TY - JOUR
T1 - Prevalence of type II endoleak after elective endovascular aneurysm repair with polytetrafluoroethylene- or polyester-based endografts
AU - Kuijpers, Maud
AU - Holewijn, Suzanne
AU - Blankensteijn, Jan D.
AU - Reijnen, Michel M. P. J.
N1 - Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: © 2023 The Authors
PY - 2024/1
Y1 - 2024/1
N2 - Objective: Type II endoleak is the most frequent complication after endovascular abdominal aneurysm repair. Polytetrafluoroethylene and polyester (PE) are the two most commonly used graft materials in endovascular aneurysm repair (EVAR) devices. Biological properties of the material might influence the appearance and persistence of type II endoleak (T2EL). Therefore, the aim of this study was to evaluate potential differences in the prevalence of T2EL after EVAR between polytetrafluoroethylene (PTFE) and PE endografts in patients electively treated for an infrarenal abdominal aortic aneurysm. Methods: A single-center, retrospective, observational study was conducted between January 2011 and January 2022. Preoperative, procedural, and follow-up data were derived from electronic health records. Imaging included computed tomography scans, and/or duplex ultrasound examination. The primary end point was the prevalence of T2EL diagnosed within 1 year after EVAR. Secondary end points included the prevalence of T2EL throughout follow-up, early (≤30 days) and late (>30 days) T2EL, the rate of T2EL disappearance during the follow-up period, the prevalence of type I and III endoleak, and T2EL-related reinterventions. Results: Follow-up was available for 394 patients, 245 in the PE and 149 in the PTFE group. The prevalence of T2EL diagnosed within 1 year after endovascular repair was 11.8% in the PE group and 21.5% in the PTFE group (P =.010). There was no significant difference in early (≤30 days) and late (>30 days) T2EL between groups (P =.270 and P =.311). There was no difference in the freedom from endoleak type II reinterventions between groups (P =.877). Conclusions: The prevalence of T2EL after elective EVAR is significantly higher with the use of PTFE-based endografts compared with PE-based endografts. This difference is mostly based on T2EL diagnosed after 30 days of follow-up.
AB - Objective: Type II endoleak is the most frequent complication after endovascular abdominal aneurysm repair. Polytetrafluoroethylene and polyester (PE) are the two most commonly used graft materials in endovascular aneurysm repair (EVAR) devices. Biological properties of the material might influence the appearance and persistence of type II endoleak (T2EL). Therefore, the aim of this study was to evaluate potential differences in the prevalence of T2EL after EVAR between polytetrafluoroethylene (PTFE) and PE endografts in patients electively treated for an infrarenal abdominal aortic aneurysm. Methods: A single-center, retrospective, observational study was conducted between January 2011 and January 2022. Preoperative, procedural, and follow-up data were derived from electronic health records. Imaging included computed tomography scans, and/or duplex ultrasound examination. The primary end point was the prevalence of T2EL diagnosed within 1 year after EVAR. Secondary end points included the prevalence of T2EL throughout follow-up, early (≤30 days) and late (>30 days) T2EL, the rate of T2EL disappearance during the follow-up period, the prevalence of type I and III endoleak, and T2EL-related reinterventions. Results: Follow-up was available for 394 patients, 245 in the PE and 149 in the PTFE group. The prevalence of T2EL diagnosed within 1 year after endovascular repair was 11.8% in the PE group and 21.5% in the PTFE group (P =.010). There was no significant difference in early (≤30 days) and late (>30 days) T2EL between groups (P =.270 and P =.311). There was no difference in the freedom from endoleak type II reinterventions between groups (P =.877). Conclusions: The prevalence of T2EL after elective EVAR is significantly higher with the use of PTFE-based endografts compared with PE-based endografts. This difference is mostly based on T2EL diagnosed after 30 days of follow-up.
KW - Abdominal aortic aneurysm
KW - EVAR
KW - Endoleak type II
KW - Endovascular abdominal aneurysm repair
KW - Polyester
KW - Polytetrafluoroethylene (PTFE)
UR - http://www.scopus.com/inward/record.url?scp=85174358462&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jvs.2023.09.019
DO - https://doi.org/10.1016/j.jvs.2023.09.019
M3 - Article
C2 - 37734570
SN - 0741-5214
VL - 79
SP - 24
EP - 33
JO - Journal of vascular surgery
JF - Journal of vascular surgery
IS - 1
ER -