Reintervention after abdominal aortic aneurysm repair – who is to blame?
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.451 |
Resumo: | Introduction: Endovascular repair of abdominal aortic aneurysm (EVAR) is often recommended as first option for patients with suitable abdominal aortic aneurysm (AAA) anatomy. Nevertheless, this treatment carries higher reintervention rates and possibly higher aneurysm and all cause-related mortality in the long run versus open surgery. This narrative review aims to convey recent data about surveillance and the frequency and indications for reintervention after EVAR. Methods: A comprehensive narrative review was conducted, providing a critical and objective analysis of the current knowledge on a topic. Results: EVAR-1 trial reported lower total and aneurysm-related mortality in the first 6 months after EVAR patients, with increasing follow-up time the mortality rate increased, leading to a higher total and aneurysm-related mortality, comparing with the open surgical repair group. There is no consensus on EVAR surveillance, and in the 15-year follow-up of EVAR-1 trial they found that EVAR is associated with a reintervention rate of up to 20% in the first 4 years. There is a press in need for a homogeneity and contemporary appraisal of surveillance after EVAR and in indications for reintervention. In order to accomplish that, it is of paramount importance that centers undergoing EVAR programs publish their results about the compliance of follow up after EVAR and reintervention rates. Conclusion: Long term outcomes are the Achilles heel of the endovascular AAA repair. Adequate follow up and reintervention are of paramount importance for EVAR to achieve its full potential. |
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Reintervention after abdominal aortic aneurysm repair – who is to blame?Abdominal aortic aneurysmsurveillancesurgeryendovascularIntroduction: Endovascular repair of abdominal aortic aneurysm (EVAR) is often recommended as first option for patients with suitable abdominal aortic aneurysm (AAA) anatomy. Nevertheless, this treatment carries higher reintervention rates and possibly higher aneurysm and all cause-related mortality in the long run versus open surgery. This narrative review aims to convey recent data about surveillance and the frequency and indications for reintervention after EVAR. Methods: A comprehensive narrative review was conducted, providing a critical and objective analysis of the current knowledge on a topic. Results: EVAR-1 trial reported lower total and aneurysm-related mortality in the first 6 months after EVAR patients, with increasing follow-up time the mortality rate increased, leading to a higher total and aneurysm-related mortality, comparing with the open surgical repair group. There is no consensus on EVAR surveillance, and in the 15-year follow-up of EVAR-1 trial they found that EVAR is associated with a reintervention rate of up to 20% in the first 4 years. There is a press in need for a homogeneity and contemporary appraisal of surveillance after EVAR and in indications for reintervention. In order to accomplish that, it is of paramount importance that centers undergoing EVAR programs publish their results about the compliance of follow up after EVAR and reintervention rates. Conclusion: Long term outcomes are the Achilles heel of the endovascular AAA repair. Adequate follow up and reintervention are of paramount importance for EVAR to achieve its full potential. Sociedade Portuguesa de Angiologia e Cirurgia Vascular2022-09-11T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.451oai:ojs.acvjournal.com:article/451Angiologia e Cirurgia Vascular; Vol. 18 No. 2 (2022): June; 36-39Angiologia e Cirurgia Vascular; Vol. 18 N.º 2 (2022): Junho; 36-392183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/451https://doi.org/10.48750/acv.451http://acvjournal.com/index.php/acv/article/view/451/296Copyright (c) 2022 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessJácome, FilipaRibeiro, BeatrizDias Neto, Marina2022-09-19T16:07:55Zoai:ojs.acvjournal.com:article/451Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:48:56.862448Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Reintervention after abdominal aortic aneurysm repair – who is to blame? |
title |
Reintervention after abdominal aortic aneurysm repair – who is to blame? |
spellingShingle |
Reintervention after abdominal aortic aneurysm repair – who is to blame? Jácome, Filipa Abdominal aortic aneurysm surveillance surgery endovascular |
title_short |
Reintervention after abdominal aortic aneurysm repair – who is to blame? |
title_full |
Reintervention after abdominal aortic aneurysm repair – who is to blame? |
title_fullStr |
Reintervention after abdominal aortic aneurysm repair – who is to blame? |
title_full_unstemmed |
Reintervention after abdominal aortic aneurysm repair – who is to blame? |
title_sort |
Reintervention after abdominal aortic aneurysm repair – who is to blame? |
author |
Jácome, Filipa |
author_facet |
Jácome, Filipa Ribeiro, Beatriz Dias Neto, Marina |
author_role |
author |
author2 |
Ribeiro, Beatriz Dias Neto, Marina |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Jácome, Filipa Ribeiro, Beatriz Dias Neto, Marina |
dc.subject.por.fl_str_mv |
Abdominal aortic aneurysm surveillance surgery endovascular |
topic |
Abdominal aortic aneurysm surveillance surgery endovascular |
description |
Introduction: Endovascular repair of abdominal aortic aneurysm (EVAR) is often recommended as first option for patients with suitable abdominal aortic aneurysm (AAA) anatomy. Nevertheless, this treatment carries higher reintervention rates and possibly higher aneurysm and all cause-related mortality in the long run versus open surgery. This narrative review aims to convey recent data about surveillance and the frequency and indications for reintervention after EVAR. Methods: A comprehensive narrative review was conducted, providing a critical and objective analysis of the current knowledge on a topic. Results: EVAR-1 trial reported lower total and aneurysm-related mortality in the first 6 months after EVAR patients, with increasing follow-up time the mortality rate increased, leading to a higher total and aneurysm-related mortality, comparing with the open surgical repair group. There is no consensus on EVAR surveillance, and in the 15-year follow-up of EVAR-1 trial they found that EVAR is associated with a reintervention rate of up to 20% in the first 4 years. There is a press in need for a homogeneity and contemporary appraisal of surveillance after EVAR and in indications for reintervention. In order to accomplish that, it is of paramount importance that centers undergoing EVAR programs publish their results about the compliance of follow up after EVAR and reintervention rates. Conclusion: Long term outcomes are the Achilles heel of the endovascular AAA repair. Adequate follow up and reintervention are of paramount importance for EVAR to achieve its full potential. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-11T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.451 oai:ojs.acvjournal.com:article/451 |
url |
https://doi.org/10.48750/acv.451 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/451 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/451 https://doi.org/10.48750/acv.451 http://acvjournal.com/index.php/acv/article/view/451/296 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 18 No. 2 (2022): June; 36-39 Angiologia e Cirurgia Vascular; Vol. 18 N.º 2 (2022): Junho; 36-39 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130355538591744 |