Jeffrey P. Carpenter, MDa, Richard A. Baum, MDb, Clyde F

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Impact of exclusion criteria on patient selection for endovascular abdominal aortic aneurysm repair Jeffrey P. Carpenter, MDa, Richard A. Baum, MDb, Clyde F. Barker, MDa, Michael A. Golden, MDa, Mark E. Mitchell, MDa, Omaida C. Velazquez, MDa, Ronald M. Fairman, MDa Journal of Vascular Surgery Volume 34, Issue 6, Pages 1050-1054 (December 2001) DOI: 10.1067/mva.2001.120037 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Fate of 307 patients with an AAA who were candidates for EVAR. Of those accepted for EVAR (66%), the procedure was performed successfully in all patients except three. A total of 93% of rejections were made on the basis of anatomic unsuitability for available devices. Journal of Vascular Surgery 2001 34, 1050-1054DOI: (10.1067/mva.2001.120037) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Sex bias in EVAR candidate selection. Rejection of female patients was disproportionately higher than that of male patients (P <.001). Neck issues were the predominant factor accounting for this observation. Journal of Vascular Surgery 2001 34, 1050-1054DOI: (10.1067/mva.2001.120037) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Fate of patients rejected for EVAR. Most patients undergoing EVAR (69%) also qualified as candidates for conventional open surgery. Patients excluded from EVAR were most often also found to be unfit for conventional open AAA surgery. Patient candidates who were at high risk were more likely than patients at low risk to be excluded from EVAR (51% vs 20%, P <.001). Journal of Vascular Surgery 2001 34, 1050-1054DOI: (10.1067/mva.2001.120037) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions