Proximal type 1A endoleak is a worrying complication after endovascular repair of an abdominal aortic aneurysm (EVAR). The ideal solution is not obvious between relining by FEVAR and endograft explantation. A retrospective french multicentric study was performed between 2010 and 2023 to compare the outcomes and the efficiency of both technics and propose a decision algorithm for the management of type 1A endoleak after EVAR.
Study Type
OBSERVATIONAL
Enrollment
200
Relining the EVAR with FEVAR
open surgery to explant the previous EVAR
Post operative mortality
Patient death after the treatment of type 1A endoleak
Time frame: day 30 post operative
Major adverse cardiovascular event (MACE) post operative
Patient presenting after surgery a composite score (MACE) including * nonfatal stroke, * nonfatal myocardial infarction * cardiovascular death
Time frame: day 30 post operative
Redo surgery after type 1A endoleak surgery
Reintervention after FEVAR or explantation surgery
Time frame: 30 day, 6 months, 12 months, 24 months
Efficiency of the treatment
No reintervention after open surgery or Thrombosis of the aneurysmal sac after FEVAR
Time frame: 30 day, 6 months, 12 months, 24 months
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