Evidence map›Paper›PMID 42807100›Full record

ArticleAnnals of vascular diseases2026

Impact of Preoperative Image Sharing and Anatomical Suitability on EVAR Outcomes for Ruptured Abdominal Aortic Aneurysm.

Yuki Hashimoto, Shinsuke Kikuchi, Yuri Yoshida, Hirofumi Jinno, Noriyuki Yokoyama, Daichi Mizushima, Tsutomu Doita, Takayuki Uramoto, Kazuki Takahashi, Seima Ohira and 13 more

Abstract read
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In one paragraph

Article in Annals of vascular diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Yuki HashimotoDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Shinsuke KikuchiDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Yuri YoshidaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Hirofumi JinnoDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Noriyuki YokoyamaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Daichi MizushimaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Tsutomu DoitaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Takayuki UramotoDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Kazuki TakahashiDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Seima OhiraDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Keisuke KamadaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Takamitsu TatsukawaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Naoya KuriyamaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Seiko TanakaDivision of Nursing, Asahikawa Medical University Hospital, Asahikawa, Hokkaido, Japan.
Akihito TampoDepartment of Emergency Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Motoi OkadaDepartment of Emergency Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Ami SugawaraDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Kenichi TakahokoDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Yoshiko OnoderaDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Atsushi KurosawaDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Hiroshi MakinoDepartment of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Daiki UchidaDepartment of Vascular Surgery, Asahikawa City Hospital, Asahikawa, Hokkaido, Japan.
Nobuyoshi AzumaDepartment of Vascular Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The influence of anatomical suitability on outcomes after endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA) remains uncertain. This study evaluated the association between adherence to device instructions for use (IFU) and clinical outcomes after EVAR for rAAA. Methods: We retrospectively reviewed 31 consecutive patients who underwent emergency EVAR for rAAA between August 2016 and June 2023. Anatomical suitability was assessed by retrospective computed tomography, and patients were classified as inside or outside IFU. The influence of preoperative image sharing (JOIN; Allm, Tokyo, Japan) on perioperative workflow was also evaluated, with patients divided into image-sharing and non-image-sharing groups. The primary outcome was reintervention; secondary outcomes included 30-day and overall mortality. Results: Twenty patients (64.5%) were inside IFU and eleven (35.5%) were outside IFU. Outside-IFU cases had shorter proximal neck length and greater neck angulation. Reintervention was more frequent outside IFU than inside IFU (63.6% vs. 10.0%, p <0.01), whereas 30-day mortality (18.2% vs. 10.0%, p = 0.601) and overall mortality (36.4% vs. 60.0%, p = 0.300) were not significantly different. Prehospital image sharing using the JOIN application was associated with shorter door-to-operating room time despite longer transfer distance. Conclusions: EVAR for rAAA may achieve acceptable early survival in selected outside-IFU cases; however, outside-IFU anatomy is associated with increased reintervention. Careful patient-specific selection and structured follow-up are essential.

Indexed as

anatomical suitabilityendovascular aneurysm repairinstructions for useremote image sharingruptured abdominal aortic aneurysm

Identifiers

PMID42807100
PMCPMC13616592

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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.