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Endovascular Abdominal Aortic Aneurysm Repair

  • Andrew England
  • Micheal Murphy
  • Richard G. McWilliams
Part of the Medical Radiology book series (MEDRAD)

Abstract

Endovascular aortic aneurysm repair (EVAR) is a minimally-invasive alternative to open repair and offers lower early mortality rates, reduction in morbidity and post-procedural stay. Patient suitability for EVAR requires that the aortic morphology meets anatomical inclusion criteria. Short, excessively dilated, angulated and thrombus-lined aortic necks are associated with suboptimal outcomes. Although early mortality rates are favourable, EVAR is also associated with a higher incidence of follow-up complications and reinterventions compared to open surgery. Endoleaks form the bulk of these and if device-related increase the risk of aneurysm rupture. Graft migration, occlusion and structural disintegration have also been reported following EVAR. Even so, EVAR has now become the dominant treatment option for asymptomatic AAAs (≥ 5.5 cm in diameter) for patients deemed fit for surgery. Such is the enthusiasm for EVAR that studies have started to report on the efficacy of EVAR in small or ruptured AAAs. With the anatomical limitations of many EVAR devices there has been a drive to develop stent grafts which can extend the reach of EVAR. Fenestrated and branched stent grafts provide an alternative option for complex aortic aneurysms. Conventional infrarenal devices have also been redesigned to incorporate lower profile delivery systems and cover a wider range of aortic morphologies. Modern hybrid theatres are the ideal environment to implant these complex grafts. In many centres annual follow-up by contrast-enhanced CT has switched to a more cost-effective combination of ultrasound and abdominal radiography.

Keywords

Iliac Artery Internal Iliac Artery Common Iliac Artery Adaptive Statistical Iterative Reconstruction Open Surgical Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Abraham CZ, Reilly LM, Schneider DB, Dwyer S, Sawhney R, Messina LM, Chuter TA (2003) A modular multi-branched system for endovascular repair of bilateral common iliac artery aneurysms. J Endovasc Ther 10:203–207PubMedCrossRefGoogle Scholar
  2. Alerci M, Oberson M, Fogliata A, Gallino A, Vock P, Wyttenbach R (2009) Prospective, intraindividual comparison of MRI versus MDCT for endoleak detection after endovascular repair of abdominal aortic aneurysms. Eur Radiol 19:1223–1231PubMedCrossRefGoogle Scholar
  3. Amsterdam Acute Aneurysm Trial Collaborators (2006) Amsterdam acute aneurysm trial: background, design, and methods. Vascular 14:130–135CrossRefGoogle Scholar
  4. Arnaoutoglou E, Kouvelos G, Milionis H, Mavridis A, Kolaitis N, Papa N, Papadopoulos G, Matsagkas M (2011) Post-implantation syndrome following endovascular abdominal aortic aneurysm repair: preliminary data. Interact Cardiovasc Thorac Surg 12:609–614PubMedCrossRefGoogle Scholar
  5. Atar E, Belenky A, Hadad M, Ranany E, Baytner S, Bachar GN (2006) MR angiography for abdominal and thoracic aortic aneurysms: assessment before endovascular repair in patients with impaired renal function. AJR Am J Roentgenol 186:386–393PubMedCrossRefGoogle Scholar
  6. Biasi L, Ali T, Hinchliffe R, Morgan R, Loftus I, Thompson M (2009) Intraoperative DynaCT detection and immediate correction of a type Ia endoleak following endovascular repair of abdominal aortic aneurysm. Cardiovasc Intervent Radiol 32(3):535–538PubMedCrossRefGoogle Scholar
  7. Bakken AM, Illig KA (2010) Long-term follow-up after endovascular aneurysm repair: is ultrasound alone enough? Perspect Vasc Surg Endovasc Ther 22:145–151PubMedCrossRefGoogle Scholar
