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Peripheral Artery Disease Patients May Benefit More from Aggressive Secondary P...

Ultee, K; Hoeks, Sa; Basto Gonçalves, F; Boersma, E; Stolker, R; Verhagen, H; Rouwet, E

BACKGROUND AND AIMS: Although it has become clear that aneurysmal and occlusive arterial disease represent two distinct etiologic entities, it is still unknown whether the two vascular pathologies are prognostically different. We aim to assess the long-term vital prognosis of patients with abdominal aortic aneurysmal disease (AAA) or peripheral artery disease (PAD), focusing on possible differences in survival,...


Clinical Outcome and Morphologic Determinants of Mural Thrombus in Abdominal Ao...

Oliveira, N; Bastos Gonçalves, F; Hoeks, S; Ten Raa, S; Ultee, K; Rouwet, E; Hendriks, J; Verhagen, H

OBJECTIVE:Endograft mural thrombus has been associated with stent graft or limb thrombosis after endovascular aneurysm repair (EVAR). This study aimed to identify clinical and morphologic determinants of endograft mural thrombus accumulation and its influence on thromboembolic events after EVAR. METHODS: A prospectively maintained database of patients treated by EVAR at a tertiary institution from 2000 to 2012 ...


Coronary Revascularization Induces a Shift From Cardiac Toward Noncardiac Morta...

Ultee, K; Rouwet, E; Hoeks, S; van Lier, F; Bastos Gonçalves, F; Boersma, E; Stolker, R; Verhagen, H

OBJECTIVE: Although evidence has shown that ischemic heart disease (IHD) in vascular surgery patients has a negative impact on the prognosis after surgery, it is unclear whether directed treatment of IHD may influence cause-specific and overall mortality. The objective of this study was to determine the prognostic implication of coronary revascularization (CR) on overall and cause-specific mortality in vascular...


Familial Abdominal Aortic Aneurysm Is Associated With More Complications After ...

Luijtgaarden, K; Bastos Gonçalves, F; Hoeks, S; Majoor-Krakauer, D; Rouwet, E; Stolker, R; Verhagen, H

OBJECTIVE: A familial predisposition to abdominal aortic aneurysms (AAAs) is present in approximately one-fifth of patients. Nevertheless, the clinical implications of a positive family history are not known. We investigated the risk of aneurysm-related complications after endovascular aneurysm repair (EVAR) for patients with and without a positive family history of AAA. METHODS: Patients treated with EVAR for ...


Lower Atherosclerotic Burden in Familial Abdominal Aortic Aneurysm

Luijtgaarden, K; Bastos Gonçalves, F; Hoeks, S; Valentijn, T; Stolker, R; Majoor-Krakauer, D; Verhagen, H; Rouwet, E

OBJECTIVE: Despite the apparent familial tendency toward abdominal aortic aneurysm (AAA) formation, the genetic causes and underlying molecular mechanisms are still undefined. In this study, we investigated the association between familial AAA (fAAA) and atherosclerosis. METHODS: Data were collected from a prospective database including AAA patients between 2004 and 2012 in the Erasmus University Medical Center...


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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