Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/41276
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dc.contributor.authorSidloff, D. A.-
dc.contributor.authorGokani, V.-
dc.contributor.authorStather, P. W.-
dc.contributor.authorChoke, E.-
dc.contributor.authorBown, Matthew-
dc.contributor.authorSayers, R. D.-
dc.date.accessioned2018-03-09T15:52:28Z-
dc.date.available2018-03-09T15:52:28Z-
dc.date.issued2014-07-17-
dc.identifier.citationEuropean Journal of Vascular and Endovascular Surgery, 2014, 48 (4), pp. 391-399en
dc.identifier.issn1078-5884-
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1078588414003542?via%3Dihuben
dc.identifier.urihttp://hdl.handle.net/2381/41276-
dc.description.abstractOBJECTIVE: Type II endoleak is the most common complication after endovascular abdominal aortic aneurysm repair (EVAR); however, its natural history is unclear. The aim of this study was to examine the incidence and outcomes of type II endoleak, at a single institution after EVAR. METHODS: A total of 904 consecutive patients who underwent EVAR between September 1995 and July 2013 at a single centre were entered onto a prospective database. All patients were followed up by duplex ultrasound (DUSS). Patients who developed type II endoleak were compared for preoperative demographics, mortality, and sac expansion. RESULTS: A total of 175(19%) patients developed type II endoleak over a median follow-up of 3.6 years (1.5-5.9 years); 54% of type II endoleaks spontaneously resolved within 6 months (0.25-1.2 years). No difference was found in preoperative demographics or choice of endograft between the two groups. Survival was significantly higher in the group with type II endoleak (94.1% vs. 85.6%; p = .01) and this effect was most pronounced in those with late type II endoleaks (97.7% vs. 85.6% p = .004). No difference was seen in aneurysm-related mortality or rate of type I endoleak between the two groups. Freedom from sac expansion (>5 mm from preoperative diameter) was significantly lower in the group of patients with type II endoleak (82.5% vs. 93.2%, p = .0001); however, at a threshold of >10 mm from preoperative diameter no difference was seen. CONCLUSIONS: Patients with isolated type II endoleak demonstrate equivalent aneurysm-related mortality and an improved survival.en
dc.language.isoenen
dc.publisherElsevier for European Society for Vascular Surgeryen
dc.relation.urihttp://www.ncbi.nlm.nih.gov/pubmed/25042332-
dc.rightsCopyright © the authors, 2014. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.en
dc.subjectAAAen
dc.subjectAneurysmen
dc.subjectEVARen
dc.subjectEndoleaken
dc.subjectType IIen
dc.subjectAgeden
dc.subjectAortic Aneurysm, Abdominalen
dc.subjectDisease Managementen
dc.subjectEmbolization, Therapeuticen
dc.subjectEndoleaken
dc.subjectEndovascular Proceduresen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectPractice Guidelines as Topicen
dc.subjectRetrospective Studiesen
dc.subjectTime Factorsen
dc.subjectTomography, X-Ray Computeden
dc.subjectTreatment Outcomeen
dc.subjectUltrasonography, Doppler, Duplexen
dc.titleType II endoleak: conservative management is a safe strategyen
dc.typeJournal Articleen
dc.identifier.doi10.1016/j.ejvs.2014.06.035-
dc.identifier.piiS1078-5884(14)00354-2-
dc.description.statusPeer-revieweden
dc.description.versionPublisher Versionen
dc.type.subtypeJournal Article;Research Support, Non-U.S. Gov't-
pubs.organisational-group/Organisationen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGYen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicineen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Cardiovascular Sciencesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Cardiovascularen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Genome Scienceen
dc.dateaccepted2014-06-03-
Appears in Collections:Published Articles, Dept. of Cardiovascular Sciences

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