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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...


The Relation Between Household Income and Surgical Outcome in the Dutch Setting...

Ultee, K; Tjeertes, EK; Bastos Gonçalves, F; Rouwet, EV; Hoofwijk, AG; Stolker, RJ; Verhagen, HJ; Hoeks, SE

BACKGROUND: The impact of socioeconomic disparities on surgical outcome in the absence of healthcare inequality remains unclear. Therefore, we set out to determine the association between socioeconomic status (SES), reflected by household income, and overall survival after surgery in the Dutch setting of equal access and provision of care. Additionally, we aim to assess whether SES is associated with cause-spec...


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...


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,...


Perioperative Complications Are Associated With Adverse Long-Term Prognosis and...

Tjeertes, E; Ultee, K; Stolker, R; Verhagen, H; Bastos Gonçalves, F; Hoofwijk, A; Hoeks, S

BACKGROUND: It is unclear how mortality and causes of death vary between patients and surgical procedures and how occurrence of postoperative complications is associated with prognosis. This study describes long-term mortality rates and causes of death in a general surgical population. Furthermore, we explore the effect of postoperative complications on mortality. METHODS: A single-centre analysis of postoperat...


Mid-Term Results of EVAR in Severe Proximal Aneurysm Neck Angulation.

Oliveira, NFG; Bastos Gonçalves, F; Vries, J; Ultee, K; Hoeks, S; Moll, F; Herwaarden, J; Verhagen, H

OBJECTIVE: To determine if mid-term outcome following endovascular aneurysm repair (EVAR) with the Endurant Stent Graft (Medtronic, Santa Rosa, CA, USA) is influenced by severe proximal neck angulation. METHODS: A retrospective case-control study was performed using data from a prospective multicenter database. All measurements were obtained using dedicated reconstruction software and center-lumen line reconstr...


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...


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