{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:36:20Z","timestamp":1790080580339,"version":"4.0.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2015,2,18]],"date-time":"2015-02-18T00:00:00Z","timestamp":1424217600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,3,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Lifelong surveillance is considered mandatory after endovascular repair (EVAR) of abdominal aortic aneurysms to detect endograft complications and prevent aneurysm rupture. Current protocols are not cost-effective or clinically effective. The international validity of the St George's Vascular Institute (SGVI) score for EVAR complications was examined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The ENGAGE registry recruited patients undergoing EVAR at 79 centres in 30 countries. Reinterventions and endograft complications were recorded for up to 3 years after surgery. Preoperative aneurysm morphology was extracted from the registry database, and used to predict whether patients would be at low or high risk of complications after EVAR based on the SGVI score. Kaplan\u2013Meier analysis was used to compare the incidence of endograft complications and reinterventions in patients predicted to be at low risk compared with those predicted to be at high risk.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 1207 patients underwent EVAR, with follow-up of up to 3 years. The SGVI score accurately discriminated freedom from reinterventions (90\u00b75 versus 79\u00b73 per cent in low- versus high-risk patients; P &amp;lt; 0\u00b7001), freedom from endograft complications (77\u00b79 versus 69\u00b76 per cent in low- versus high-risk patients; P = 0\u00b7012), and freedom from a composite outcome measure of reinterventions or endograft complications (75\u00b70 versus 66\u00b71 per cent in low- versus high-risk patients; P = 0\u00b7006) during mid-term follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study has provided international validation of a morphological risk score that predicts mid-term reinterventions and endograft complications. The results may enable risk-stratified surveillance after EVAR.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.9758","type":"journal-article","created":{"date-parts":[[2015,2,18]],"date-time":"2015-02-18T11:29:09Z","timestamp":1424258949000},"page":"509-515","source":"Crossref","is-referenced-by-count":19,"title":["International validation of a risk score for complications and reinterventions after endovascular aneurysm repair"],"prefix":"10.1093","volume":"102","author":[{"given":"A","family":"Karthikesalingam","sequence":"first","affiliation":[{"name":"Department of Outcomes Research, St George's Vascular Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Vidal-Diez","sequence":"additional","affiliation":[{"name":"Department of Outcomes Research, St George's Vascular Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J L","family":"De Bruin","sequence":"additional","affiliation":[{"name":"Department of Outcomes Research, St George's Vascular Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M M","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Outcomes Research, St George's Vascular Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R J","family":"Hinchliffe","sequence":"additional","affiliation":[{"name":"Department of Outcomes Research, St George's Vascular Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I M","family":"Loftus","sequence":"additional","affiliation":[{"name":"Department of Outcomes Research, St George's Vascular Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P J","family":"Holt","sequence":"additional","affiliation":[{"name":"Department of Outcomes Research, St George's Vascular Institute, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,2,18]]},"reference":[{"key":"2021022218210320100_bjs9758-bib-0001","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.ejvs.2009.11.002","article-title":"Secondary interventions following endovascular aneurysm repair (EVAR) and the enduring value of graft surveillance","volume":"39","author":"Nordon","year":"2010","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2021022218210320100_bjs9758-bib-0002","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1056\/NEJMoa1207481","article-title":"Long-term comparison of endovascular and open repair of abdominal aortic aneurysm","volume":"367","author":"Lederle","year":"2012","journal-title":"N Engl J Med"},{"key":"2021022218210320100_bjs9758-bib-0003","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1056\/NEJMoa0909499","article-title":"Long-term outcome of open or endovascular repair of abdominal aortic aneurysm","volume":"362","author":"De Bruin","year":"2010","journal-title":"N Engl J Med"},{"key":"2021022218210320100_bjs9758-bib-0004","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1056\/NEJMoa0909305","article-title":"Endovascular versus open repair of abdominal aortic aneurysm","volume":"362","author":"United Kingdom EVAR Trial Investigators","year":"2010","journal-title":"N Engl J Med"},{"key":"2021022218210320100_bjs9758-bib-0005","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.ejvs.2010.09.011","article-title":"et al.; European Society for Vascular Surgery. 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