  8. Becquemin JP, Pillet JC, Lescalie F, Sapoval M, Goueffic Y, Lermusiaux P, Steinmetz E, Marzelle J, ACE trialists (2011) Sicard GA, Timaran CH, Upchurch GR Jr, Veith A randomized controlled trial of endovascular aneurysm repair versus open surgery for abdominal aortic aneurysms in low- to moderate-risk patients. J Vasc Surg 53:1167–1173.e1Google Scholar
  9. Beeman BR, Doctor LM, Doerr K, McAfee-Bennett S, Dougherty MJ, Calligaro KD (2009) Duplex ultrasound imaging alone is sufficient for midterm endovascular aneurysm repair surveillance: a cost analysis study and prospective comparison with computed tomography scan. J Vasc Surg 50:1019–1024PubMedCrossRefGoogle Scholar
  10. Blankensteijn JD, de Jong SE, Prinssen M, van der Ham AC, Buth J, van Sterkenburg SM, Verhagen HJ, Buskens E, Grobbee DE, Dutch Randomized Endovascular Aneurysm Management (DREAM) Trial Group (2005) Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med 352:2398–2405CrossRefGoogle Scholar
  11. Bosman WM, van der Steenhoven TJ, Hinnen JW, Kaptein BL, de Vries AC, Brom HL, Jacobs MJ, Hamming JF (2010) Aortic customize: a new alternative endovascular approach to aortic aneurysm repair using injectable biocompatible elastomer. An in vitro study. J Vasc Surg 51:1230–1237PubMedCrossRefGoogle Scholar
  12. Bratby MJ, Munneke GM, Belli AM, Loosemore TM, Loftus I, Thompson MM, Morgan RA (2008) How safe is bilateral internal iliac artery embolization prior to EVAR? Cardiovasc Intervent Radiol 31:246–253PubMedCrossRefGoogle Scholar
  13. Brewster DC, Jones JE, Chung TK, Lamuraglia GM, Kwolek CJ, Watkins MT, Hodgman TM, Cambria RP (2006). Long-term Outcomes after Endovascular Abdominal Aortic Aneurysm Repair. Ann Surg 244:426–438Google Scholar
  14. Brown LC, Greenhalgh RM, Powell JT, Thompson SG, Evar Trial Participants (2010) Use of baseline factors to predict complications and reinterventions after endovascular repair of abdominal aortic aneurysm. Br J Surg 97:1207–1217Google Scholar
  15. Cao P, de Rango P, Verzini F, Parlani G, Romano L, Cieri EM, CAESAR trialists (2011) Comparison of surveillance versus aortic endografting for small aneurysm repair (CAESAR): results from a randomised trial. Eur J Vasc Endovasc Surg 41:13–25Google Scholar
  16. Chaer RA, Gushchin A, Rhee R, Marone L, Cho JS, Leers S, Makaroun MS (2009). Duplex ultrasound as the sole long-term surveillance method post-endovascular aneurysm repair: a safe alternative for stable aneurysms. J Vasc Surg 49:845–849 (discussion 849–850)Google Scholar
  17. Chaikof EL, Brewster DC, Dalman RL, Makaroun MS, Illig KA, Sicard GA, Timaran CH, Upchurch GR Jr, Veith FJ (2009) SVS practice guidelines for the care of patients with an abdominal aortic aneurysm: executive summary. J Vasc Surg 50:880896Google Scholar
  18. Chao A, Major K, Kumar SR, Patel K, Trujillo I, Hood DB, Rowe VL, Weaver FA (2007) Carbon dioxide digital subtraction angiography-assisted endovascular aortic aneurysm repair in the azotemic patient. J Vasc Surg 45:451–458 (discussion 458–460)Google Scholar
  19. Chocron S, Vaislic C, Kaili D, Bonneville JF (2011) Multilayer stents in the treatment of thoraco-abdominal residual type B dissection. Interact Cardiovasc Thorac Surg 12:1057–1059PubMedCrossRefGoogle Scholar
  20. Chuter TA, Gordon RL, Reilly LM, Pak LK, Messina LM (2001) Multi-branched stent-graft for type III thoracoabdominal aortic aneurysm. J Vasc Interv Radiol 12:391–392PubMedCrossRefGoogle Scholar
  21. Cochennec F, Becquemin JP, Desgranges P, Allaire E, Kobeiter H, Roudot-Thoraval F (2007) Limb graft occlusion following EVAR: clinical pattern, outcomes and predictive factors of occurrence. Eur J Vasc Endovasc Surg 34:59–65PubMedCrossRefGoogle Scholar
