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Incidence, Risk Fac...
Incidence, Risk Factors, and Prognostic Impact of Type Ib Endoleak Following Endovascular Repair for Abdominal Aortic Aneurysm : Scoping Review
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- Zuccon, Gianmarco (författare)
- Vascular Division, Cardiovascular Department, HPG23 Hospital, Bergamo, Italy
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- D'Oria, Mario (författare)
- Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste ASUGI, Trieste, Italy
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- Gonçalves, Frederico Bastos (författare)
- NOVA Medical School – Faculdade de Ciências Médicas (NMS|FCM), Universidade Nova de Lisboa, Lisbon, Portugal
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- Fernandez-Prendes, Carlota (författare)
- Department of Vascular Surgery, Ludwig-Maximilians University Hospital, Munich, Germany
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- Mani, Kevin, 1975- (författare)
- Uppsala universitet,Kärlkirurgi
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- Caldeira, Daniel (författare)
- Serviço de Cardiologia, Hospital Universitário de Santa Maria – CHULN, Portugal, Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), CAML, CEMBE, Faculdade de Medicina, Universidade de Lisboa, Portugal, Laboratory of Clinical Pharmacology and Therapeutics, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
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- Koelemay, Mark (författare)
- Department of Surgery, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, Netherlands
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- Bissacco, Daniele (författare)
- Department of Clinical and Community Sciences, University of Milan, Milan, Italy
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- Trimarchi, Santi (författare)
- Department of Clinical and Community Sciences, University of Milan, Milan, Italy
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- Van Herzeele, Isabelle (författare)
- Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium
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- Wanhainen, Anders (författare)
- Uppsala universitet,Umeå universitet,Kirurgi,Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden,Kärlkirurgi,Department of Peri-operative and Surgical Sciences, Surgery, Umeå University, Umeå, Sweden
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: European Journal of Vascular and Endovascular Surgery. - : Elsevier. - 1078-5884 .- 1532-2165. ; 66:3, s. 352-361
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Objective: The primary objectives of this scoping review were to assess the rate of and risk factors for type Ib endoleak and to evaluate the extent of the evidence base that links type Ib endoleak to short and long term outcomes in patients undergoing endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA).Methods: Potentially eligible studies were searched in the Cochrane Central Register of Controlled Trials, MEDLINE, Web of Science Core Collection, SciELO Citation Index, Russian Science Citation Index, and KCI-Korean Journal Database. A scoping review was performed according to PRISMA extension for Scoping Reviews.Results: A total of 27 articles (four prospective registries and 23 retrospective cohort studies) dealing with type Ib endoleak were included in the final analysis. The number of patients reported on was 7 197, with follow up ranging between 12 months and 93 months. The reported frequency of type Ib endoleak in patients treated with EVAR ranged from 0% to 8%, Patient and or procedure related factors associated with risk of type Ib endoleak were (1) common iliac artery (CIA) diameter ˃ 18 mm requiring use of flared stent graft limbs (FLs) ˃ 20 mm, (2) length of CIA landing zone ˂ 20 mm, (3) marked iliac tortuosity, and (4) large initial AAA diameter. Depending on the study, 50 – 100% of type Ib endoleaks were corrected by endovascular means, with a reported immediate technical success of 100% in the studies providing this information.Conclusion: Type Ib endoleak after EVAR has been reported to occur in 0 – 8% of cases. Several anatomical features, including CIA diameter ˃ 18 mm or requiring the use of FLs ˃ 20 mm, length of CIA landing zone ˂ 20 mm, marked iliac tortuosity, and large initial AAA diameter, could increase the risk of type Ib endoleak and may require alternative therapeutic options and or more stringent follow up. Therefore, this updated scoping review provides a comprehensive summary of the frequency, risk factors, prognosis, and treatment of type Ib endoleaks, and has identified knowledge gaps in the literature to guide further studies.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Abdominal aortic aneurysm
- Endoleak
- Endovascular aneurysm repair
- Outcome
- Reporting standards
- Review
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Zuccon, Gianmarc ...
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D'Oria, Mario
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Gonçalves, Frede ...
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Fernandez-Prende ...
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Mani, Kevin, 197 ...
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Caldeira, Daniel
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Koelemay, Mark
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Bissacco, Daniel ...
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Trimarchi, Santi
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Van Herzeele, Is ...
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Wanhainen, Ander ...
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MEDICIN OCH HÄLS ...
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Umeå universitet
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