Korean Journal of Radiology

  • 제20권8호
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  • Pages.1247-1265
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  • 2019
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm: A Comprehensive Review

  • Hyoung Ook Kim (Department of Radiology, Chonnam National University Hospital) ;
  • Nam Yeol Yim (Department of Radiology, Chonnam National University Hospital) ;
  • Jae Kyu Kim (Department of Radiology, Chonnam National University Hospital) ;
  • Yang Jun Kang (Department of Radiology, Chonnam National University Hwasun Hospital) ;
  • Byung Chan Lee (Department of Radiology, Chonnam National University Hwasun Hospital)
  • 투고 : 2018.12.29
  • 심사 : 2019.05.02
  • 발행 : 2019.08.01
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초록

Abdominal aortic aneurysm (AAA) can be defined as an abnormal, progressive dilatation of the abdominal aorta, carrying a substantial risk for fatal aneurysmal rupture. Endovascular aneurysmal repair (EVAR) for AAA is a minimally invasive endovascular procedure that involves the placement of a bifurcated or tubular stent-graft over the AAA to exclude the aneurysm from arterial circulation. In contrast to open surgical repair, EVAR only requires a stab incision, shorter procedure time, and early recovery. Although EVAR seems to be an attractive solution with many advantages for AAA repair, there are detailed requirements and many important aspects should be understood before the procedure. In this comprehensive review, fundamental information regarding AAA and EVAR is presented.

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참고문헌

  1. Kuivaniemi H, Elmore JR. Opportunities in abdominal aortic aneurysm research: epidemiology, genetics, and pathophysiology. Ann Vasc Surg 2012;26:862-870
  2. Wang LJ, Prabhakar AM, Kwolek CJ. Current status of the treatment of infrarenal abdominal aortic aneurysms. Cardiovasc Diagn Ther 2018;8(Suppl 1):S191-S199
  3. Lederle FA, Johnson GR, Wilson SE, Ballard DJ, Jordan WD Jr, Blebea J, et al.; Veterans Affairs Cooperative Study #417 Investigators. Rupture rate of large abdominal aortic aneurysms in patients refusing or unfit for elective repair. JAMA 2002;287:2968-2972
  4. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 1991;5:491-499
  5. Schermerhorn ML, Bensley RP, Giles KA, Hurks R, O'malley AJ, Cotterill P, et al. Changes in abdominal aortic aneurysm rupture and short-term mortality, 1995-2008: a retrospective observational study. Ann Surg 2012;256:651-658
  6. Kent KC, Zwolak RM, Egorova NN, Riles TS, Manganaro A, Moskowitz AJ, et al. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg 2010;52:539-548
  7. Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg 2018;67:2-77.e2
  8. Sidloff D, Stather P, Dattani N, Bown M, Thompson J, Sayers R, et al. Aneurysm global epidemiology study: public health measures can further reduce abdominal aortic aneurysm mortality. Circulation 2014;129:747-753
  9. Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation 2005;111:816-828
  10. Carino D, Sarac TP, Ziganshin BA, Elefteriades JA. Abdominal aortic aneurysm: evolving controversies and uncertainties. Int J Angiol 2018;27:58-80
  11. Kuivaniemi H, Ryer EJ, Elmore JR, Tromp G. Understanding the pathogenesis of abdominal aortic aneurysms. Expert Rev Cardiovasc Ther 2015;13:975-987
  12. Kuivaniemi H, Platsoucas CD, Tilson MD 3rd. Aortic aneurysms: an immune disease with a strong genetic component. Circulation 2008;117:242-252
