{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T17:53:13Z","timestamp":1774547593586,"version":"3.50.1"},"reference-count":0,"publisher":"Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo","issue":"1","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Peru Cardiol Cir Cardiovasc"],"abstract":"<jats:p>\n\n\n\nAntecedentes. Aproximadamente la mitad de las reparaciones endovasculares de aneurisma de aorta abdominal (AAA) son realizadas en anatomi\u0301as hostiles, incrementando el riesgo de complicaciones como endoleaks tipo IA. La te\u0301cnica con chimeneas (ChEVAR) es una alternativa para disminuir el riesgo de complicaciones en cuellos hostiles. Objetivo: Nuestro objetivo es comparar ambas te\u0301cnicas (ChEVAR y reparacio\u0301n endovascular convencional [EVAR]) en nuestra medio. Materiales y me\u0301todos. Se realizo\u0301 un trabajo de cohorte retrospectivo en pacientes con AAA tratados con EVAR o ChEVAR. El punto final primario fue la incidencia de endoleak tipo IA. Los puntos finales secundarios fueron la incidencia de oclusio\u0301n de chimeneas, reintervencio\u0301n, migracio\u0301n, ruptura del saco, isquemia aguda de miembros, crecimiento del saco o mortalidad asociada al aneurisma durante el seguimiento. Resultados. Tras una mediana de seguimiento de 11,5 meses, 79 pacientes fueron tratados con EVAR y 21 con chEVAR. La edad promedio fue de 76,49 \u00b1 7,32 an\u0303os y 82% fueron de sexo masculino. Los pacientes con chEVAR tuvieron mayor prevalencia de consumo taba\u0301quico que los pacientes con EVAR (38,1% vs. 17,7%, p=0,041) y un cuello ma\u0301s corto (7,88 mm \u00b1 5,73 vs. 36,28 mm \u00b1 13,73, p&lt;0,001). No hubo diferencia de endoleak tipo IA entre los grupos. Dos pacientes presentaron la oclusio\u0301n total de la chimenea, uno de los cuales requirio\u0301 reintervencio\u0301n. No hubo diferencias en la regresio\u0301n del taman\u0303o del saco, asi\u0301 como tampoco hubo eventos de migracio\u0301n, ruptura, isquemia del miembro o mortalidad asociada al aneurisma. Conclusiones. En pacientes con AAA, la te\u0301cnica ChEVAR en cuellos hostiles tuvo eventos similares que EVAR en cuellos favorables.\n\n\n\n<\/jats:p>","DOI":"10.47487\/apcyccv.v5i1.346","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T21:46:43Z","timestamp":1710884803000},"page":"22-28","source":"Crossref","is-referenced-by-count":3,"title":["Incidence of endoleak type IA in patients undergoing chimney endovascular aortic repair (ChEVAR) vs. standard endovascular repair","Incidencia de endoleak tipo IA en pacientes con reparacio\u0301n endovascular de aneurisma ao\u0301rtico con chimenea (ChEVAR)vs. reparacio\u0301n endovascular esta\u0301ndar"],"prefix":"10.47487","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2254-3837","authenticated-orcid":false,"given":"Martin","family":"Rabellino","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-8280","authenticated-orcid":false,"given":"Juan Guido","family":"Chiabrando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3271-7316","authenticated-orcid":false,"given":"Fernando","family":"Garagoli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4805-6882","authenticated-orcid":false,"given":"Mar\u00eda Marta","family":"Abraham Foscolo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1923-0802","authenticated-orcid":false,"given":"Mar\u00eda de los Milagros","family":"Fleitas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3245-3077","authenticated-orcid":false,"given":"Jos\u00e9","family":"Chas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7258-6061","authenticated-orcid":false,"given":"Vanesa","family":"Di Caro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1833-6090","authenticated-orcid":false,"given":"Ignacio Martin","family":"Bluro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4542-0896","authenticated-orcid":false,"given":"Sergio","family":"Shinzato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26947","published-online":{"date-parts":[[2024,3,19]]},"container-title":["Archivos Peruanos de Cardiolog\u00eda y Cirug\u00eda Cardiovascular"],"original-title":[],"link":[{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/346\/539","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/346\/539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T21:46:51Z","timestamp":1710884811000},"score":1,"resource":{"primary":{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/view\/346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,19]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3,19]]}},"URL":"https:\/\/doi.org\/10.47487\/apcyccv.v5i1.346","relation":{},"ISSN":["2708-7212"],"issn-type":[{"value":"2708-7212","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,19]]}}}