Research Article

Identification of Factors Influencing Cumulative Long-Term Radiation Exposure in Patients Undergoing EVAR

Table 1

Patient characteristics and details on occurrences during the observation period.

Patient characteristics, complications, and secondary surgical/endovascular interventions

Total number of patients59
Male versus female patients55 (93.2%)4 (6.8%)
Emergent versus elective EVAR3 (5%)56 (95%)
Mean age at the date of implantation70 yrs(41–83 yrs)
Mean body mass index28 ± 4.3 kg/m2.
Observation period terminated by non-EVAR related death8 (13.6%)
Lost to follow-up2 (3.4%)
Compliance versus noncompliance with the surveillance schedule36 (61%)23 (39%)
Open surgical correction procedures2 (3.4%)
 (i) Aortorenal bypass grafting for renal artery occlusion1 (1.7%)
 (ii) Explantation of a migrated stent graft and implantation of a bifurcated vascular graft1 (1.7%)
Long-term corticosteroid treatment for suspected periprosthetic inflammatory reaction1 (1.7%)
Endoleak (median persistence 222 days (IQR 66–787 days))22 (37.3%)
Primary endoleak (i.e., occurring within 30 days from EVAR), all classified as type II19 (32.2%)
 (i) Permanent4 (21.0%)
 (ii) Treated by endovascular intervention3 (15.8%)
 (iii) Spontaneous resolution (81% resolved during the first year post-EVAR)12 (63.2%)
Secondary endoleak (i.e., occurring more than 30 days from EVAR)3 (5%)
 (i) Type II endoleak diagnosed 7 weeks after EVAR, death for nonaneurysm related causes1 (1.7%)
 (ii) Type II endoleak diagnosed 15 weeks after EVAR, spontaneous shrinkage of the aneurysm sac, no interventional or surgical correction but close surveillance1 (1.7%)
 (iii) Type I endoleak resulting from graft dislocation 3 years after EVAR, treated by open surgical repair1 (1.7%)
Secondary endovascular procedures11 in 9 patients
 (i) Minimum/maximum period from EVAR to secondary endovascular procedure1 day/3.3 years
 (ii) Fibrinolysis, angioplasty, and/or stent angioplasty for graft limb occlusion5/11
 (iii) Embolization of endoleaks3/11
 (iv) Stent angioplasty for renal artery stenosis2/11
 (v) Stent angioplasty for iliac artery stenosis1/11