  13. Ailawadi G, Eliason JL, Upchurch GR Jr. Current concepts in the pathogenesis of abdominal aortic aneurysm. J Vasc Surg 2003;38:584-588
  14. Heistad DD, Marcus ML. Role of vasa vasorum in nourishment of the aorta. Blood Vessels 1979;16:225-238
  15. Tsamis A, Krawiec JT, Vorp DA. Elastin and collagen fibre microstructure of the human aorta in ageing and disease: a review. J R Soc Interface 2013;10:20121004
  16. Wolinsky H, Glagov S. Comparison of abdominal and thoracic aortic medial structure in mammals. Deviation of man from the usual pattern. Circ Res 1969;25:677-686
  17. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, et al.; Aneurysm Detection and Management Veterans Affairs Cooperative Study Group. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 2002;346:1437-1444
  18. Cao P, De Rango P, Verzini F, Parlani G, Romano L, Cieri E; CAESAR Trial Group. Comparison of surveillance versus aortic endografting for small aneurysm repair (CAESAR): results from a randomised trial. Eur J Vasc Endovasc Surg 2011;41:13-25
  19. Filardo G, Powell JT, Martinez MA, Ballard DJ. Surgery for small asymptomatic abdominal aortic aneurysms. Cochrane Database Syst Rev 2015;(2):CD001835
  20. Ouriel K, Clair DG, Kent KC, Zarins CK; Positive Impact of Endovascular Options for treating Aneurysms Early (PIVOTAL) Investigators. Endovascular repair compared with surveillance for patients with small abdominal aortic aneurysms. J Vasc Surg 2010;51:1081-1087
  21. United Kingdom Small Aneurysm Trial Participants, Powell JT, Brady AR, Brown LC, Fowkes FG, Greenhalgh RM, Ruckley CV, et al. Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 2002;346:1445-1452
  22. Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. The UK Small Aneurysm Trial Participants. Lancet 1998;352:1649-1655
  23. Powell JT, Brown LC, Forbes JF, Fowkes FG, Greenhalgh RM, Ruckley CV, et al. Final 12-year follow-up of surgery versus surveillance in the UK Small Aneurysm Trial. Br J Surg 2007;94:702-708
  24. Bryce Y, Rogoff P, Romanelli D, Reichle R. Endovascular repair of abdominal aortic aneurysms: vascular anatomy, device selection, procedure, and procedure-specific complications. Radiographics 2015;35:593-615
  25. Aburahma AF, Campbell JE, Mousa AY, Hass SM, Stone PA, Jain A, et al. Clinical outcomes for hostile versus favorable aortic neck anatomy in endovascular aortic aneurysm repair using modular devices. J Vasc Surg 2011;54:13-21
  26. AbuRahma AF, Yacoub M, Mousa AY, Abu-Halimah S, Hass SM, Kazil J, et al. Aortic neck anatomic features and predictors of outcomes in endovascular repair of abdominal aortic aneurysms following vs not following instructions for use. J Am Coll Surg 2016;222:579-589
  27. Gimenez-Gaibar A, Gonzalez-Canas E, Solanich-Valldaura T, Herranz-Pinilla C, Rioja-Artal S, Ferraz-Huguet E. Could preoperative neck anatomy influence follow-up of EVAR? Ann Vasc Surg 2017;43:127-133
  28. Brunner-Ziegler S, Hammer A, Seidinger D, Willfort-Ehringer A, Koppensteiner R, Steiner S. The role of intraluminal thrombus formation for expansion of abdominal aortic aneurysms. Wien Klin Wochenschr 2015;127:549-554
  29. Parr A, McCann M, Bradshaw B, Shahzad A, Buttner P, Golledge J. Thrombus volume is associated with cardiovascular events and aneurysm growth in patients who have abdominal aortic aneurysms. J Vasc Surg 2011;53:28-35
  30. Arko FR, Rubin GD, Johnson BL, Hill BB, Fogarty TJ, Zarins CK. Type-II endoleaks following endovascular AAA repair: preoperative predictors and long-term effects. J Endovasc Ther 2001;8:503-510
