Aorta Aneurysm
Conditions
Brief summary
Proximal type 1A endoleak is a worrying complication after endovascular repair of an abdominal aortic aneurysm (EVAR). The ideal solution is not obvious between relining by FEVAR and endograft explantation. A retrospective french multicentric study was performed between 2010 and 2023 to compare the outcomes and the efficiency of both technics and propose a decision algorithm for the management of type 1A endoleak after EVAR.
Interventions
Relining the EVAR with FEVAR
open surgery to explant the previous EVAR
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 1A endoleak after EVAR
Exclusion criteria
* no
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post operative mortality | day 30 post operative | Patient death after the treatment of type 1A endoleak |
| Major adverse cardiovascular event (MACE) post operative | day 30 post operative | Patient presenting after surgery a composite score (MACE) including * nonfatal stroke, * nonfatal myocardial infarction * cardiovascular death |
| Redo surgery after type 1A endoleak surgery | 30 day, 6 months, 12 months, 24 months | Reintervention after FEVAR or explantation surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficiency of the treatment | 30 day, 6 months, 12 months, 24 months | No reintervention after open surgery or Thrombosis of the aneurysmal sac after FEVAR |