{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:09:56Z","timestamp":1780445396340,"version":"3.54.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,7,10]],"date-time":"2016-07-10T00:00:00Z","timestamp":1468108800000},"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":[[2016,8]]},"abstract":"<jats:p>Purpose: To evaluate the differences in technical outcomes and secondary interventions between elective endovascular aneurysm repair (el-EVAR) procedures and those for ruptured aneurysms (r-EVAR). Methods: Of the 906 patients treated with primary EVAR from September 1998 until July 2012, 43 cases were excluded owing to the use of first-generation stent-grafts. Among the remaining 863 patients, 773 (89.6%) patients (mean age 72 years; 697 men) with asymptomatic or symptomatic abdominal aortic aneurysms (AAAs) were assigned to the el-EVAR group; 90 (10.4%) patients (mean age 73 years; 73 men) were assigned to the r-EVAR group based on blood outside the aortic wall on preoperative imaging. The primary study outcome was technical success; secondary endpoints, including freedom from secondary interventions and late survival, were examined with Kaplan-Meier analyses. Results: At baseline, r-EVAR patients had larger aneurysms on average (p&lt;0.001) compared to el-EVAR patients. Technical success was comparable (p=0.052), but there were more type Ia endoleaks at completion angiography in the r-EVAR group (p=0.038). As anticipated, more patients died in the first month in the r-EVAR group (18.9% vs 2.2% el-EVAR, p&lt;0.001). At 5 years, there was an overall survival of 65.1% for the el-EVAR patients vs 48.1% in the r-EVAR group (p&lt;0.001). The freedom from AAA-related mortality was 95.7% for el-EVAR and 71.0% for r-EVAR (p&lt;0.001). Five-year freedom from type I\/III endoleaks was significantly lower in the r-EVAR group (78.7% vs 90.0%, p=0.003). Five-year freedom from secondary intervention estimates were not significantly different (el-EVAR 84.2% vs r-EVAR 78.2%, p=0.064). Conclusion: Within our cohort of primary EVAR patients, r-EVAR cases showed comparable stent-graft\u2013related technical outcome. Although there was a higher incidence of type Ia endoleaks on completion angiography in the r-EVAR group, the overall secondary intervention rate was comparable to el-EVAR.<\/jats:p>","DOI":"10.1177\/1526602816649371","type":"journal-article","created":{"date-parts":[[2016,5,14]],"date-time":"2016-05-14T20:22:35Z","timestamp":1463257355000},"page":"566-573","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["A 15-Year Single-Center Experience of Endovascular Repair for Elective and Ruptured Abdominal Aortic Aneurysms"],"prefix":"10.1177","volume":"23","author":[{"given":"Pieter P. H. L.","family":"Broos","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands"},{"name":"Department of Epidemiology, CAPHRI Research School, Maastricht University, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yannick W.","family":"\u2018t Mannetje","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands"},{"name":"Department of Epidemiology, CAPHRI Research School, Maastricht University, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rutger A.","family":"Stokmans","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands"},{"name":"Department of Epidemiology, CAPHRI Research School, Maastricht University, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia","family":"Houterman","sequence":"additional","affiliation":[{"name":"Department of Education and Research, Catharina Hospital, Eindhoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Corte","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands"},{"name":"Department of Vascular and Endovascular Surgery, University of Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe W. M.","family":"Cuypers","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joep A. W.","family":"Teijink","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands"},{"name":"Department of Epidemiology, CAPHRI Research School, Maastricht University, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc R. H. 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