University of Leicester
Browse

File(s) under embargo

Reason: 12 month publisher embargo

23

day(s)

until file(s) become available

When the facts change, change your practice.

journal contribution
posted on 2022-12-05, 11:52 authored by John Sm Houghton, Rob D Sayers

“Take nothing on its looks; take everything on evidence. There’s no better rule.”


Charles Dickens, Great Expectations


In this useful addition to the literature, Väärämäki et al. compare a strategy of prophylactic inferior mesenteric artery (IMA) embolisation during endovascular aneurysm repair (EVAR) with standard EVAR (with no routine IMA embolisation) in individuals undergoing elective EVAR for abdominal aortic aneurysm (AAA).1 This novel study compared 732 patients from two academic vascular units in Finland with similar approaches to elective EVAR for AAA except in management of a patent IMA: one unit (395 patients) routinely attempted IMA embolisation during EVAR and the other (337 patients) did not. The authors found similar rates of sac size expansion, re-intervention, overall survival, and post-EVAR rupture across a mean follow up of more than five years, despite lower rates of type II endoleak on completion angiography and first EVAR surveillance scan in the routine IMA embolisation group. The authors concluded that prophylactic IMA embolisation during EVAR provides no clinical benefit and should not be performed.

History

Author affiliation

Department of Cardiovascular Sciences, University of Leicester

Version

  • AM (Accepted Manuscript)

Published in

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

Pagination

S1078-5884(22)00625-6

Publisher

Elsevier BV

issn

1078-5884

eissn

1532-2165

Copyright date

2022

Available date

2023-10-17

Spatial coverage

England

Language

eng

Usage metrics

    University of Leicester Publications

    Categories

    Exports