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Risk Factors, Dynamics, and Clinical Consequences of Aortic Neck Dilatation aft...

Oliveira, N; Oliveira-Pinto, J; Rijn, M; Baart, S; Raa, S; Hoeks, S; Bastos Gonçalves, F; Verhagen, H

Objective: Aortic neck dilatation (AND) occurs after endovascular aneurysm repair (EVAR) with self expanding stent grafts (SESs). Whether it continues, ultimately exceeding the endograft diameter leading to abdominal aortic aneurysm (AAA) rupture, remains uncertain. Dynamics, risk factors, and clinical relevance of AND were investigated after EVAR with standard SESs. Methods: All intact EVAR patients treated fr...


Alterações Morfológicas e Consequências Clínicas do Tratamento de Colos Proxima...

Oliveira-Pinto, J; Soares Ferreira, R; Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Rijn, MJ; Raa, S; Mansilha, A; Verhagen, H

Introdução: O tratamento endovascular representa o método de eleição para o tratamento de Aneurismas da Aorta Abdominal (AAA). Existem endopróteses disponíveis com diâmetros do colo proximal até 36mm, que permitem o tratamento de colos proximais até 32 mm. Contudo, a existência de colos largos representa um conhecido preditor de complicações. O objetivo deste estudo é avaliar os resultados a médio-prazo de doen...


Long-Term Results After Standard Endovascular Aneurysm Repair With the Endurant...

Oliveira-Pinto, J; Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Rijn, MJ; Raa, S; Mansilha, A; Verhagen, H

Objective: Many endografts are currently available for standard endovascular repair of infrarenal abdominal aortic aneurysms. Comparison of long-term outcomes between devices might aid in this decision process, but comparative data are scarce. The purpose of this study was to report long-term clinical outcomes of two commercially available endoprosthesis, the Endurant (Medtronic Vascular, Inc, Minneapolis, Minn...


Comparison of Midterm Results of Endovascular Aneurysm Repair for Ruptured and ...

Oliveira-Pinto, J; Soares Ferreira, R; Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Rijn, MJ; Raa, S; Mansilha, A; Verhagen, JM

Objective: Endovascular aneurysm repair (EVAR) became an increasingly preferred modality for abdominal aortic aneurysm (AAA) repair both in elective AAA repair (el-EVAR) and EVAR of a ruptured AAA (r-EVAR) setting. Ruptured AAAs usually have more hostile anatomies and less time for planning. Consequently, more complications may arise after r-EVAR. The purpose of this study was to compare mi-term outcomes betwee...


Anatomic Predictors for Late Mortality after Standard Endovascular Aneurysm Repair

Oliveira, N; Ultee, K; van Rijn, MJ; Pinto, JP; Raa, S; Bastos Gonçalves, F; Hoeks, S; Verhagen, H

Objective: Abdominal aortic aneurysm (AAA) management involves a decision process that takes into account anatomic characteristics, surgical risks, patients' preferences, and expected survival. Whereas larger AAA diameter has been associated with increased mortality after both standard endovascular aneurysm repair (EVAR) and open repair, it is unclear whether survival after EVAR is influenced by other anatomic ...


Patients with Large Neck Diameter Have a Higher Risk of Type IA Endoleaks and A...

Oliveira, N; Bastos Gonçalves, F; Ultee, K; Pinto, JP; Rijn, MJ; Raa, S; Mwipatayi, P; Böckler, D; Hoeks, S; Verhagen, H

Objective: Standard endovascular aneurysm repair (EVAR) is the most common treatment of abdominal aortic aneurysms (AAAs). EVAR has been increasingly used in patients with hostile neck features. This study investigated the outcomes of EVAR in patients with neck diameters ≥30 mm in the prospectively maintained Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE). Methods: This is a retrospe...


Long-Term Outcomes of Standard Endovascular Aneurysm Repair in Patients With Se...

Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Josee van Rijn, M; Ultee, K; Pinto, JP; Raa, S; van Herwaarden, J; de Vries, JP; Verhagen, H

Objective: Severe neck angulation is associated with complications after endovascular aneurysm repair (EVAR). Newer endografts may overcome this limitation, but the literature lacks long-term results. We studied the long-term outcomes of EVAR in patients with severe neck angulation. Methods: A retrospective case-control study of a prospective multicenter database was performed. All measurements were made with d...


Adequate Seal and No Endoleak on the First Postoperative Computed Tomography An...

Bastos Gonçalves, F; Luijtgaarden, K; Hoeks, S; Hendriks, J; Raa, S; Rouwet, E; Stolker, R; Verhagen, H

OBJECTIVE: Intensive image surveillance after endovascular aneurysm repair is generally recommended due to continued risk of complications. However, patients at lower risk may not benefit from this strategy. We evaluated the predictive value of the first postoperative computed tomography angiography (CTA) characteristics for aneurysm-related adverse events as a means of patient selection for risk-adapted survei...


Clinical Outcome and Morphologic Analysis after Endovascular Aneurysm Repair Us...

Bastos Gonçalves, F; Jairam, A; Voûte, M; Moelker, A; Rouwet, E; Raa, S; Hendriks, J; Verhagen, H

OBJECTIVE: Long-term follow-up after endovascular aneurysm repair (EVAR) is very scarce, and doubt remains regarding the durability of these procedures. We designed a retrospective cohort study to assess long-term clinical outcome and morphologic changes in patients with abdominal aortic aneurysms (AAAs) treated by EVAR using the Excluder endoprosthesis (W. L. Gore and Associates, Flagstaff, Ariz). METHODS: Fro...


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