  31. Guntner O, Zeman F, Wohlgemuth WA, Heiss P, Jung EM, Wiggermann P, et al. Inferior mesenteric arterial type II endoleaks after endovascular repair of abdominal aortic aneurysm: are they predictable? Radiology 2014;270:910-919
  32. Kuziez MS, Sanchez LA, Zayed MA. Abdominal aortic aneurysm type II endoleaks. J Cardiovasc Dis Diagn 2016;4. pii: 255
  33. Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M, et al. Management of abdominal aortic aneurysms clinical practice guidelines of the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg 2011;41 Suppl 1:S1-S58
  34. Briggs C, Babrowski T, Skelly C, Milner R. Anatomic and clinical characterization of the narrow distal aorta and implications after endovascular aneurysm repair. J Vasc Surg 2018;68:1030-1038.e1
  35. Coulston J, Baigent A, Selvachandran H, Jones S, Torella F, Fisher R. The impact of endovascular aneurysm repair on aortoiliac tortuosity and its use as a predictor of iliac limb complications. J Vasc Surg 2014;60:585-589
  36. Taudorf M, Jensen LP, Vogt KC, Gronvall J, Schroeder TV, Lonn L. Endograft limb occlusion in EVAR: iliac tortuosity quantified by three different indices on the basis of preoperative CTA. Eur J Vasc Endovasc Surg 2014;48:527-533
  37. Oshin OA, Fisher RK, Williams LA, Brennan JA, Gilling-Smith GL, Vallabhaneni SR, et al. Adjunctive iliac stents reduce the risk of stent-graft limb occlusion following endovascular aneurysm repair with the Zenith stent-graft. J Endovasc Ther 2010;17:108-114
  38. Jean-Baptiste E, Batt M, Azzaoui R, Koussa M, Hassen-Khodja R, Haulon S. A comparison of the mid-term results following the use of bifurcated and aorto-uni-iliac devices in the treatment of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 2009;38:298-304
  39. Choke E, Munneke G, Morgan R, Belli AM, Dawson J, Loftus IM, et al. Visceral and renal artery complications of suprarenal fixation during endovascular aneurysm repair. Cardiovasc Intervent Radiol 2007;30:619-627
  40. Miller LE, Razavi MK, Lal BK. Suprarenal versus infrarenal stent graft fixation on renal complications after endovascular aneurysm repair. J Vasc Surg 2015;61:1340-1349.e1
  41. O'Donnell ME, Sun Z, Winder RJ, Ellis PK, Lau LL, Blair PH. Suprarenal fixation of endovascular aortic stent grafts: assessment of medium-term to long-term renal function by analysis of juxtarenal stent morphology. J Vasc Surg 2007;45:694-700
  42. Guo X, Lu X, Yang J, Kassab GS. Increased aortic stiffness elevates pulse and mean pressure and compromises endothelial function in Wistar rats. Am J Physiol Heart Circ Physiol 2014;307:H880-H887
  43. Hori D, Akiyoshi K, Yuri K, Nishi S, Nonaka T, Yamamoto T, et al. Effect of endoskeleton stent graft design on pulse wave velocity in patients undergoing endovascular repair of the aortic arch. Gen Thorac Cardiovasc Surg 2017;65:506-511
  44. Mohan IV, Laheij RJ, Harris PL; Eurostar collaborators. Risk factors for endoleak and the evidence for stent-graft oversizing in patients undergoing endovascular aneurysm repair. Eur J Vasc Endovasc Surg 2001;21:344-349
  45. Sternbergh WC 3rd, Money SR, Greenberg RK, Chuter TA; Zenith Investigators. Influence of endograft oversizing on device migration, endoleak, aneurysm shrinkage, and aortic neck dilation: results from the Zenith Multicenter Trial. J Vasc Surg 2004;39:20-26
  46. Dietrich CF, Horn R, Morf S, Chiorean L, Dong Y, Cui XW, et al. US-guided peripheral vascular interventions, comments on the EFSUMB guidelines. Med Ultrason 2016;18:231-239
