Rupture After Endovascular Abdominal Aortic Aneurysm Repair: A Multicenter Study. (October 2014)

• Record Type: Journal Article
• Authors: Antonopoulos, Constantine N.; Kakisis, John D.; Giannakopoulos, Triantafillos G.; Andrikopoulos, Vasilios; Antoniadis, Pavlos; Bessias, Nikolaos; Dervisis, Konstantinos; Georgopoulos, Sotirios; Giannoukas, Athanasios; Kaperonis, Elias; Kiskinis, Dimitrios; Klonaris, Christos; Machairas, Anastasios; Papavassiliou, Vasilios; Saleptsis, Vasilios; Saratzis, Nikolaos; Seretis, Konstantinos; Tampakis, Charalambos; Liapis, Christos D.
• Is Part Of: Vascular & endovascular surgery. Volume 48:Number 7/8(2014)
• Page Start: 476
• Page End: 481
• Publication Date: 2014-10
• Subjects: abdominal aortic aneurysm -- rupture -- mortality -- endovascular aortic repair -- EVAR; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574414561225
• Languages: English
• ISSNs: 1538-5744

Abstract

A total of 22 patients with ruptured abdominal aortic aneurysms (rAAAs) after previous endovascular aortic repair (EVAR; rAAAevar) were presented to 7 referral hospitals in Greece, between January 2006 and April 2012. Type Ia endoleak and endograft migration were identified in 72.7% and 50%, respectively. Compliance to follow-up protocol prior to rupture was 31.8%. In-hospital mortality was 36.4% (9.1% for those treated with secondary EVAR and 63.6% for those treated with open surgical repair, P = .02). An increase in the proportion of patients with rAAAevar among the total number of patients with rAAAs from 1.3% in 2007 to 18.2% in 2012 ( P for trend = .04) was recorded, corresponding to an annual increase of 2.8% (b = 2.84, P = .04). Rupture after EVAR seemed to be a clinical entity encountered with increasing frequency over the past years. Type I endoleak and endograft migration were most frequently observed, whereas compliance to follow-up was low.