ArticleVascular specialist international2020
Suitability of the Aortic Neck Anatomy for Endovascular Aneurysm Repair in Korean Patients with Abdominal Aortic Aneurysm.
Article in Vascular specialist international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 11 citations in OpenAlex.
- 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
- Individualized strategy of treatment for ruptured abdominal aortic aneurysm using causal inference model: a retrospective observational study.Annals of surgical treatment and research · 2026Article
- Pararenal aortic pseudoaneurysm secondary to renal stent infection.Journal of vascular surgery cases and innovative techniques · 2025Article
- Why Open Surgical Repair Remains Essential: Insights into the Suitability of Endovascular Aneurysm Repair in Ruptured Abdominal Aortic Aneurysms from a Tertiary Referral Center in South Korea.Journal of chest surgery · 2025Article
- Commentary: Why Open Surgical Repair Still Matters-The Importance of Protocol-Driven Management for Ruptured Abdominal Aortic Aneurysm.Journal of chest surgery · 2025Article
- Effect of EVAR on International Ruptured AAA Mortality-Sex and Geographic Disparities.Journal of clinical medicine · 2024Article
- Anatomical feasibility of fenestrated stent graft to treat complex abdominal aortic aneurysms from a Korean single institute database.Annals of surgical treatment and research · 2023Article
- Aortic aneurysms in patients with atherosclerotic coronary artery disease in the southwestern region of Romania - clinical and histopathological study.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologieArticle
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4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the aortic neck anatomy in Korean patients with abdominal aortic aneurysms (AAAs). MATERIALS AND
methodsWe examined computed tomography scans of 343 patients with AAAs (≥5.5 cm for men or ≥5 cm for women) between 2009 and 2018. Eligibility of neck anatomy for endovascular aneurysm repair (EVAR) was assessed with the standard instructions for use (IFU) (length ≥15 mm, suprarenal angulation (SRA) ≤45°, infrarenal angulation (IRA) ≤60°, and diameter 18-32 mm) and the extended IFU (length ≥10 mm, SRA ≤60°, IRA ≤75°, and diameter 17-32 mm).
resultsThere were 71 women (20.7%), and 61 patients (17.8%) with rupture. Women had smaller neck diameters (21.3 vs. 23.4 mm, P<0.001 for proximal neck; 22.2 vs. 24.5 mm, P<0.001 for distal neck), and higher angulations (51.5° vs. 37.8°, P<0.001 for SRA; 77.7° vs. 57.0°, P<0.001 for IRA) than men. However, the neck length was not significantly different. Patients with ruptured AAAs had shorter neck lengths (21.0 vs. 26.8 mm, P=0.005) than those with intact AAAs. However, the neck diameters and angulations were not significantly different. EVAR eligibility for standard and extended IFUs was found in 37.5% and 55.1% of men, and 11.3% and 25.4% of women (P<0.001 for both IFUs); neck anatomy was eligible in 34.0% of intact AAAs and 23.0% of ruptured AAAs (P=0.098).
conclusionA significant proportion of the Korean patients did not meet the IFU for EVAR, mainly due to the angulated neck. Women, and patients with ruptured AAAs, were less likely to meet the IFU criteria.
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