  47. Nelson PR, Kracjer Z, Kansal N, Rao V, Bianchi C, Hashemi H, et al. A multicenter, randomized, controlled trial of totally percutaneous access versus open femoral exposure for endovascular aortic aneurysm repair (the PEVAR trial). J Vasc Surg 2014;59:1181-1193
  48. Buck DB, Karthaus EG, Soden PA, Ultee KH, van Herwaarden JA, Moll FL, et al. Percutaneous versus femoral cutdown access for endovascular aneurysm repair. J Vasc Surg 2015;62:16-21
  49. Uhlmann ME, Walter C, Taher F, Plimon M, Falkensammer J, Assadian A. Successful percutaneous access for endovascular aneurysm repair is significantly cheaper than femoral cutdown in a prospective randomized trial. J Vasc Surg 2018;68:384-391
  50. Huff CM, Silver MJ, Ansel GM. Percutaneous endovascular aortic aneurysm repair for abdominal aortic aneurysm. Curr Cardiol Rep 2018;20:79
  51. Biancari F, Makela J, Juvonen T, Venermo M. Is inferior mesenteric artery embolization indicated prior to endovascular repair of abdominal aortic aneurysm? Eur J Vasc Endovasc Surg 2015;50:671-674
  52. Samura M, Morikage N, Mizoguchi T, Takeuchi Y, Ueda K, Harada T, et al. Identification of anatomical risk factors for type II endoleak to guide selective inferior mesenteric artery embolization. Ann Vasc Surg 2018;48:166-173
  53. Kouvelos GN, Katsargyris A, Antoniou GA, Oikonomou K, Verhoeven EL. Outcome after interruption or preservation of internal iliac artery flow during endovascular repair of abdominal aorto-iliac aneurysms. Eur J Vasc Endovasc Surg 2016;52:621-634
  54. Pua U, Tan K. Radiology of advanced EVAR techniques in complex abdominal aortic aneurysms. Eur Radiol 2012;22:387-397
  55. Amin S, Schnabel J, Eldergash O, Chavan A. [Endovascular aneurysm repair (EVAR): complication management]. Radiologe 2018;58:841-849
  56. Fernandez JD, Craig JM, Garrett HE Jr, Burgar SR, Bush AJ. Endovascular management of iliac rupture during endovascular aneurysm repair. J Vasc Surg 2009;50:1293-1299; discussion 1299-1300
  57. Arnaoutoglou E, Kouvelos G, Koutsoumpelis A, Patelis N, Lazaris A, Matsagkas M. An update on the inflammatory response after endovascular repair for abdominal aortic aneurysm. Mediators Inflamm 2015;2015:945035
  58. Daye D, Walker TG. Complications of endovascular aneurysm repair of the thoracic and abdominal aorta: evaluation and management. Cardiovasc Diagn Ther 2018;8(Suppl 1):S138-S156
  59. Arnaoutoglou E, Kouvelos G, Papa N, Kallinteri A, Milionis H, Koulouras V, et al. Prospective evaluation of post-implantation inflammatory response after EVAR for AAA: influence on patients' 30 day outcome. Eur J Vasc Endovasc Surg 2015;49:175-183
  60. Kakisis JD, Moulakakis KG, Antonopoulos CN, Mylonas SN, Giannakopoulos TG, Sfyroeras GS, et al. Volume of new-onset thrombus is associated with the development of postimplantation syndrome after endovascular aneurysm repair. J Vasc Surg 2014;60:1140-1145
  61. Spanos K, Karathanos C, Saleptsis V, Giannoukas AD. Systematic review and meta-analysis of migration after endovascular abdominal aortic aneurysm repair. Vascular 2016;24:323-336
  62. de la Motte L, Falkenberg M, Koelemay MJ, Lonn L. Is EVAR a durable solution? Indications for reinterventions. J Cardiovasc Surg (Torino) 2018;59:201-212
  63. Tadros RO, Faries PL, Ellozy SH, Lookstein RA, Vouyouka AG, Schrier R, et al. The impact of stent graft evolution on the results of endovascular abdominal aortic aneurysm repair. J Vasc Surg 2014;59:1518-1527
