ReviewFrontiers in surgery2022
TEVAR and EVAR, the unknown knowns of the cardiovascular hemodynamics; and the immediate and long-term consequences of fabric material on major adverse clinical outcome.
Review in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Left ventricular remodeling and modification of aortic stiffness after endovascular aortic repair: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2026Pooled it
- Arterial Stiffness and Aortic Aneurysmal Disease - A Narrative Review.Vascular health and risk management · 2024Pooled it
- Stent-graft compliance modulates regional mechanical and structural remodeling of the aorta.Acta biomaterialia · 2026Article
- Impact of Endovascular Aortic Repair on Aortic Stiffness: Preliminary Results from a Prospective In Vivo Study Following EVAR.Journal of clinical medicine · 2026Article
- Effect of stent-graft length and compliance on aortic hemodynamics in a bench-top physiological flow circuit.Journal of the mechanical behavior of biomedical materials · 2026Article
- Aortic and cardiovascular remodelling after thoracic endovascular aortic repair for blunt traumatic aortic injury in younger patients: A narrative review of physiological and clinical outcomes.Experimental physiology · 2026Review
- Cardiac remodeling and antihypertensive medication changes after thoracic endovascular aortic repair vs open surgical repair.Journal of vascular surgery · 2025Article
- Abdominal Aortic Endograft Implantation Immediately Induces Vascular Stiffness Gradients That May Promote Adverse Aortic Neck Dilatation: Results of A PorcineJournal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2025Article
- Long-Term Outcomes of Endovascular Repair of Thoracic Aortic Aneurysms.The International journal of angiology : official publication of the International College of Angiology, Inc · 2024Review
- The Utility of Three-Dimensional Printing in Physician-Modified Stent Grafts for Aortic Lesions Repair.Journal of clinical medicine · 2024Review
- Study Protocol of a Prospective, Monocentric, Single-Arm Study Investigating the Correlation of Endograft Properties with Aortic Stiffness in Abdominal Aortic Aneurysm Patients Subjected to Endovascular Aortic Repair.Journal of clinical medicine · 2024Article
- Comparative study of acute kidney injury in pararenal aortic aneurysm: open surgical versus endovascular repair.Frontiers in surgery · 2024Article
- Management of acute aortic syndrome with evolving individualized precision medicine solutions: Lessons learned over two decades and literature review.Frontiers in surgery · 2023Article
- Editorial: New discoveries in bioengineering applied to vascular surgery.Frontiers in surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This review discusses the impact of endovascular aneurysm repair on cardiovascular (CV) hemodynamics and the role of stent-graft material, i.e., polytetrafluoroethylene (PTFE) vs. polyester in post-procedural outcomes. Endovascular aneurysm repair has been widely employed in the last decades for thoracic and abdominal aneurysm repair. However, aortic endografts are stiff and alter the native flow hemodynamics. This failure to simulate the native aorta could lead to added strain on the heart, manifesting as increased left ventricular strain, higher pulse pressure, and congestive heart failure later. This could result in adverse CV outcomes. Also, evidence is mounting to support the implication of stent-graft materials, i.e., PTFE vs. polyester, in adverse post-procedural outcomes. However, there is an absence of level one evidence. Therefore, the only way forward is to plan and perform a randomised controlled trial to demonstrate the alterations in the CV hemodynamics in the short and long run and compare the available stent-graft materials regarding procedural and clinical outcomes. We believe the best solution, for now, would be to reduce the stented length of the aorta. At the same time, in the longer term, encourage continuous improvement in stent-graft materials and design.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.