  22. Cohen EI, Weinreb DB, Siegelbaum RH, Honig S, Marin M, Weintraub JL, Lookstein RA (2008) Time-resolved MR angiography for the classification of endoleaks after endovascular aneurysm repair. J Magn Reson Imaging 27:500–503PubMedCrossRefGoogle Scholar
  23. Collins JT, Boros MJ, Combs K (2007) Ultrasound surveillance of endovascular aneurysm repair: a safe modality versus computed tomography. Ann Vasc Surg 21:671–675PubMedCrossRefGoogle Scholar
  24. Cornfeld D, Israel G, Detroy E, Bokhari J, Mojibian H (2011) Impact of adaptive statistical iterative reconstruction (ASIR) on radiation dose and image quality in aortic dissection studies: a qualitative and quantitative analysis. AJR Am J Roentgenol 196:W336–W340PubMedCrossRefGoogle Scholar
  25. Coppi G, Silingardi R, Saitta G, Gennai S (2008) Single-center experience with the Talent LPS endograft in patients with at least 5 years of follow-up. J Endovasc Ther 15:23–32PubMedCrossRefGoogle Scholar
  26. de Bruin JL, Baas AF, Buth J, Prinssen M, Prinssen M, Verhoeven EL, Cuypers PW, van Sambeek MR, Balm R, Grobbee DE, Blankensteijn JD, Dream Study Group (2010) Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med 362:1881–1889PubMedCrossRefGoogle Scholar
  27. Desgranges P, Kobeiter H, Castier Y, Senechal M, Majewski M, Krimi A (2010) The Endovasculaire vs Chirurgie dans les Anevrysmes Rompus PROTOCOL trial update. J Vasc Surg 51:267–270PubMedCrossRefGoogle Scholar
  28. Dijkstra ML, Eagleton MJ, Greenberg RK, Mastracci T, Hemandez A (2011) Intraoperative C-arm cone-beam computed tomography in fenestrated/branched aortic endografting. J Vasc Surg 53:583–590PubMedCrossRefGoogle Scholar
  29. Donas K, Torsello G, Pitoulias GA, Austermann M, Papadimitriou K (2011) Surgical versus endovascular repair by iliac branch device of aneurysms involving the iliac bifurcation. J Vasc Surg 53:1223–1229 [Epub 26 Jan 2011]Google Scholar
  30. Ducasse E, Calisti A, Speziale F, Rizzo L, Misuraca M, Fiorani P (2004) Aortoiliac stent graft infection: current problems and management. Ann Vasc Surg 18:521–526PubMedCrossRefGoogle Scholar
  31. Engellau L, Albrechtsson U, Dahlstrom N, Norgren L, Persson A, Larsson EM (2003) Measurements before endovascular repair of abdominal aortic aneurysms. MR imaging with MRA vs. angiography and CT. Acta Radiol 44:177–184PubMedCrossRefGoogle Scholar
  32. EVAR Trial Participants (2005a) Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet 365:2179–2186CrossRefGoogle Scholar
  33. EVAR Trial Participants (2005b) Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. Lancet 365:2187–2192CrossRefGoogle Scholar
  34. Faries PL, Briggs VL, Bernheim J, Kent KC, Hollier LH, Marin ML (2003) Increased recognition of type II endoleaks using a modified intraoperative angiographic protocol: implications for intermittent endoleak and aneurysm expansion. Ann Vasc Surg 17:608–614PubMedCrossRefGoogle Scholar
  35. Ghosh J, Murray D, Farquharson F, Serracino-Inglott F (2009) Abdominal aortic aneurysm repair: the carotid approach. J Vasc Surg 49:763–766PubMedCrossRefGoogle Scholar
  36. Greenberg RK, Chuter TA, Lawrence-Brown M, Haulon S, Nolte L, Zenith Investigators. (2004) Analysis of renal function after aneurysm repair with a device using suprarenal fixation (Zenith AAA Endovascular Graft) in contrast to open surgical repair. J Vasc Surg 39:1219–1228Google Scholar
  37. Greenberg RK, Sternbergh WC, Makaroun M, Ohki T, Chuter T, Bharadwaj P, Saunders A, Fenestrated Investigators (2009). Intermediate results of a United States multicenter trial of fenestrated endograft repair for juxtarenal abdominal aortic aneurysms. J Vasc Surg 50 730–737.e1Google Scholar
