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Long-Term Follow-Up of Secondary Interventions After EVAR With AneuRx Endoprosthesis

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Imran Javed
Imran Javed
Salud y medicina
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[object Object],[object Object],[object Object],JOURNAL CLUB July 2010
Long-term Follow-up of Secondary Interventions After Endovascular Aneurysm Repair With the AneuRx Endoprosthesis: A Single-Center Experience
Department of Vascular Surgery St. Antonius Hospital, Nieuwegein, and, University Medical Center Utrecht, The Netherlands . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AIM OF THE STUDY ,[object Object]
Methods ,[object Object],[object Object],[object Object]
DEMOGRAPHICS OF 62 PATIENTS 15 (24%) COPD 6 (10 %) HISTORY OF STROKE 25 (40%) HISTORY OF M.I. 1 (2%) HYPERHOMOCYSTEINEMIA 19 (31%) HYPERCHOLESTROLEMIA 2 (3%) DIABTES MELLITUS 19 (31%) HYPERTENSION 58 (95%) MEN 73+-7.2 AGE (YEARS)
Complications after EVAR AneuRx EVAR (n=212) Type Ia (n=28) Type Ib (n=6) Type II (n=8) Type III (n=17) Obstruction (n=3) Secondary intervention (n=62) No secondary Intervention (n=150)
MANAGEMENT OF TYPE I ENDOLEAK Type Ia= 28 Cuff=23 Aorto-monoiliac graft =4 Open=1 Type Ib=6 Cuff =6
MANAGEMENT OF TYPE II & III ENDOLEAK Type III=17 Cuff=9 Aorto-monoiliac Graft=7 Open=1 Type II Embolization=8
ENDOGRAFT OBSTRUCTION ,[object Object],[object Object],[object Object],[object Object]
INDICATIONS FOR EVAR ,[object Object],[object Object],[object Object]
FOLLOW-UP PATIENTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
DEFINITIONS ,[object Object],[object Object]
OUTCOME OF SECONDARY INTERVENTION 42 (68%) 59 (95%) TOTAL=62 0 (0%) 0 (0%) 1 (100%) 2 (100%) OBSTRUCTION=3 LYSIS=1 OPEN REPAIR=2 6 (67%) 6 (86%) 1 (100%) 9 (100%) 7 (100%) 1 (100%) TYPE III=17 INTERPOSITION CUFF=9 AOERTOMONOILIAC GRAFT=7 OPEN REPAIR=1 7 (88%) 7 (88%) TYPE II=8 EMBOLIZATION 6 (100%) 5 (83%) TYPE Ib=6 EXTENSION CUFF=6 12 (52%) 3 (75%) 1 (100%) 22 (96%) 4 (100%) 1 (100%) TYPE Ia=28 EXTENSION CUFF=23 AORTOMONOILIAC GRAFT=4 OPEN REPAIR=1 CLINICAL SUCCESS TECHNICAL SUCCESS INDICATION
Results ,[object Object],[object Object],[object Object]
Results ,[object Object],[object Object]
[object Object],[object Object],CONCLUSION
 

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Long-Term Follow-Up of Secondary Interventions After EVAR With AneuRx Endoprosthesis

  • 1.  
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  • 3. Long-term Follow-up of Secondary Interventions After Endovascular Aneurysm Repair With the AneuRx Endoprosthesis: A Single-Center Experience
  • 4.
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  • 7. DEMOGRAPHICS OF 62 PATIENTS 15 (24%) COPD 6 (10 %) HISTORY OF STROKE 25 (40%) HISTORY OF M.I. 1 (2%) HYPERHOMOCYSTEINEMIA 19 (31%) HYPERCHOLESTROLEMIA 2 (3%) DIABTES MELLITUS 19 (31%) HYPERTENSION 58 (95%) MEN 73+-7.2 AGE (YEARS)
  • 8. Complications after EVAR AneuRx EVAR (n=212) Type Ia (n=28) Type Ib (n=6) Type II (n=8) Type III (n=17) Obstruction (n=3) Secondary intervention (n=62) No secondary Intervention (n=150)
  • 9. MANAGEMENT OF TYPE I ENDOLEAK Type Ia= 28 Cuff=23 Aorto-monoiliac graft =4 Open=1 Type Ib=6 Cuff =6
  • 10. MANAGEMENT OF TYPE II & III ENDOLEAK Type III=17 Cuff=9 Aorto-monoiliac Graft=7 Open=1 Type II Embolization=8
  • 11.
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  • 15. OUTCOME OF SECONDARY INTERVENTION 42 (68%) 59 (95%) TOTAL=62 0 (0%) 0 (0%) 1 (100%) 2 (100%) OBSTRUCTION=3 LYSIS=1 OPEN REPAIR=2 6 (67%) 6 (86%) 1 (100%) 9 (100%) 7 (100%) 1 (100%) TYPE III=17 INTERPOSITION CUFF=9 AOERTOMONOILIAC GRAFT=7 OPEN REPAIR=1 7 (88%) 7 (88%) TYPE II=8 EMBOLIZATION 6 (100%) 5 (83%) TYPE Ib=6 EXTENSION CUFF=6 12 (52%) 3 (75%) 1 (100%) 22 (96%) 4 (100%) 1 (100%) TYPE Ia=28 EXTENSION CUFF=23 AORTOMONOILIAC GRAFT=4 OPEN REPAIR=1 CLINICAL SUCCESS TECHNICAL SUCCESS INDICATION
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  • 19.