Journal of International Medical Research (Nov 2020)

Factors affecting the occurrence of proximal endoleak after endovascular abdominal aortic repair for abdominal aneurysms

  • Daniela Mazzaccaro,
  • Girolomina Mazzeo,
  • Gianmarco Zuccon,
  • Alfredo Modafferi,
  • Giovanni Malacrida,
  • Paolo C. Righini,
  • Massimiliano M. Marrocco-Trischitta,
  • Giovanni Nano

DOI
https://doi.org/10.1177/0300060520971515
Journal volume & issue
Vol. 48

Abstract

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Objective This retrospective study was performed to assess the clinical and radiological variables associated with proximal type IA endoleak (EL) in patients treated with elective endovascular repair for abdominal aortic aneurysms. Methods The chi-square test, t-test, and logistic regression analysis were performed as appropriate. A P value of 20% significantly affected the occurrence of type IA EL. Conclusion When sizing endografts, a discrepancy was noted between the measurements of the diameter and area of the proximal neck. The area might represent a more accurate measurement than the axial diameter to optimize the proximal sealing and lower the risk of developing type IA EL.