Incidence of endoleak type IA in patients undergoing chimney endovascular aortic repair (ChEVAR) vs. standard endovascular repair Article Swipe
Martín Rabellino
,
Juan Guido Chiabrando
,
Fernando Garagoli
,
María Marta Abraham Foscolo
,
María de Los Milagros Fleitas
,
José Chas
,
Vanesa Di
,
Ignacio Bluro
,
Sergio Shinzato
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.47487/apcyccv.v5i1.346
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.47487/apcyccv.v5i1.346
Antecedentes. Aproximadamente la mitad de las reparaciones endovasculares de aneurisma de aorta abdominal (AAA) son realizadas en anatomías hostiles, incrementando el riesgo de complicaciones como endoleaks tipo IA. La técnica con chimeneas (ChEVAR) es una alternativa para disminuir el riesgo de complicaciones en cuellos hostiles. Objetivo: Nuestro objetivo es comparar ambas técnicas (ChEVAR y reparación endovascular convencional [EVAR]) en nuestra medio. Materiales y métodos. Se realizó un trabajo de cohorte retrospectivo en pacientes con AAA tratados con EVAR o ChEVAR. El punto final primario fue la incidencia de endoleak tipo IA. Los puntos finales secundarios fueron la incidencia de oclusión de chimeneas, reintervención, migración, ruptura del saco, isquemia aguda de miembros, crecimiento del saco o mortalidad asociada al aneurisma durante el seguimiento. Resultados. Tras una mediana de seguimiento de 11,5 meses, 79 pacientes fueron tratados con EVAR y 21 con chEVAR. La edad promedio fue de 76,49 ± 7,32 años y 82% fueron de sexo masculino. Los pacientes con chEVAR tuvieron mayor prevalencia de consumo tabáquico que los pacientes con EVAR (38,1% vs. 17,7%, p=0,041) y un cuello más corto (7,88 mm ± 5,73 vs. 36,28 mm ± 13,73, p<0,001). No hubo diferencia de endoleak tipo IA entre los grupos. Dos pacientes presentaron la oclusión total de la chimenea, uno de los cuales requirió reintervención. No hubo diferencias en la regresión del tamaño del saco, así como tampoco hubo eventos de migración, ruptura, isquemia del miembro o mortalidad asociada al aneurisma. Conclusiones. En pacientes con AAA, la técnica ChEVAR en cuellos hostiles tuvo eventos similares que EVAR en cuellos favorables.
Related Topics
Concepts
Medicine
Endovascular aneurysm repair
Surgery
Occlusion
Cohort
Aneurysm
Asymptomatic
Abdominal aortic aneurysm
Radiology
Internal medicine
Metadata
- Type
- article
- Language
- es
- Landing Page
- https://doi.org/10.47487/apcyccv.v5i1.346
- OA Status
- diamond
- Cited By
- 3
- References
- 21
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392935886
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4392935886Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.47487/apcyccv.v5i1.346Digital Object Identifier
- Title
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Incidence of endoleak type IA in patients undergoing chimney endovascular aortic repair (ChEVAR) vs. standard endovascular repairWork title
- Type
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articleOpenAlex work type
- Language
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esPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-03-19Full publication date if available
- Authors
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Martín Rabellino, Juan Guido Chiabrando, Fernando Garagoli, María Marta Abraham Foscolo, María de Los Milagros Fleitas, José Chas, Vanesa Di, Ignacio Bluro, Sergio ShinzatoList of authors in order
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https://doi.org/10.47487/apcyccv.v5i1.346Publisher landing page
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diamondOpen access status per OpenAlex
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https://doi.org/10.47487/apcyccv.v5i1.346Direct OA link when available
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Medicine, Endovascular aneurysm repair, Surgery, Occlusion, Cohort, Aneurysm, Asymptomatic, Abdominal aortic aneurysm, Radiology, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
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21Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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