BACKGROUND: The aim of this study was to evaluate how different proximal aortic neck hostility factors affect outcomes of patients with abdominal aortic aneurysm (AAA) undergoing endosuture aneurysm repair (ESAR) in a real-world setting. METHODS: Our observational, retrospective, single-center study included all patients who consecutively underwent ESAR from October 2015 to October 2022 at our Institution. Patients were divided into two groups; proximal aortic necks <10 mm in length were included in group 1 “Short” and tapered, dilated, and angulated necks were aggregated into group 2 “Other.” Primary study outcome was the occurrence of type 1A endoleak; secondary outcomes included overall survival, aneurysm-related death, procedure-related reintervention, procedural complications, and reduction of the residual aneurysmal sac. RESULTS: The study included 52 patients: 28 in Group 1 (Short) and 24 in Group 2 (Other). At the median 32-month follow-up, primary outcome was reported in 11 with a difference between the two groups (P<0.001). Procedure-related reintervention was reported in 6 (11.8%). ROC curve analysis identified a cutoff of 5.5mm for increased type 1A endoleak risk (HR:11). CONCLUSIONS: ESAR is a safe and effective adjunct to EVAR for complex anatomies, but a neck shorter than 5.5-mm increases type 1A endoleak risk in ESAR patients.

Are very short necks ESAR patients safe from type 1A endoleak risk? / Accarino, Giulio; Peluso, Antonio; Turchino, Davide; Fornino, Giovanni; Puca, Aniello E.; DE ROSA, Carmela; Accarino, Giancarlo; Galasso, Gennaro; Serra, Raffaele; Bracale, Umberto M.. - In: ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. - ISSN 1824-4777. - 31:1(2024), pp. 10-18. [10.23736/s1824-4777.23.01644-3]

Are very short necks ESAR patients safe from type 1A endoleak risk?

ACCARINO, Giulio;TURCHINO, Davide;BRACALE, Umberto M.
2024

Abstract

BACKGROUND: The aim of this study was to evaluate how different proximal aortic neck hostility factors affect outcomes of patients with abdominal aortic aneurysm (AAA) undergoing endosuture aneurysm repair (ESAR) in a real-world setting. METHODS: Our observational, retrospective, single-center study included all patients who consecutively underwent ESAR from October 2015 to October 2022 at our Institution. Patients were divided into two groups; proximal aortic necks <10 mm in length were included in group 1 “Short” and tapered, dilated, and angulated necks were aggregated into group 2 “Other.” Primary study outcome was the occurrence of type 1A endoleak; secondary outcomes included overall survival, aneurysm-related death, procedure-related reintervention, procedural complications, and reduction of the residual aneurysmal sac. RESULTS: The study included 52 patients: 28 in Group 1 (Short) and 24 in Group 2 (Other). At the median 32-month follow-up, primary outcome was reported in 11 with a difference between the two groups (P<0.001). Procedure-related reintervention was reported in 6 (11.8%). ROC curve analysis identified a cutoff of 5.5mm for increased type 1A endoleak risk (HR:11). CONCLUSIONS: ESAR is a safe and effective adjunct to EVAR for complex anatomies, but a neck shorter than 5.5-mm increases type 1A endoleak risk in ESAR patients.
2024
Are very short necks ESAR patients safe from type 1A endoleak risk? / Accarino, Giulio; Peluso, Antonio; Turchino, Davide; Fornino, Giovanni; Puca, Aniello E.; DE ROSA, Carmela; Accarino, Giancarlo; Galasso, Gennaro; Serra, Raffaele; Bracale, Umberto M.. - In: ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. - ISSN 1824-4777. - 31:1(2024), pp. 10-18. [10.23736/s1824-4777.23.01644-3]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/959419
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