  64. Maleux G, Poorteman L, Laenen A, Saint-Lebes B, Houthoofd S, Fourneau I, et al. Incidence, etiology, and management of type III endoleak after endovascular aortic repair. J Vasc Surg 2017;66:1056-1064
  65. Fransen GA, Desgranges P, Laheij RJ, Harris PL, Becquemin JP; EUROSTAR Collaborators. Frequency, predictive factors, and consequences of stent-graft kink following endovascular AAA repair. J Endovasc Ther 2003;10:913-918
  66. van Zeggeren L, Bastos Goncalves F, van Herwaarden JA, Zandvoort HJ, Werson DA, Vos JA, et al. Incidence and treatment results of Endurant endograft occlusion. J Vasc Surg 2013;57:1246-1254; discussion 1254
  67. Cochennec F, Becquemin JP, Desgranges P, Allaire E, Kobeiter H, Roudot-Thoraval F. Limb graft occlusion following EVAR: clinical pattern, outcomes and predictive factors of occurrence. Eur J Vasc Endovasc Surg 2007;34:59-65
  68. Laohapensang K, Arworn S, Orrapin S, Reanpang T, Orrapin S. Management of the infected aortic endograft. Semin Vasc Surg 2017;30:91-94
  69. O'Connor S, Andrew P, Batt M, Becquemin JP. A systematic review and meta-analysis of treatments for aortic graft infection. J Vasc Surg 2006;44:38-45
  70. Murphy EH, Szeto WY, Herdrich BJ, Jackson BM, Wang GJ, Bavaria JE, et al. The management of endograft infections following endovascular thoracic and abdominal aneurysm repair. J Vasc Surg 2013;58:1179-1185
  71. Miyahara T, Hoshina K, Ozaki M, Ogiwara M. Efficacy of Preoperative Antibiotic Therapy for the Treatment of Vascular Graft Infection. Ann Vasc Dis 2018;11:191-195
  72. Zaiem F, Almasri J, Tello M, Prokop LJ, Chaikof EL, Murad MH. A systematic review of surveillance after endovascular aortic repair. J Vasc Surg 2018;67:320-331.e37
  73. Tacher V, Lin M, Desgranges P, Deux JF, Grunhagen T, Becquemin JP, et al. Image guidance for endovascular repair of complex aortic aneurysms: comparison of two-dimensional and three-dimensional angiography and image fusion. J Vasc Interv Radiol 2013;24:1698-1706
  74. Jones DW, Stangenberg L, Swerdlow NJ, Alef M, Lo R, Shuja F, et al. Image fusion and 3-dimensional roadmapping in endovascular surgery. Ann Vasc Surg 2018;52:302-311
  75. Cantisani V, Grazhdani H, Clevert DA, Iezzi R, Aiani L, Martegani A, et al. EVAR: benefits of CEUS for monitoring stent-graft status. Eur J Radiol 2015;84:1658-1665
  76. Chisci E, Harris L, Guidotti A, Pecchioli A, Pigozzi C, Barbanti E, et al. Endovascular aortic repair follow up protocol based on contrast enhanced ultrasound is safe and effective. Eur J Vasc Endovasc Surg 2018;56:40-47
  77. Piscaglia F, Nolsoe C, Dietrich CF, Cosgrove DO, Gilja OH, Bachmann Nielsen M, et al. The EFSUMB guidelines and recommendations on the clinical practice of contrast enhanced ultrasound (CEUS): update 2011 on non-hepatic applications. Ultraschall Med 2012;33:33-59
  78. Lederle FA, Freischlag JA, Kyriakides TC, Padberg FT Jr, Matsumura JS, Kohler TR, et al.; Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group. Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA 2009;302:1535-1542
  79. Patel R, Sweeting MJ, Powell JT, Greenhalgh RM; EVAR trial investigators. Endovascular versus open repair of abdominal aortic aneurysm in 15-years' follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial. Lancet 2016;388:2366-2374
  80. Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al.; Dutch Randomized Endovascular Aneurysm Management (DREAM) Trial Group. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 2004;351:1607-1618