  38. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG, EVAR Trial Participants (2004) Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 364:843–848Google Scholar
  39. Hager E, Cho J, Makaroun M, Cheol Park S, Chaer R, Marone L (2011) Superiority of supra-renal fixation in short necks—a modern endovascular myth. In: Society for vascular surgery, Chicago, IL, 16–18 June 2011Google Scholar
  40. Hara AK, Padem PG, Silva AC, Kujak JL, Lawder HJ, Pavlicek W (2009) Iterative reconstruction technique for reducing body radiation dose at CT: feasibility study. AJR Am J Roentgenol 193:764–771PubMedCrossRefGoogle Scholar
  41. Harris PL, Vallabhaneni SR, Desgranges P, Becquemin JP, van Marrewijk C, Laheij RJ (2000) Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. European collaborators on Stent/graft techniques for aortic aneurysm repair. J Vasc Surg 32:739–749PubMedCrossRefGoogle Scholar
  42. Harrison GJ, Thavarajan D, Brennan JA, Vallabhaneni SR, McWilliams RG, Fisher RK (2011a) Fascial closure following percutaneous endovascular aneurysm repair. Eur J Vasc Endovasc Surg 41:346–349PubMedCrossRefGoogle Scholar
  43. Harrison GJ, Oshin OA, Vallabhaneni SR, Brennan JA, Fisher RK, McWilliams RG (2011b) Surveillance after EVAR based on duplex ultrasound and abdominal radiography. Eur J Vasc Endovasc Surg 42:187–192PubMedCrossRefGoogle Scholar
  44. Heyer KS, Modi P, Morasch MD, Matsumura JS, Kibbe MR, Pearce WH, Resnick SA, Eskandari MK (2009) Secondary infections of thoracic and abdominal aortic endografts. J Vasc Interv Radiol 20:173–179 [Epub 20 Dec 2008]Google Scholar
  45. Hinchliffe RJ, Bruijstens L, Macsweeney ST, Braithwaite BD (2006) A randomised trial of endovascular and open surgery for ruptured abdominal aortic aneurysm—results of a pilot study and lessons learned for future studies. Eur J Vasc Endovasc Surg 32:506–513 (discussion 514–515)Google Scholar
  46. Hobo R, Buth J (2006) Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report. J Vasc Surg 43:896–902PubMedCrossRefGoogle Scholar
  47. Hoshina K, Kato M, Miyahara T, Mikuriya A, Ohkubo N, Miyata T (2010) A retrospective study of intravascular ultrasound use in patients undergoing endovascular aneurysm repair: its usefulness and a description of the procedure. Eur J Vasc Endovasc Surg 40:559–563PubMedCrossRefGoogle Scholar
  48. Iezzi R, Cotroneo AR, Filippone A, di Fabio F, Quinto F, Colosimo C, Bonomo L (2006) Multidetector CT in abdominal aortic aneurysm treated with endovascular repair: are unenhanced and delayed phase enhanced images effective for endoleak detection? Radiology 241:915–921PubMedCrossRefGoogle Scholar
  49. Indes JE, Lipsitz EC, Veith FJ, Gargiulo NJ, Privrat AI, Eisdorfer J, Scher LA (2008) Incidence and significance of nonaneurysmal-related computed tomography scan findings in patients undergoing endovascular aortic aneurysm repair. J Vasc Surg 48:286–290PubMedCrossRefGoogle Scholar
  50. Jones JE, Atkins MD, Brewster DC, Chung TK, Kwolek CJ, Lamuraglia GM, Hodgman TM, Cambria RP (2007) Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes. J Vasc Surg 46:1–8PubMedCrossRefGoogle Scholar
  51. Kan CD, Lee HL, Luo CY, Yang YJ (2010) The efficacy of aortic stent grafts in the management of mycotic abdominal aortic aneurysm-institute case management with systemic literature comparison. Ann Vasc Surg 24:433–440PubMedCrossRefGoogle Scholar
  52. Karmacharya J, Parmer SS, Antezana JN, Fairman RM, Woo EY, Velazquez OC, Golden MA, Carpenter JP (2006) Outcomes of accessory renal artery occlusion during endovascular aneurysm repair. J Vasc Surg 43:8–13PubMedCrossRefGoogle Scholar
