{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:46:18Z","timestamp":1792079178021,"version":"4.4.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,8,18]],"date-time":"2015-08-18T00:00:00Z","timestamp":1439856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>Purpose: To report a systematic literature review of late rupture of abdominal aortic aneurysm (AAA) after endovascular aneurysm repair (EVAR) and the results of a pooled analysis of causes, treatment, and outcomes. Methods: Electronic information sources and bibliographic reference lists were interrogated using a combination of free text and controlled vocabulary searches; 11 articles were ultimately identified that fulfilled the inclusion criteria. The articles reported a total of 190 patients who were included in the qualitative and quantitative synthesis. Mortality within 30 days or during the admission with aneurysm rupture was a primary endpoint; major perioperative morbidity was a secondary endpoint. A meta-analysis was performed for 30-day\/in-hospital mortality using the random effects model. Results: A total of 152 ruptures occurred after 16,974 EVAR procedures reported by 8 of the case series, giving an incidence of 0.9% [95% confidence interval (CI) 0.77 to 1.05]. The mean time to rupture was 37 months. Twenty-nine percent (95% CI 20 to 39) of the patients had at least one previous secondary endovascular intervention following the initial EVAR, and 37% (95% CI 30 to 45) were not compliant with surveillance. Type I and III endoleaks were the predominant causes of rupture. Open surgical treatment was undertaken in 61% (95% CI 53 to 68) of the patients who underwent treatment. The pooled estimate for perioperative mortality was 32% (95% CI 24 to 41). A significantly lower mortality was found with endovascular treatment than open surgical management (p=0.027). Conclusion: Graft-related endoleaks appear to be the predominant causes of late aneurysm rupture. Quality of and compliance with post-EVAR surveillance are important factors in late rupture; a large proportion of late ruptures are amenable to endovascular treatment.<\/jats:p>","DOI":"10.1177\/1526602815601405","type":"journal-article","created":{"date-parts":[[2015,9,21]],"date-time":"2015-09-21T15:34:11Z","timestamp":1442849651000},"page":"734-744","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":167,"title":["Late Rupture of Abdominal Aortic Aneurysm After Previous Endovascular Repair"],"prefix":"10.1177","volume":"22","author":[{"given":"George A.","family":"Antoniou","sequence":"first","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George S.","family":"Georgiadis","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavros A.","family":"Antoniou","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Heraklion, University of Crete, Heraklion, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Neequaye","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Brennan","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Torella","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Rao","family":"Vallabhaneni","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,8,18]]},"reference":[{"key":"bibr1-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16979-1"},{"key":"bibr2-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042002"},{"key":"bibr3-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1426"},{"key":"bibr4-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707348"},{"key":"bibr5-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004178.pub2"},{"key":"bibr6-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0909499"},{"key":"bibr7-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0909305"},{"key":"bibr8-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9101"},{"key":"bibr9-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.11.002"},{"key":"bibr10-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2014.09.010"},{"key":"bibr11-1526602815601405","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.10.011"},{"key":"bibr12-1526602815601405","first-page":"639","volume":"49","author":"Rinckenbach S","year":"2008","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr13-1526602815601405","unstructured":"University of York, Centre for Reviews and Dissemination, York, UK. 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