pubmed-article:15696248 | rdf:type | pubmed:Citation | lld:pubmed |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0374711 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0012356 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0043240 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0002940 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0027530 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0332835 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0012359 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C1274040 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C1705181 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0282460 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C0851827 | lld:lifeskim |
pubmed-article:15696248 | lifeskim:mentions | umls-concept:C1701901 | lld:lifeskim |
pubmed-article:15696248 | pubmed:issue | 1 | lld:pubmed |
pubmed-article:15696248 | pubmed:dateCreated | 2005-2-7 | lld:pubmed |
pubmed-article:15696248 | pubmed:abstractText | Long-term success of endovascular aneurysm repair (EVAR) relies on a stable proximal neck. The authors' goal was to determine whether neck dilatation after EVAR varies among 4 different endografts and whether it is related to complications of the proximal neck. Core laboratory data from 4 phase II trials of aortic endografts were analyzed for neck diameter changes over time. Patients who had at least 24 months' follow-up were included in the analysis. Neck measurement methodology varied among the 3 core labs used. Values are reported within the parameters used by each lab. Short-axis neck diameter close to 5 mm below the renal arteries, when available, was used for longitudinal comparisons. Dilation was defined as an enlargement of 3 mm or more from the first postoperative scan to the last available follow-up for each patient. Graft migration and late proximal endoleaks were determined by the individual core labs. A limited number of Lifepath grafts had most recent follow-up measurements performed by the authors. Results were compared by using Student's t test, chi-square analysis, and the Pearson correlation coefficient. Postoperative measurements from 729 EVAR patients were examined. Follow-up ranged from 24 to 60 months for 229 Ancure (Guidant) and 258 AneuRx (Medtronic) patients, and from 24 to 36 months for 211 Excluder (Gore) and 31 first-generation Lifepath (Edwards) patients. Neck dilation was noted in 124 patients (17.0%) and did not differ significantly among graft types. The incidences of late proximal endoleaks were similar among graft types, but rates of migration differed (p=0.01). Dilation was associated with migration in Ancure (p=0.03) and Excluder (p=0.02) grafts. Late proximal endoleaks were seen in 4.1% of patients with and in 0.7% of patients without dilation (p=0.001). Patients with initial neck diameter >25 mm had significantly less dilatation than those with smaller necks (p<0.001). The incidence of neck dilation approached 20% in all EVAR patients after 24 months and was not significantly different among graft types. Neck dilation of 3 mm or more appears to be one risk factor for migration and late proximal endoleak. | lld:pubmed |
pubmed-article:15696248 | pubmed:language | eng | lld:pubmed |
pubmed-article:15696248 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
pubmed-article:15696248 | pubmed:citationSubset | IM | lld:pubmed |
pubmed-article:15696248 | pubmed:status | MEDLINE | lld:pubmed |
pubmed-article:15696248 | pubmed:issn | 1538-5744 | lld:pubmed |
pubmed-article:15696248 | pubmed:author | pubmed-author:MakarounMiche... | lld:pubmed |
pubmed-article:15696248 | pubmed:author | pubmed-author:DillavouEllen... | lld:pubmed |
pubmed-article:15696248 | pubmed:author | pubmed-author:MulukSatishS | lld:pubmed |
pubmed-article:15696248 | pubmed:issnType | Print | lld:pubmed |
pubmed-article:15696248 | pubmed:volume | 39 | lld:pubmed |
pubmed-article:15696248 | pubmed:owner | NLM | lld:pubmed |
pubmed-article:15696248 | pubmed:authorsComplete | Y | lld:pubmed |
pubmed-article:15696248 | pubmed:pagination | 47-54 | lld:pubmed |
pubmed-article:15696248 | pubmed:dateRevised | 2007-11-15 | lld:pubmed |
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pubmed-article:15696248 | pubmed:articleTitle | Is neck dilatation after endovascular aneurysm repair graft dependent? Results of 4 US Phase II trials. | lld:pubmed |
pubmed-article:15696248 | pubmed:affiliation | Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. | lld:pubmed |
pubmed-article:15696248 | pubmed:publicationType | Journal Article | lld:pubmed |
pubmed-article:15696248 | pubmed:publicationType | Comparative Study | lld:pubmed |