endograft sizing? A prospective blinded study using conventional computed tomography, aortography,

Outcomes of endovascular aneurysm repair on renal function compared with open repair Michele Antonello, MD, PhD, Mirko Menegolo, MD, Michele Piazza,

Robert J. Hinchliffe, MD, MRCS, Janet T

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

Repair of juxtarenal para-anastomotic aortic aneurysms after previous open repair with fenestrated and branched endovascular stent grafts Donald J. Adam,

Expanding use of emergency endovascular repair for ruptured abdominal aortic aneurysms: Disparities in outcomes from a nationwide perspective Kelly Lesperance,

Complete regression of a symptomatic, mycotic juxtarenal abdominal aortic aneurysm after treatment with fenestrated endovascular aneurysm repair Jonathan.

Thomas L. Forbes, MD, Gregory E.J. Harding, MD

Kenji Sakai, MD, Taiju Watanabe, MD, PhD, Tetsuya Yoshida, MD, PhD

Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England Ruby C. Lo, MD, Rodney.

Effect of type II endoleaks and antiplatelet therapy on abdominal aortic aneurysm shrinkage after endovascular repair Atsushi Aoki, MD, Takanori Suezawa,

Open repair of abdominal aortic aneurysm in a centenarian

Presentation transcript:

The influence of aneurysm size on anatomic suitability for endovascular repair Adam Keefer, MD, Sean Hislop, MD, Michael J. Singh, MD, David Gillespie, MD, Karl A. Illig, MD Journal of Vascular Surgery Volume 52, Issue 4, Pages 873-877 (October 2010) DOI: 10.1016/j.jvs.2010.04.064 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Rate of suitability for endovascular aneurysm repair (EVAR) based on ultrasound (US) testing. The x axis shows groups divided at 5-mm intervals, and the y axis shows the rate (%) of such patients who are eligible for EVAR based on our criteria. The rate is quite high to approximately 5.0 cm, after which it begins to drop off. Receiver operating characteristic curve analysis shows a diameter of 4.9 cm is most predictive of suitability. The numbers in each bar are the numbers of aneurysms in each group. Journal of Vascular Surgery 2010 52, 873-877DOI: (10.1016/j.jvs.2010.04.064) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Rate of suitability for endovascular aneurysm repair (EVAR) based on computed tomography (CT) scanning. The x axis shows groups divided at 5-mm intervals, and the y axis the rate (%) of such patients who are eligible for EVAR based on our criteria. The rate is relatively high to approximately 6.0 cm, after which it begins to drop-off, but this drop-off is less pronounced that when measured and categorized by ultrasound. By receiver operating characteristic curve analysis, a diameter of 5.7 cm is most predictive of suitability. The numbers in each bar are the numbers of aneurysms in each group. Journal of Vascular Surgery 2010 52, 873-877DOI: (10.1016/j.jvs.2010.04.064) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Receiver operating characteristic curve analysis of the effect of altering criteria for endovascular suitability based on ultrasound measurements. The area under the curve is 0.67698. Journal of Vascular Surgery 2010 52, 873-877DOI: (10.1016/j.jvs.2010.04.064) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Receiver operating characteristic curve analysis of the effect of altering criteria for endovascular suitability based on computed tomography measurements. The area under the curve is 0.67082. Journal of Vascular Surgery 2010 52, 873-877DOI: (10.1016/j.jvs.2010.04.064) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Diagram links the arguments presented in the text supporting early repair for small abdominal aortic aneurysms if they are anatomically suitable for endovascular aneurysm repair (EVAR). Please refer to the text for references cited to support each boxed argument. The argument at the bottom left of the figure, suggesting that more patients will be candidates for EVAR if repaired early, linked to the conclusion with a dashed line, is the purpose of this study. We found, in fact, that this argument is not valid. Journal of Vascular Surgery 2010 52, 873-877DOI: (10.1016/j.jvs.2010.04.064) Copyright © 2010 Society for Vascular Surgery Terms and Conditions