RT Journal
A1 Leurs LJ, Buth J, Laheij RF, et al
T1 LOng-term results of endovascular abdominal aortic aneurysm treatment with the first generation of commercially available stent grafts
JF Archives of Surgery
JO Archives of Surgery
YR 2007
FD January 1
VO 142
IS 1
SP 33
OP 41
DO 10.1001/archsurg.142.1.33
UL http://dx.doi.org/10.1001/archsurg.142.1.33
AB Hypothesis 
    Little information about the long-term results of endovascular abdominal aortic aneurysm repair is available. This study was performed to evaluate the long-term data of patients treated with the first generation of commercially available stent grafts.Design 
    Multicenter registry.Setting 
    Sixty-two European centers that participated in the EUROSTAR (EUROpean collaborators on Stent-graft Techniques for abdominal aortic Aneurysm Repair) registry.Patients 
    A total of 1190 patients with a follow-up of up to 8 years, who underwent endovascular abdominal aortic aneurysm repair with a stent graft (Stentor or Vanguard).Intervention 
    Elective endovascular abdominal aortic aneurysm repair.Main Outcome Measures 
    The morbidity and mortality data of patients treated with the first-generation stent graft who enrolled in the EUROSTAR registry were analyzed. Incidence rates of complications were calculated to quantify annual risks. Life-table analyses and multivariate Cox proportional hazards models were used for the survival analysis.Results 
    Conversion to open repair, aneurysm rupture, all-cause death, and aneurysm-related death occurred in 7.1%, 2.4%, 19.9%, and 3.0% of the patients, respectively. The cumulative percentage of the combined outcome event, conversion-free and rupture-free survival, after 8 years was 48.0%. Procedure-related complications that frequently occurred were endoleak (13.0 cases per 100 patient-years), stenosis/thrombosis (4.6 cases per 100 patient-years), and stent migration (4.3 cases per 100 patient-years).Conclusions 
    Patients treated with the first generation of stent grafts will need lifelong surveillance because of a considerable risk of late complications. How these findings translate to the outcome of newer-generation stent grafts is unknown. For this reason, vigilant surveillance remains indicated in all patients who undergo endovascular abdominal aortic aneurysm repair.