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| Name | Class |
|---|---|
| Centre Chirurgical Marie Lannelongue | OTHER |
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The aim of the present study was to investigate outcomes of a propensity matched series of patients treated with F-BEVAR and open surgery repair for complex abdominal aortic aneurysm in two aortic high-volume centres.
This retrospective study analyzes the long-term outcomes of a propensity-matched cohort of patients with complex abdominal aortic aneurysm prospectively collected between January 2010 and June 2016 from the Aortic Center of Lille (Lille, France) and the Unit of Vascular Surgery of Policlinic Gemelli (Rome, Italy).
Patients were observed with regular postoperative appointments. The long-term imaging follow-up consisted in a yearly computed tomography angiography in the F-BEVAR group; and yearly abdominal ultrasound examination and 5-year computed tomography angiography were performed in the open surgery repair group. In case of abnormal renal function (eGFR<60 mL/min/1.73 m2), the patient underwent computed tomography without contrast associated to a contrast-enhanced ultrasound examination in both groups. Laboratory data with evaluation of renal function by estimated glomerular filtration rate (eGFR), were completed at three, six, and 12 months, and yearly thereafter. Survival assessment was completed after general partitioner's, patients' or patient siblings' contact by phone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| F-BEVAR | Patients with complex abdominal aortic aneurysm who underwent fenestrated and branched endovascular aortic repair (F-BEVAR) at the Aortic Center of Lille (ACL; Lille, France). |
| |
| OPEN SURGERY REPAIR | Patients with complex abdominal aortic aneurysm who underwent open surgery repair the Unit of Vascular Surgery of Policlinic Gemelli (FPUG; Rome, Italy). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fenestrated and branched endovascular aortic repair (F-BEVAR) | Procedure | Fenestrated and branched endovascular aortic repair (F-BEVAR) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall mortality | All cause death | Through study completion, an average of 5 year |
| Aortic-related mortality | Any death related to the initial procedure. | Through study completion, an average of 5 year |
| Chronic renal decline during follow-up | Chronic renal decline was defined in patients with normal (stage 1-2) preoperative renal function as a reduction in the eGFR to <60 mL/min/1.73 m2 during follow-up. In patients with abnormal function (stages 3 and 4) preoperatively, it was defined as an eGFR reduction of >20% or de novo dependence on permanent renal replacement therapy. | Through study completion, an average of 5 year |
| Measure | Description | Time Frame |
|---|---|---|
| Aortic-related reintervention | All secondary interventions related to the initial procedure or to the endograft and its target vessels during follow-up | Through study completion, an average of 5 year |
| Target vessel occlusion |
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Inclusion Criteria:
Exclusion Criteria:
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A total of 157 patients, referred to the Aortic Center of Lille (France), underwent F-BEVAR treatment; 119 patients, referred to the Policlinic Gemelli in Rome (Italy), concurrently underwent OSR.
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29576405 | Background | Tinelli G, Crea MA, de Waure C, Di Tanna GL, Becquemin JP, Sobocinski J, Snider F, Haulon S. A propensity-matched comparison of fenestrated endovascular aneurysm repair and open surgical repair of pararenal and paravisceral aortic aneurysms. J Vasc Surg. 2018 Sep;68(3):659-668. doi: 10.1016/j.jvs.2017.12.060. Epub 2018 Mar 22. |
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| ID | Term |
|---|---|
| D001014 | Aortic Aneurysm |
| D014652 | Vascular Diseases |
| ID | Term |
|---|---|
| D000783 | Aneurysm |
| D002318 | Cardiovascular Diseases |
| D001018 | Aortic Diseases |
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| Open repair | Procedure | Open surgery for complex abdominal aortic aneurysm |
|
Complete obstruction of the artery with no evidence of flow identified on any follow-up CT scan or duplex ultrasound.
| Through study completion, an average of 5 year |
| Clinical failure | Death from complications of the initial operation or a secondary intervention, aortic aneurysm rupture, aortic conversion to open surgical repair, persistent type I or III endoleak, sac expansion >5 mm, device migration >10mm, infection or thrombosis in the F-BEVAR group and death, graft infection or thrombosis or para-anastomotic aneurysm in the open group. | Through study completion, an average of 5 year |
| Proximal aorta degeneration Proximal aorta degeneration | Diameter increase >5 mm within 5 cm above the ostium of the more proximal target vessel for the endovascular group and 5 cm above the proximal anastomosis for the open group | Through study completion, an average of 5 year |