European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Eur J Vasc Endovasc Surg · Sep 2013
Mid-term results of endovascular aortic aneurysm repair in the young.
To compare the mid-term outcome and secondary intervention rate following elective open and endovascular aortic aneurysm repair (EVAR) in patients aged 65 years and younger. ⋯ Young patients with AAA have significant comorbidities and do not necessarily have long lifespans. In the less fit younger patients with AAA, the results with EVAR are comparable with fit patients who had open AAA repair. The management of fitter young patients with AAA remains controversial, but improving results with EVAR over time may increase the role of EVAR in this group.
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Eur J Vasc Endovasc Surg · Sep 2013
Technical and patient-related characteristics associated with challenging retrieval of inferior vena cava filters.
To identify patient-related and device-specific predictors of challenging and failed inferior vena cava (IVC) filter retrievals. ⋯ Physician oversight leads to poor IVC filter retrieval rates. Retrievals can be challenging or fail when the dwell time is >50 days and >90 days, respectively, and when the filter hook apposes the caval wall. Filter tilt increases retrieval difficulty but not failure rates.
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Eur J Vasc Endovasc Surg · Sep 2013
Review Meta AnalysisDiagnostic performance of computed tomography angiography in peripheral arterial injury due to trauma: a systematic review and meta-analysis.
To evaluate the diagnostic accuracy of computed tomography angiography (CTA) in detecting arterial lesions in patients with suspected arterial injury of the upper or lower extremity due to trauma. ⋯ Despite methodological flaws, the excellent estimates of sensitivity and specificity indicate that CTA is an accurate modality for evaluating arterial lesions in patients with extremity trauma and can replace DSA.