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The influence of neck thrombus on clinical outcome and aneurysm morphology after endovascular aneurysm repair  Frederico Bastos Gonçalves, MD, Hence J.M.

Published byΦορτουνάτος Μοσχοβάκης Modified over 5 years ago

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Presentation on theme: "The influence of neck thrombus on clinical outcome and aneurysm morphology after endovascular aneurysm repair  Frederico Bastos Gonçalves, MD, Hence J.M."— Presentation transcript:

1 The influence of neck thrombus on clinical outcome and aneurysm morphology after endovascular aneurysm repair  Frederico Bastos Gonçalves, MD, Hence J.M. Verhagen, MD, PhD, Khamin Chinsakchai, MD, Jasper W. van Keulen, MD, Michiel T. Voûte, MD, Herman J. Zandvoort, MD, Frans L. Moll, MD, PhD, Joost A. van Herwaarden, MD, PhD  Journal of Vascular Surgery  Volume 56, Issue 1, Pages (July 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 In this thrombus volume model, thrombus is manually segmented in all axial computed tomography angiography (CTA) slices within the first 10 mm of the aortic neck. Journal of Vascular Surgery  , 36-44DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Kaplan-Meier curves show clinical success in the thrombus and no-thrombus group out to 5 years. The standard error is <0.10 for the displayed curves. EVAR, Endovascular aneurysm repair. Journal of Vascular Surgery  , 36-44DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Kaplan-Meier curves show freedom from migration in the thrombus and no-thrombus group out to 5 years. The standard error is <0.10 for the displayed curves. EVAR, Endovascular aneurysm repair. Journal of Vascular Surgery  , 36-44DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

5 Fig 4 A, Rate of change is shown in estimated glomerular filtration rate (eGFR; mL/min/1.73 m2) ≤30 days of surgery. B, Rate of change in eGFR is shown at the last follow-up visit for patients from one institution only (Erasmus University Medical Center, Rotterdam, The Netherlands). Journal of Vascular Surgery  , 36-44DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Intraobserver variability is shown for thrombus volume in the first 10 mm of aortic neck. The outside lines represent the 95% confidence interval. Journal of Vascular Surgery  , 36-44DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Neck thrombus volume is shown in the first 10 mm of aortic neck. The bars represent the mean volume, and the error bars show the standard deviation. CTA, Computed tomography angiography. Journal of Vascular Surgery  , 36-44DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

8 Fig 7 A, A preoperative computed tomography angiography (CTA) shows thick, circular thrombus of the aortic neck. B, At 1 year after endograft implantation, the pre-existing thrombus can no longer be identified. The endograft circumference is in contact with the full diameter of the aortic neck. A thin layer of in-graft thrombus can be identified. Journal of Vascular Surgery  , 36-44DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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