ArticleJournal of vascular surgery2020
Five-year reintervention after endovascular abdominal aortic aneurysm repair in the Vascular Quality Initiative.
Article in Journal of vascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Prevalence, causes, management strategies, and outcomes of secondary interventions during long-term follow-up after endovascular aneurysm repair: a retrospective cohort study.Annals of surgical treatment and research · 2026Article
- Value-Based Medicine in the Management of Abdominal Aortic Aneurysms.Journal of the American Heart Association · 2026Review
- Association Between Health Insurance Type and Survival Outcomes: Insight Into the Impact of Socioeconomic Disparities in the Postoperative Outcomes of Abdominal Aortic Aneurysm in Korea.Journal of Korean medical science · 2025Article
- Utilization and Outcomes Associated With Intravascular Ultrasound During Abdominal and Thoracic Endovascular Aortic Interventions in the United States in the Contemporary Era (2016-2023).Circulation. Cardiovascular interventions · 2025Article
- A Global Survey of Follow Up Imaging After EVAR Reminds Us That We Are Still Speaking Different Languages.EJVES vascular forum · 2025Article
- Investigating the effects of percutaneous endovascular aneurysm repair for abdominal aortic aneurysm on the lumen size of the common femoral artery.CVIR endovascular · 2024Article
- Computational Comparison of the Mechanical Behavior of Aortic Stent-Grafts Derived from Auxetic Unit Cells.Cardiovascular engineering and technology · 2024Article
- Late post-EVAR abdominal aortic aneurysm rupture: a meta-analysis study.Archives of medical sciences. Atherosclerotic diseases · 2024Article
- The impact of completion and follow-up endoleaks on survival, reintervention, and rupture.Journal of vascular surgery · 2023Review
- Disparities in 5-year outcomes and imaging surveillance following elective endovascular repair of abdominal aortic aneurysm by sex, race, and ethnicity.Journal of vascular surgery · 2022Article
- Contemporary incidence, outcomes, and survival associated with endovascular aortic aneurysm repair conversion to open repair among Medicare beneficiaries.Journal of vascular surgery · 2022Article
- The Technological Advancement to Engineer Next-Generation Stent-Grafts: Design, Material, and Fabrication Techniques.Advanced healthcare materials · 2022Review
- Endovascular versus open repair in patients with abdominal aortic aneurysm: a claims-based data analysis in Japan.BMJ surgery, interventions, & health technologies · 2022Article
- Survival, reintervention and surveillance reports: long-term, centre-level evaluation and feedback of vascular interventions.BMJ surgery, interventions, & health technologies · 2022Article
- "Modern Endovascular Therapy".World journal of surgery · 2021Review
- Racial Disparities Associated With Reinterventions After Elective Endovascular Aortic Aneurysm Repair.The Journal of surgical research · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivePatients who undergo endovascular abdominal aortic aneurysm repair (EVR) remain at risk for reintervention and rupture. We sought to define the 5-year rate of reintervention and rupture after EVR in the Vascular Quality Initiative (VQI).
methodsWe identified all patients in the VQI who underwent EVR from 2003 to 2015. We linked patients in the VQI to Medicare claims for long-term outcomes. We stratified patients on baseline clinical and procedural characteristics to identify those at risk for reintervention. Our primary outcomes were 5-year rates of reintervention and late aneurysm rupture after EVR. We assessed these with Kaplan-Meier survival estimation.
resultsWe studied 12,911 patients who underwent EVR. The mean age was 75.5 years, 79.9% were male, 3.9% were black, and 89.1% of operations were performed electively. The 5-year rate of reintervention for the entire cohort was 21%, and the 5-year rate of late aneurysm rupture was 3%. Reintervention rates varied across categories of EVR urgency. Patients who underwent EVR electively had the lowest 5-year rate of reintervention at 20%. Those who underwent surgery for symptomatic aneurysms had higher rates of reintervention at 25%. Patients undergoing EVR emergently for rupture had the highest rate of reintervention, 27% at 4 years (log-rank across the three groups, P < .001). Black race and aneurysm size of 6.0 cm or greater were associated with significantly elevated reintervention rates (black, 31% vs white, 20% [log-rank, P < .001]; aneurysm size 6.0 cm or greater, 27% vs all others, <20% [log-rank, P < .001]). There were no significant associations between age or gender and the 5-year rate of reintervention.
conclusionsMore than one in five Medicare patients undergo reintervention within 5 years after EVR in the VQI; late rupture remains low at 3%. Black patients, those with large aneurysms, and those who undergo EVR urgently and emergently have a higher likelihood of adverse outcomes and should be the focus of diligent long-term surveillance.
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