ArticleAnnals of surgery2019
Outcomes of Endovascular Repair for Abdominal Aortic Aneurysms: A Nationwide Survey in Japan.
Article in Annals of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.
- Long-term Cardiovascular and All-Cause Mortality following Elective Infrarenal Repair of the Abdominal Aortic Aneurysm: A Systematic Review and Meta-analysis.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2026Pooled it
- A novel tissue-engineered stent graft combining decellularized scaffold and bioresorbable stent: a pilot feasibility study in a porcine model.Organogenesis · 2026Article
- Preoperative D-dimer and Intraluminal Thrombus Ratio Appear to Interact in Predicting Aneurysm Expansion After Endovascular Repair in Patients With Persistent Type 2 Endoleak.Cardiovascular and interventional radiology · 2026Article
- Impact of Preoperative Image Sharing and Anatomical Suitability on EVAR Outcomes for Ruptured Abdominal Aortic Aneurysm.Annals of vascular diseases · 2026Article
- Clinical outcomes of chimney endovascular aneurysm repair versus open surgical repair for short-neck abdominal aortic aneurysms.Surgery today · 2026Article
- Long-Term Outcomes of the Aorfix™ Stent Graft in Japanese Patients with Severely Angulated Aortic Necks: A Single-Center Retrospective Study.Journal of clinical medicine · 2025Article
- Pregnant Patient With Infrarenal Abdominal Aortic Aneurysm Successfully Treated With EVAR.JACC. Case reports · 2025Article
- A Multifaceted Approach to Abdominal Aortic Aneurysm.Annals of vascular diseases · 2025Review
- Spinal Cord Infarction after Endovascular Aortic Repair for Infrarenal Abdominal Aortic Aneurysm.Annals of vascular diseases · 2024Article
- Endovascular Treatment of Abdominal Aortic Aneurysm: Impact of Diabetes on Endoleaks and Reintervention.Journal of clinical medicine · 2024Article
- Saccular and Fusiform Abdominal Aortic Aneurysms Treated With Endovascular Repair Differ in Presentation and Treatment Threshold: Analyses Using a National Clinical Database in Japan.Journal of the American Heart Association · 2024Article
- Effect of EVAR on International Ruptured AAA Mortality-Sex and Geographic Disparities.Journal of clinical medicine · 2024Article
- Long-Term Outcomes of Simple Endovascular Aneurysm Repair Based on the Initial Aortic Diameter.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024Article
- Trends in AAA Repair in Australia Over Twenty Years.Vascular health and risk management · 2024Article
- Safety and Efficacy of Endovascular Aortic Repair for Abdominal Aortic Aneurysms with a Hostile Neck Anatomy.Current medical science · 2023Article
- Japanese single-center experience of abdominal aortic aneurysm repair over 20 years: should open or endovascular aneurysm repair be performed first?Surgery today · 2023Article
- Engineering In Situ Weldable Vascular Devices.Bioengineering (Basel, Switzerland) · 2023Article
- Factors Influencing on the Aneurysm Sac Shrinkage after Endovascular Abdominal Aortic Aneurysm Repair by the Analysis of the Patients with the Aneurysm Sac Shrinkage and Expansion.Annals of vascular diseases · 2023Article
- Endovascular versus open repair in patients with abdominal aortic aneurysm: a claims-based data analysis in Japan.BMJ surgery, interventions, & health technologies · 2022Article
- The Outcomes of Thoracic Endovascular Aortic Repair in Japan in 2017: A Report from the Japanese Committee for Stentgraft Management.Annals of vascular diseases · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze data on patients treated with a bifurcated stent graft for abdominal aortic aneurysm (AAA).
backgroundThe Japan Committee for Stentgraft Management (JACSM) was established in 2007 to manage the safety of endovascular aortic aneurysm repair (EVAR) in Japan. The JACSM registry includes detailed anatomical and clinical data of all patients who undergo stent graft insertion in Japan.
methodsAmong 51,380 patients treated with bifurcated stent graft for AAA, we identified 38,008 eligible patients (excluding those with rupture or insufficient data). The analyzed factors included age, sex, comorbidities, AAA pathology and etiology, aneurysm and neck diameters, 7 anti-instructions for use (IFU) factors, and endoleaks at hospital discharge. The endpoints were death, adverse events, sac dilatation (≥5 mm), and reintervention.
resultsThe rates of intraoperative and in-hospital mortality were 0.08% and 1.07%, respectively. Infectious aneurysm and pseudo-aneurysm were associated with overall survival and reintervention. Older age, large aneurysm diameter, and all types of persistent endoleaks were strong predictors of adverse events, sac dilatation, and reintervention. Comorbid cerebrovascular disease, renal dysfunction, and respiratory disorders were also risk factors. In total, 47.6% of patients violated the IFU; among the anti-IFU factors assessed, poor access and severe neck calcification were strong risk factors for mortality, reintervention, and adverse events. The sac dilatation rate at 5 years was 23.3%.
conclusionsAlthough the analysis included EVAR with poor anatomy, the perioperative mortality rate was acceptable compared with that in previous large population studies.
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