  53. Karthikesalingam A, Hinchliffe RJ, Holt PJ, Boyle JR, Loftus IM, Thompson MM (2010) Endovascular aneurysm repair with preservation of the internal iliac artery using the iliac branch graft device. Eur J Vasc Endovasc Surg 39:285–294PubMedCrossRefGoogle Scholar
  54. Lederle FA, Freischlag JA, Kyriakides TC, Padberg FT, Matsumura JS Jr, Kohler TR, Lin PH, Jean-Claude JM, Cikrit DF, Swanson KM, Peduzzi PN (2009) Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA 302:1535–1542PubMedCrossRefGoogle Scholar
  55. Lorelli DR, Jean-Claude JM, Fox CJ, Clyne J, Cambria RA, Seabrook GR, Towne JB (2002) Response of plasma matrix metalloproteinase-9 to conventional abdominal aortic aneurysm repair or endovascular exclusion: implications for endoleak. J Vasc Surg 35:916–922PubMedCrossRefGoogle Scholar
  56. Malina M, Lindblad B, Ivancev K, Lindh M, Malina J, Brunkwall J (1998) Endovascular AAA exclusion: will stents with hooks and barbs prevent stent-graft migration? J Endovasc Surg 5:310–317PubMedCrossRefGoogle Scholar
  57. Mirza TA, Karthikesalingam A, Jackson D, Walsh SR, Holt PJ, Hayes PD, Boyle JR (2010) Duplex ultrasound and contrast-enhanced ultrasound versus computed tomography for the detection of endoleak after EVAR: systematic review and bivariate meta-analysis. Eur J Vasc Endovasc Surg 39:418–428PubMedCrossRefGoogle Scholar
  58. Medicines and Healthcare Products Regulatory Agency (MHRA) (2010) Endovascular aneurysm repair (EVAR) serviceGoogle Scholar
  59. Murphy M, Hodgson R, Harris PL, McWilliams RG, Hartley DE, Lawrence-Brown MM (2003) Plain radiographic surveillance of abdominal aortic stent-grafts: the Liverpool/Perth protocol. J Endovasc Ther 10:911–912PubMedCrossRefGoogle Scholar
  60. National Institute of Healthcare and Clinical Excellence (NICE) (2009) Endovascular stent-grafts for the treatment of abdominal aortic aneurysms, LondonGoogle Scholar
  61. Nordon I, Hinchliffe R, Malkawi A, Taylor J, Holt P, Morgan R, Loftus IM, Thompson MM (2010) Validation of DynaCT in the morphological assessment of abdominal aortic aneurysm for endovascular aneurysm repair. J Endovasc Ther 17:183–189PubMedCrossRefGoogle Scholar
  62. Numburi UD, Schoenhagen P, Flamm SD, Greenberg RK, Primak AN, Saba OL, Lieber ML, Halliburton SS (2010) Feasibility of dual-energy CT in the arterial phase: imaging after endovascular aortic repair. AJR Am J Roentgenol 195:486–493PubMedCrossRefGoogle Scholar
  63. O’Neill S, Greenberg RK, Haddad F, Resch T, Sereika J, Katz E (2006) A prospective analysis of fenestrated endovascular grafting: intermediate-term outcomes. Eur J Vasc Endovasc Surg 32:115–123PubMedCrossRefGoogle Scholar
  64. Ouriel K, Clair DG, Kent KC, Zarins CK, Positive Impact of Endovascular options for Treating Aneurysms Early (PIVOTAL) Investigators (2010) Endovascular repair compared with surveillance for patients with small abdominal aortic aneurysms. J Vasc Surg 51:1081–1087PubMedCrossRefGoogle Scholar
  65. Paravastu SC, Ghosh J, Murray D, Farquharson FG, Serracino-Inglott F, Walker MG (2009) A systematic review of open versus endovascular repair of inflammatory abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 38:291–297PubMedCrossRefGoogle Scholar
  66. Parodi JC, Palmaz JC, Barone HD (1991) Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 5:491–499PubMedCrossRefGoogle Scholar
  67. Powell JT, Thompson SG, Thompson MM, Grieve R, Nicholson AA, Ashleigh R, Hassan T, Moore F, Walker A, Braithwaite BD, Hinchliffe RJ, Greenhalgh RM, Cheshire NJ, Howell SJ, Soong CV (2009) The immediate management of the patient with rupture: open versus endovascular repair (IMPROVE) aneurysm trial–ISRCTN 48334791 IMPROVE trialists. Acta Chir Belg 109:678–680PubMedGoogle Scholar
