The impact of aneurysm volume on midterm Post-EVAR outcomes
Aim: We examined the impact of preoperative three-dimensional aortic volume on outcomes following Endovascular Aortic Repair (EVAR). Material and Methods: A total of 146 patients who underwent elective EVAR at our hospital between January 2018 and January 2023, and who had preoperative and postopera...
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| Format: | Article |
| Language: | English |
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Turkish National Vascular and Endovascular Surgery Society
2024-03-01
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| Series: | Turkish Journal of Vascular Surgery |
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| Online Access: | https://turkishjournalofvascularsurgery.org//?mno=200395 |
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| author | Mehmet Ali Turkcu Osman Eren Karpuzoglu Bahadir Aytekin Ferit Cetinkaya Mustafa Dagli Hakki Zafer Iscan |
| author_facet | Mehmet Ali Turkcu Osman Eren Karpuzoglu Bahadir Aytekin Ferit Cetinkaya Mustafa Dagli Hakki Zafer Iscan |
| author_sort | Mehmet Ali Turkcu |
| collection | DOAJ |
| description | Aim: We examined the impact of preoperative three-dimensional aortic volume on outcomes following Endovascular Aortic Repair (EVAR).
Material and Methods: A total of 146 patients who underwent elective EVAR at our hospital between January 2018 and January 2023, and who had preoperative and postoperative multislice Computed Tomographic Angiography (CTA), were included in the study. The effects of aneurysm sac volumetric measurements on post-EVAR endoleak, reintervention, and late mortality were evaluated. Since there is no definite cut-off value for aneurysm volume and EVAR results in the literature, we compared patients with aneurysm volumes above and below 231.7 cm³ obtained by roc analysis.
Results: During the follow-up period, the rate of secondary intervention was higher if the preoperative aneurysm volume was greater than 231.7 cm³ (p=0.001) or if the preoperative thrombus volume was greater than 206.1 cm³ (p=0.002). There was no notable difference in terms of endoleak (p=0.5) and during follow-up mortality rate (p=0.8) between patients with sac volumes above and below 231.7 cm³. After EVAR, when morphological changes were examined, it was noted that there was a dilatation of the neck (preoperative 23±4 mm and postoperative 26±4 mm) (p [Turk J Vasc Surg 2024; 33(2.000): 78-83] |
| format | Article |
| id | doaj-art-1da907ffe5a247e886504f309014d2dd |
| institution | Kabale University |
| issn | 2667-5080 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Turkish National Vascular and Endovascular Surgery Society |
| record_format | Article |
| series | Turkish Journal of Vascular Surgery |
| spelling | doaj-art-1da907ffe5a247e886504f309014d2dd2025-02-11T11:13:53ZengTurkish National Vascular and Endovascular Surgery SocietyTurkish Journal of Vascular Surgery2667-50802024-03-013327883200395The impact of aneurysm volume on midterm Post-EVAR outcomesMehmet Ali Turkcu0Osman Eren Karpuzoglu1Bahadir Aytekin2Ferit Cetinkaya3Mustafa Dagli4Hakki Zafer Iscan5Elbistan state hospital, Elbistan/KAHRAMANMARAŞ Siyami Ersek hospital, İstanbul Ankara City Hospital, Ankara Ağrı Education and Research Hospital, Ağrı Ankara City Hospital, Ankara Ankara City Hospital, AnkaraAim: We examined the impact of preoperative three-dimensional aortic volume on outcomes following Endovascular Aortic Repair (EVAR). Material and Methods: A total of 146 patients who underwent elective EVAR at our hospital between January 2018 and January 2023, and who had preoperative and postoperative multislice Computed Tomographic Angiography (CTA), were included in the study. The effects of aneurysm sac volumetric measurements on post-EVAR endoleak, reintervention, and late mortality were evaluated. Since there is no definite cut-off value for aneurysm volume and EVAR results in the literature, we compared patients with aneurysm volumes above and below 231.7 cm³ obtained by roc analysis. Results: During the follow-up period, the rate of secondary intervention was higher if the preoperative aneurysm volume was greater than 231.7 cm³ (p=0.001) or if the preoperative thrombus volume was greater than 206.1 cm³ (p=0.002). There was no notable difference in terms of endoleak (p=0.5) and during follow-up mortality rate (p=0.8) between patients with sac volumes above and below 231.7 cm³. After EVAR, when morphological changes were examined, it was noted that there was a dilatation of the neck (preoperative 23±4 mm and postoperative 26±4 mm) (p [Turk J Vasc Surg 2024; 33(2.000): 78-83]https://turkishjournalofvascularsurgery.org//?mno=200395aneurysm volumesecondary interventionendovascular aortic repair |
| spellingShingle | Mehmet Ali Turkcu Osman Eren Karpuzoglu Bahadir Aytekin Ferit Cetinkaya Mustafa Dagli Hakki Zafer Iscan The impact of aneurysm volume on midterm Post-EVAR outcomes Turkish Journal of Vascular Surgery aneurysm volume secondary intervention endovascular aortic repair |
| title | The impact of aneurysm volume on midterm Post-EVAR outcomes |
| title_full | The impact of aneurysm volume on midterm Post-EVAR outcomes |
| title_fullStr | The impact of aneurysm volume on midterm Post-EVAR outcomes |
| title_full_unstemmed | The impact of aneurysm volume on midterm Post-EVAR outcomes |
| title_short | The impact of aneurysm volume on midterm Post-EVAR outcomes |
| title_sort | impact of aneurysm volume on midterm post evar outcomes |
| topic | aneurysm volume secondary intervention endovascular aortic repair |
| url | https://turkishjournalofvascularsurgery.org//?mno=200395 |
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