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Incidence, risk factors, and prognostic impact of type Ib endoleak following endovascular repair for abdominal aortic aneurysm: scoping review

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dc.contributor.authorZuccon, Gianmarco
dc.contributor.authorD’Oria, Mario
dc.contributor.authorGonçalves, Frederico Bastos
dc.contributor.authorFernandez-Prendes, Carlota
dc.contributor.authorMani, Kevin
dc.contributor.authorCaldeira, Daniel
dc.contributor.authorKoelemay, Mark
dc.contributor.authorBissacco, Daniele
dc.contributor.authorTrimarchi, Santi
dc.contributor.authorVan Herzeele, Isabelle
dc.contributor.authorWanhainen, Anders
dc.date.accessioned2023-10-19T11:11:02Z
dc.date.available2023-10-19T11:11:02Z
dc.date.issued2023
dc.description© 2023 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.pt_PT
dc.description.abstractObjective: The primary objectives of this scoping review were to assess the rate of and risk factors for type Ib endoleak and to evaluate the extent of the evidence base that links type Ib endoleak to short and long term outcomes in patients undergoing endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA). Methods: Potentially eligible studies were searched in the Cochrane Central Register of Controlled Trials, MEDLINE, Web of Science Core Collection, SciELO Citation Index, Russian Science Citation Index, and KCI-Korean Journal Database. A scoping review was performed according to PRISMA extension for Scoping Reviews. Results: A total of 27 articles (four prospective registries and 23 retrospective cohort studies) dealing with type Ib endoleak were included in the final analysis. The number of patients reported on was 7 197, with follow up ranging between 12 months and 93 months. The reported frequency of type Ib endoleak in patients treated with EVAR ranged from 0% to 8%, Patient and or procedure related factors associated with risk of type Ib endoleak were (1) common iliac artery (CIA) diameter ˃ 18 mm requiring use of flared stent graft limbs (FLs) ˃ 20 mm, (2) length of CIA landing zone ˂ 20 mm, (3) marked iliac tortuosity, and (4) large initial AAA diameter. Depending on the study, 50 - 100% of type Ib endoleaks were corrected by endovascular means, with a reported immediate technical success of 100% in the studies providing this information. Conclusion: Type Ib endoleak after EVAR has been reported to occur in 0 - 8% of cases. Several anatomical features, including CIA diameter ˃ 18 mm or requiring the use of FLs ˃ 20 mm, length of CIA landing zone ˂ 20 mm, marked iliac tortuosity, and large initial AAA diameter, could increase the risk of type Ib endoleak and may require alternative therapeutic options and or more stringent follow up. Therefore, this updated scoping review provides a comprehensive summary of the frequency, risk factors, prognosis, and treatment of type Ib endoleaks, and has identified knowledge gaps in the literature to guide further studies.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Vasc Endovasc Surg. 2023 Sep;66(3):352-361pt_PT
dc.identifier.doi10.1016/j.ejvs.2023.06.017pt_PT
dc.identifier.eissn1532-2165
dc.identifier.issn1078-5884
dc.identifier.urihttp://hdl.handle.net/10451/59895
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/european-journal-of-vascular-and-endovascular-surgerypt_PT
dc.subjectAbdominal aortic aneurysmpt_PT
dc.subjectEndoleakpt_PT
dc.subjectEndovascular aneurysm repairpt_PT
dc.subjectOutcomept_PT
dc.subjectReporting standardspt_PT
dc.subjectReviewpt_PT
dc.titleIncidence, risk factors, and prognostic impact of type Ib endoleak following endovascular repair for abdominal aortic aneurysm: scoping reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage361pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage352pt_PT
oaire.citation.titleEuropean Journal of Vascular and Endovascular Surgerypt_PT
oaire.citation.volume66pt_PT
person.familyNameCaldeira
person.givenNameDaniel
person.identifier.ciencia-idAA19-EC35-8D01
person.identifier.orcid0000-0002-2520-5673
person.identifier.scopus-author-id36623384200
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationeba36bb8-5eb3-4ccc-88f8-bd7012d42382
relation.isAuthorOfPublication.latestForDiscoveryeba36bb8-5eb3-4ccc-88f8-bd7012d42382

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