What question did this study set out to answer?

To report early outcomes, exclusion success, and complications associated with Sydney and EVT prostheses for endoluminal tube graft repair of abdominal aortic aneurysms.

August 1, 1995Journal of Endovascular Therapy

Early Experience with the Sydney and EVT Prostheses for Endoluminal Treatment of Abdominal Aortic Aneurysms

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Authors

JMJames R. MayPace University GWGeoffrey H. WhiteCedars-Sinai Medical Center WYWeiyun YuRoyal Prince Alfred Hospital

Discussion

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Implication

Cohort study reveals high technical success but differing complication profiles for endografts in abdominal aortic aneurysms, suggesting stricter anatomic selection reduces local vascular risks.

Key Points

To report early outcomes, exclusion success, and complications associated with Sydney and EVT prostheses for endoluminal tube graft repair of abdominal aortic aneurysms.
Analyzed consecutive patients undergoing endoluminal tube graft repair over a 12-month period (N=28: 18 Sydney, 10 EVT).
Applied strict inclusion criteria for EVT (proximal neck ≥ 2 cm, distal cuff ≥ 1.5 cm) and more liberal criteria for Sydney (distal cuffs < 1.5 cm).
Evaluated graft placement and aneurysm exclusion using contrast-enhanced CT preoperatively, within 10 days post-procedure, and at 6 and 12 months.
Initial technical deployment was successful in 100% of cases in both groups.
Postprocedural leaks occurred in 4 Sydney patients (89% clinical success rate; 2 sealed with second endografts, 2 converted to open repair) compared to 0 leaks in the EVT group.
Local/vascular complications occurred in 33% of the Sydney group versus 20% of the EVT group (p = 0.001), while systemic sequelae occurred in 17% versus 30% (p = 0.002), with zero 30-day mortality.

Cite This Study

May et al. (1995) studied this question.

synapsesocial.com/papers/6a938178f3532cd145ebb559 https://doi.org/10.1177/152660289500200302

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Implication

Cohort study reveals high technical success but differing complication profiles for endografts in abdominal aortic aneurysms, suggesting stricter anatomic selection reduces local vascular risks.

Early Experience with the Sydney and EVT Prostheses for Endoluminal Treatment of Abdominal Aortic Aneurysms

Discussion

Member takes

Implication

Key Points

Cite This Study

Early Experience with the Sydney and EVT Prostheses for Endoluminal Treatment of Abdominal Aortic Aneurysms

Discussion

Member takes

Implication

Key Points

Cite This Study

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