{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:53:19Z","timestamp":1777938799573,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2007,9,1]],"date-time":"2007-09-01T00:00:00Z","timestamp":1188604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>With any new technology complications are possible, and problems with first-generation aortic stentgrafts have been extensively reported. The long-term outcome of this patient population and the magnitude of additional secondary procedures are, however, less well covered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Between February 1997 and November 1999, 48 patients (44 men and 4 women; mean age 70 years; range 54\u201385) with AAA (average 57mm, range 40\u201390mm) were treated with a Vanguard\u00ae endoprosthesis. Stentgrafts were sized by CT and angiography-based measurements. Results were continuously assessed using contrast-enhanced CT before discharge, 1, 3, 6 and 12 months after the procedure and thereafter annually. Since 2001 plain abdominal X-rays have been performed annually.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The technical implant success rate was 100%. Median follow-up was 91 months (range 7.6\u2013120 months). None of the patients was lost during this period. Hospital mortality was 0%. There were 25 subsequent deaths (52%), the most common cause being coronary artery disease. There were ten late conversions to open surgical repair, including three emergency operations: two due to rupture and one to thrombosis. EVAR-related complications were encountered in 43 patients (90%): 12 primary endoleaks (all type II), 36 late endoleaks (16 type I, 2 type II and 18 type III), 22 migrations, 25 row separations, 20 thromboses, one endotension and 3 ruptures of the AAA. Secondary procedures were required in 39 patients (81%): 1 re-endografting by aortoiliac bifurcated graft and 3 with a uni-iliac graft; 33 limb graft repairs were performed and 19 infrarenal cuffs were placed. There were 4 late embolizations and 4 attempts, and 6 thrombolyses, four of which were successful. Further, 9 femoro-femoral crossover by-pass and 2 axillo-femoral by-pass operations and 2 amputations were carried out during the follow-up. Only one patient was alive without complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The impact of long-term follow-up of patients treated with the new technology was emphasized in this patient population. A careful surveillance protocol and active endovascular treatment of complications can yield acceptable results and low AAA rupture and aneurysm mortality rates, also with the first-generation endovascular graft. A new technology, however, may involve unpredictable problems which can magnify the workload and incur high costs over several years after the initial procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/145749690709600307","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T14:19:56Z","timestamp":1484144396000},"page":"221-228","source":"Crossref","is-referenced-by-count":15,"title":["Ten-Year Outcomes after Endovascular Aneurysm Repair (Evar) and Magnitude of Additional Procedures"],"prefix":"10.1177","volume":"96","author":[{"given":"S.","family":"V\u00e4\u00e4r\u00e4m\u00e4ki","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery and Interventional Radiology, University Hospital and Medical School, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Pimenoff","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Interventional Radiology, University Hospital and Medical School, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Heikkinen","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Interventional Radiology, University Hospital and Medical School, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Suominen","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Interventional Radiology, University Hospital and Medical School, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Saarinen","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Interventional Radiology, University Hospital and Medical School, Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Interventional 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