  68. Prinssen M, Verhoeven EL, Buth J, Buth J, Cuypers PW, van Sambeek MR, Balm R, Buskens E, Grobbee DE, Blankensteijn JD, Dutch Randomized Endovascular Aneurysm Management (DREAM) Trial Group (2004) A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 351:1607–1618PubMedCrossRefGoogle Scholar
  69. Rayt HS, Bown MJ, Lambert KV, Fishwick NG, McCarthy MJ, London NJ, Sayers RD (2008) Buttock claudication and erectile dysfunction after internal iliac artery embolization in patients prior to endovascular aortic aneurysm repair. Cardiovasc Intervent Radiol 31:728–734PubMedCrossRefGoogle Scholar
  70. Roselli EE, Greenberg RK, Pfaff K, Francis C, Svensson LG, Lytle BW (2007) Endovascular treatment of thoracoabdominal aortic aneurysms. J Thorac Cardiovasc Surg 133:1474–1482PubMedCrossRefGoogle Scholar
  71. Schanzer A, Greenberg RK, Hevelone N, Robinson WP, Eslami MH, Goldberg RJ, Messina L (2011) Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation 123:2848–2855PubMedCrossRefGoogle Scholar
  72. Schermerhorn ML, O’Malley AJ, Jhaveri A, Cotterill P, Pomposelli F, Landon BE (2008) Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population. N Engl J Med 358:464–474PubMedCrossRefGoogle Scholar
  73. Schlösser FJ, Gusberg RJ, Dardik A, Lin PH, Verhagen HJ, Moll FL, Muhs BE (2009) Aneurysm rupture after EVAR: can the ultimate failure be predicted? Eur J Vasc Endovasc Surg 37:15–22PubMedCrossRefGoogle Scholar
  74. Shah A, Stavropoulos SW (2009) Imaging Surveillance following Endovascular Aneurysm Repair. Semin Intervent Radiol 26:10–16PubMedCrossRefGoogle Scholar
  75. Sharif MA, Lee B, Lau LL, Ellis PK, Collins AJ, Blair PH, Soong CV (2007) Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair. J Vasc Surg 46:442–448PubMedCrossRefGoogle Scholar
  76. Sheehan MK, Ouriel K, Greenberg R, McCann R, Murphy M, Fillinger M, Wyers M, Carpenter J, Fairman R, Makaroun MS (2006) Are type II endoleaks after endovascular aneurysm repair endograft dependent? J Vasc Surg 43:657–661PubMedCrossRefGoogle Scholar
  77. Sikkink CJ, Reijnen MM, Zeebregts CJ (2008) The creation of the optimal dedicated endovascular suite. Eur J Vasc Endovasc Surg 35:198–204PubMedCrossRefGoogle Scholar
  78. Silva AC, Lawder HJ, Hara A, Kujak J, Pavlicek W (2010) Innovations in CT dose reduction strategy: apllication of the adaptive statistical iterative reconstruction algorithm. AJR Am J Roentgenol 194:191–199PubMedCrossRefGoogle Scholar
  79. Springer F, Gunther RW, Schmitz-Rode T (2008) Aneurysm Sac pressure measurement with minimally invasive implantable pressure sensors: an alternative to current surveillance regimes after EVAR? Cardiovasc Intervent Radiol 31:460–467PubMedCrossRefGoogle Scholar
  80. Sprouse LR 2ND, Meier GH 3RD, Lesar CJ, Demasi RJ, Sood J, Parent FN, Marcinzyck MJ, Gayle RG (2003) Comparison of abdominal aortic aneurysm diameter measurements obtained with ultrasound and computed tomography: is there a difference? J Vasc Surg 38:466–471 (discussion 471–472)Google Scholar
  81. Starnes B (2011) SS20. Physician modified endovascular grafts for the treatment of elective, symptomatic or ruptured juxtarenal aortic aneurysms. Society for vascular surgery annual scientific meeting, Chicago, IL, 16–18 JuneGoogle Scholar
  82. Stolzmann P, Frauenfelder T, Pfammatter T et al. (2008). Endoleaks after endovascular aortic aneurysm repair: detection with dual-energy dual-source CT. Radiology 249:682–691Google Scholar
  83. Sun Z, Mwipatayi BP, Semmens JB, Lawrence-Brown MM (2006) Short to midterm outcomes of fenestrated endovascular grafts in the treatment of abdominal aortic aneurysms: a systematic review. J Endovasc Ther 13:747–753PubMedCrossRefGoogle Scholar
