Infrarenal Remains Infrarenal—EVAR Suitability of Small AAA Is Rarely Compromised despite Morphological Changes during Surveillance
Abstract
:1. Introduction
2. Materials and Methods
2.1. Definitions and Inclusion Criteria
2.2. Exclusion Criteria
2.3. Statistical Analysis
3. Results
3.1. Analysis of Morphological Parameters
3.2. Correlation Analysis
3.3. Types of Operative Therapy
3.4. Procedural Changes
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Proximal Landing Zone, i.e., Aneurysm Neck | Shape | straight, conical, hourglass, kinked |
Diameter [mm]: | outer wall to outer wall
| |
Length [mm] | distal renal artery to aneurysm | |
Morphology |
| |
Angulation [°] | between neck and aneurysm | |
Aneurysm | Type |
|
Maximum diameter [mm] | outer wall to outer wall | |
Thrombus | area in percent of the cross-section [%] | |
Distal Landing Zone, i.e., Common Iliac Arteries | Maximum diameter [mm] | outer wall to outer wall |
Age | Mean ± SD (Years) |
First CTA/MRI 1 | 70 ± 8 |
Last CTA/MRI 1 | 73 ± 8 |
Sex | Patient number [n (%)] |
Male | 46 (88) |
Female | 6 (12) |
Comorbidities | |
Arterial hypertension | 37 (71) |
Coronary heart disease | 34 (65) |
Peripheral arterial occlusive disease | 17 (33) |
Cerebrovascular pathologies | 11 (21) |
First CTA/MRI 1 | Last CTA/MRI 1 | |
---|---|---|
Mean ± SD [mm] | Mean ± SD [mm] | |
Maximum aneurysm diameter | 47.7 ± 9.3 | 56.3 ± 11.6 |
patient number [n (%)] | patient number [n (%)] | |
Aneurysm type | ||
with neck | 35 (67) | 33 (63) |
“no neck“ | 17 (33) | 19 (36) |
Neck shape | ||
straight | 28 (54) | 26 (50) |
Conical | 2 (4) | 3 (6) |
Hourglass | 1 (2) | 1 (2) |
Bended | 4 (8) | 5 (10) |
Neck thrombus present | 31 (60) | 32 (63) |
Increased | N.A. 2 | 16 (31) |
Unchanged | N.A. 2 | 6 (12) |
Decreased | N.A. 2 | 9 (17) |
New | N.A. 2 | 1 (2) |
Aneurysm thrombus present | 46 (88) | 47 (90) |
Increased | N.A. 2 | 32 (61) |
Unchanged | N.A. 2 | 5 (10) |
Decreased | N.A. 2 | 9 (17) |
New | N.A. 2 | 1 (2) |
Angulation | ||
Increased | N.A. 2 | 41 (79) |
Unchanged | N.A. 2 | 3 (6) |
Decreased | N.A. 2 | 8 (15) |
Diameter common iliac arteries > 20 mm | ||
Overall | 18 (35) | 18 (35) |
Unilateral | 10 (19) | 9 (17) |
Bilateral | 8 (15) | 9 (17) |
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Becker, C.; Bülow, T.; Gombert, A.; Kalder, J.; Keschenau, P.R. Infrarenal Remains Infrarenal—EVAR Suitability of Small AAA Is Rarely Compromised despite Morphological Changes during Surveillance. J. Clin. Med. 2022, 11, 5319. https://doi.org/10.3390/jcm11185319
Becker C, Bülow T, Gombert A, Kalder J, Keschenau PR. Infrarenal Remains Infrarenal—EVAR Suitability of Small AAA Is Rarely Compromised despite Morphological Changes during Surveillance. Journal of Clinical Medicine. 2022; 11(18):5319. https://doi.org/10.3390/jcm11185319
Chicago/Turabian StyleBecker, Corinna, Tanja Bülow, Alexander Gombert, Johannes Kalder, and Paula Rosalie Keschenau. 2022. "Infrarenal Remains Infrarenal—EVAR Suitability of Small AAA Is Rarely Compromised despite Morphological Changes during Surveillance" Journal of Clinical Medicine 11, no. 18: 5319. https://doi.org/10.3390/jcm11185319
APA StyleBecker, C., Bülow, T., Gombert, A., Kalder, J., & Keschenau, P. R. (2022). Infrarenal Remains Infrarenal—EVAR Suitability of Small AAA Is Rarely Compromised despite Morphological Changes during Surveillance. Journal of Clinical Medicine, 11(18), 5319. https://doi.org/10.3390/jcm11185319