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Endoleak as a predictor of outcome after endovascular aneurysm repair: AneuRx multicenter clinical trial  Christopher K. Zarins, MDa, Rodney A. White,

Published byRichard Earl Rodgers Modified over 5 years ago

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Presentation on theme: "Endoleak as a predictor of outcome after endovascular aneurysm repair: AneuRx multicenter clinical trial  Christopher K. Zarins, MDa, Rodney A. White,"— Presentation transcript:

1 Endoleak as a predictor of outcome after endovascular aneurysm repair: AneuRx multicenter clinical trial  Christopher K. Zarins, MDa, Rodney A. White, MDb, Kim J. Hodgson, MDc, Donald Schwarten, MDd, Thomas J. Fogarty, MDa  Journal of Vascular Surgery  Volume 32, Issue 1, Pages (July 2000) DOI: /mva Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Kaplan-Meier survival curves for patients with and without endoleak after successful endovascular aneurysm repair. A, Endoleak status before hospital discharge. B, Endoleak status at 1 month. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Aneurysm rupture 14 months after endovascular aneurysm repair. A, CT of 6.8-cm aneurysm before endovascular repair. B, Endoleak is demonstrated on CT scan 24 hours after endovascular repair. C, CT scan at 1 and 6 months reveals no endoleak and no change in aneurysm size. D, CT scan at 14 months reveals rupture and aneurysm enlargement to 7.5 cm. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Kaplan-Meier primary outcome estimates (no death, no aneurysm rupture, no conversion to open repair, and no additional procedure for endoleak or nonpatency of the stent graft) for patients with and those without endoleaks at (A) hospital discharge. Primary outcome measure at (B) 1 month. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Kaplan-Meier secondary outcome estimates (no death, no aneurysm rupture, and no conversion to open surgical repair) for patients with and those without endoleaks at (A) hospital discharge. Secondary outcome measure at (B) 1 month. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 CT scan at 6 months of patient with aneurysm rupture at 14 months (same patient as in Fig 2) demonstrating short, angulated neck with eccentric fixation of proximal stent graft. A, Infrarenal aortic segment with tortuosity apparent at level of left renal artery. B, Eccentric fixation of proximal portion of stent graft in tortuous infrarenal segment. C, Body of stent graft within aneurysm with no endoleak. D, Bifurcation portion of stent graft with no endoleak. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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