The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Chaikof, Elliot L.; Dalman, Ronald L.; Eskandari, Mark K.; Jackson, Benjamin M.; Lee, W. Anthony; Mansour, M. Ashraf; Mastracci, Tara M.; Mell, Matthew W.; Murad, M. Hassan; Nguyen, Louis L.; Oderich, Gustavo S.; Patel, Madhukar S.; Schermerhorn, Marc L.; Starnes, Benjamin W.

doi:10.1016/j.jvs.2017.10.044

Cited by 1,733 publications

(1,399 citation statements)

References 782 publications

(812 reference statements)

Supporting

Mentioning

1,313

Contrasting

Unclassified

Order By: Relevance

“…Figure 6 [3-8]. Placement of a large limb in a shorter vessel, kinking [3] or the presence of angulation or calcifications of the iliac arteries appear to be predictors of endograft limb occlusion after EVAR [6]. And didn`t find statistical significance for occlusion rate between different endograft [5].…”

Section: Figurementioning

confidence: 99%

“…The endovascular treatment of abdominal aortic aneurysm when compared to conventional treatment is less invasive and presenting lower morbidity, mortality, especially in patients with high anesthetic-surgical risk [1][2][3]. Among the complications described in the medium and long term after the treatment are the thromboembolic events associated with the stent graft occlusion, generally graft limb occlusion [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Among the complications described in the medium and long term after the treatment are the thromboembolic events associated with the stent graft occlusion, generally graft limb occlusion [3,4]. Furthermore, follow-up after surgery is necessary to decrease the risk of death or associated comorbidities [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Total Abdominal Aortic Stent Graft Occlusion

Reis¹,

Rotolo²,

Veiga³

et al. 2017

J Vasc Endovasc Surg

View full text Add to dashboard Cite

Section: Figurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Total Abdominal Aortic Stent Graft Occlusion

Reis¹,

Rotolo²,

Veiga³

et al. 2017

J Vasc Endovasc Surg

View full text Add to dashboard Cite

“…Patients who undergo endovascular aneurysm repair (EVAR) require long-term surveillance because of persistent or delayed occurrences of endoleaks and development of endotension, which may expose them to a recurrent risk of aneurysm rupture 1 . Although the incidence of aneurysm rupture after EVAR is low (approximately 0.9% according to a recent meta-analysis), the predominant majority of cases are associated with an endoleak 2 .…”

mentioning

confidence: 99%

“…Approximately 25% of patients will develop an endoleak at some point after EVAR, 3 the majority of which are type II endoleaks 1, 3. More than 50% of type II endoleaks are discovered at follow-up 4 and are detected >1 year after the initial surgery 5 .…”

mentioning

confidence: 99%

Recanalization of previously thrombosed type II endoleak with aneurysm sac expansion after systemic thrombolysis

Kuroki

Ferranti

Aziz

et al. 2018

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

Patients who have undergone endovascular aneurysm repair (EVAR) need lifelong monitoring because of the risk of aneurysm rupture secondary to delayed endoleaks. Thrombolytic therapy may expose patients with previous EVAR to the risk for development of new endoleaks. We describe a case in which a single dose of intravenous tissue plasminogen activator for acute ischemic stroke was complicated by aneurysm sac expansion secondary to a recurrent endoleak. The potential for a life-threatening complication may warrant routine imaging evaluation of the stent graft after systemic tissue plasminogen activator therapy for acute ischemic stroke in patients with previous EVAR.

show abstract

Primary Care Screening for Abdominal Aortic Aneurysm

Guirguis-Blake

Beil

Senger

et al. 2019

JAMA

111

View full text Add to dashboard Cite

IMPORTANCE Ruptured abdominal aortic aneurysms (AAAs) have mortality estimated at 81%. OBJECTIVE To systematically review the evidence on benefits and harms of AAA screening and small aneurysm treatment to inform the US Preventive Services Task Force. DATA SOURCES MEDLINE, PubMed (publisher supplied only), Database of Abstracts of Reviews of Effects, and Cochrane Central Register of Controlled Trials for relevant English-language studies published through September 2018. Surveillance continued through July 2019. STUDY SELECTION Trials of AAA screening benefits and harms; trials and cohort studies of small (3.0-5.4 cm) AAA treatment benefits and harms. DATA EXTRACTION AND SYNTHESIS Two investigators independently reviewed abstracts and full-text articles and extracted data. The Peto method was used to pool odds ratios (ORs) for AAA-related mortality, rupture, and operations; the DerSimonian and Laird random-effects model was used to pool calculated risk ratios for all-cause mortality. MAIN OUTCOMES AND MEASURES AAA and all-cause mortality; AAA rupture; treatment complications. RESULTS Fifty studies (N = 323 279) met inclusion criteria. Meta-analysis of population-based randomized clinical trials (RCTs) estimated that a screening invitation to men 65 years or older was associated with a reduction in AAA-related mortality over 12 to 15 years (OR, 0.65 [95% CI, 0.57-0.74]; 4 RCTs [n = 124 926]), AAA-related ruptures over 12 to 15 years (OR, 0.62 [95% CI, 0.55-0.70]; 4 RCTs [n = 124 929]), and emergency surgical procedures over 4 to 15 years (OR, 0.57 [95% CI, 0.48-0.68]; 5 RCTS [n = 175 085]). In contrast, no significant association with all-cause mortality benefit was seen at 12-to 15-year follow-up (relative risk, 0.99 [95% CI 0.98-1.00]; 4 RCTs [n = 124 929]). One-time screening was associated with significantly more procedures over 4 to 15 years in the invited group compared with the control group (OR, 1.44 [95% CI, 1.34-1.55]; 5 RCTs [n = 175 085]). Four trials (n = 3314) of small aneurysm surgical treatment demonstrated no significant difference in AAA-related mortality or all-cause mortality compared with surveillance over 1.7 to 12 years. These 4 early surgery trials showed a substantial increase in procedures in the early surgery group. For small aneurysm treatment, registry data (3 studies [n = 14 424]) showed that women had higher surgical complications and postoperative mortality compared with men. CONCLUSIONS AND RELEVANCE One-time AAA screening in men 65 years or older was associated with decreased AAA-related mortality and rupture rates but was not associated with all-cause mortality benefit. Higher rates of elective surgery but no long-term differences in quality of life resulted from screening.

show abstract

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Cited by 1,733 publications

References 782 publications

Total Abdominal Aortic Stent Graft Occlusion

Total Abdominal Aortic Stent Graft Occlusion

Recanalization of previously thrombosed type II endoleak with aneurysm sac expansion after systemic thrombolysis

Primary Care Screening for Abdominal Aortic Aneurysm

Contact Info

Product

Resources

About