  84. Sutalo ID, Liffman K, Lawrence-Brown MM, Semmens JB (2005) Experimental force measurements on a bifurcated endoluminal stent graft model: comparison with theory. Vascular 13:98–106PubMedGoogle Scholar
  85. Thompson M (2011) EVAR market: challenges, innovations and growth. Medtech InsightGoogle Scholar
  86. Tse LW, Steinmetz OK, Abraham CZ, Valenti DA, Mackenzie KS, Obrand DI, Chuter TA (2004) Branched endovascular stent-graft for suprarenal aortic aneurysm: the future of aortic stent-grafting? Can J Surg 47:257–262PubMedGoogle Scholar
  87. Uflacker R, Brothers T (2006) Filling of the aneurysmal sac with DEAC-glucosamine in an animal model of abdominal aortic aneurysm following stent-graft repair. J Cardiovasc Surg (Torino) 47:425–436Google Scholar
  88. UK Small Aneurysm Trial Participants (1998) Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. The UK Small Aneurysm Trial Participants. Lancet 352:1649–1655CrossRefGoogle Scholar
  89. United Kingdom Evar Trial Investigator, Greenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D, Sculpher MJ (2010a) Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med 362:1863–1871CrossRefGoogle Scholar
  90. United Kingdom Evar Trial Investiagtors, Greenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D (2010b) Endovascular repair of aortic aneurysm in patients physically ineligible for open repair. N Engl J Med 362:1872–1880CrossRefGoogle Scholar
  91. Vallabhaneni SR, Harris PL (2001) Lessons learnt from the EUROSTAR registry on endovascular repair of abdominal aortic aneurysm repair. Eur J Radiol 39:34–41PubMedCrossRefGoogle Scholar
  92. Volodos NL, Karpovich IP, Shekhanin VE, Troian VI, Iakovenko LF (1991) A case of distant transfemoral endoprosthesis of the thoracic artery using a self-fixing synthetic prosthesis for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. Vasa Suppl 33:93–95Google Scholar
  93. Wood BJ, Zhang H, Durrani A, Glossop N, Ranjan S, Lindisch RT (2005) Navigation with electromagnetic tracking for interventional radiology procedures: a feasbility study. J Vasc Interv Radiol 16:493–505PubMedCrossRefGoogle Scholar
  94. White GH, Yu W, May J (1996) Endoleak—a proposed new terminology to describe incomplete aneurysm exclusion by an endoluminal graft. J Endovasc Surg 3:124–125PubMedCrossRefGoogle Scholar
  95. White GH, Yu W, May J, Chaufour X, Stephen MS (1997) Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management. J Endovasc Surg 4:152–168PubMedCrossRefGoogle Scholar
  96. White GH, May J, Waugh RC, Chaufour X, Yu W (1998) Type III and type IV endoleak: toward a complete definition of blood flow in the sac after endoluminal AAA repair. J Endovasc Surg 5:305–309PubMedCrossRefGoogle Scholar
  97. Wyss TR, Brown LC, Powell JT, Greenhalgh RM (2010) Rate and predictability of graft rupture after endovascular and open abdominal aortic aneurysm repair: data from the EVAR Trials. Ann Surg 252:805–812PubMedCrossRefGoogle Scholar
  98. Wyss TR, Dick F, Brown LC, Greenhalgh RM (2011) The influence of thrombus, calcification, angulation, and tortuosity of attachment sites on the time to the first graft-related complication after endovascular aneurysm repair. J Vasc Surg 54:965–971PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Andrew England
    • 1
  • Micheal Murphy
    • 2
  • Richard G. McWilliams
    • 3
  1. 1.Royal Liverpool University HospitalLiverpoolUK
  2. 2.Victoria University HospitalCorkIreland
  3. 3.Royal Liverpool & Broadgreen university HospitalsLiverpoolUK

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