The Sac Evolution Imaging Follow-Up after EVAR: an international expert opinion-based Delphi consensus study.
Details
Serval ID
serval:BIB_27EF0A6EB8BE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The Sac Evolution Imaging Follow-Up after EVAR: an international expert opinion-based Delphi consensus study.
Journal
Journal of vascular surgery
Working group(s)
SLIM F-U EVAR Collaborative Study Group
Contributor(s)
Beck A.W., Hertault A., Savlania A., Froio A., Giaquinta A., Zimmermann A., Psyllas A., Wanhainen A., Marchetti A.A., Queiroz A.B., Kahlberg A., Reyes-Valdivia A., Schanzer A., Edinburgh Vascular A.T., Freyrie A., Lorido A., Millon A., Ippoliti A., Abai B., Mees B., Reutersberg B., Maurel B., Michel B., Wahlgren C.M., Cavazzini C., Setacci C., Lee C.J., Ferrer C., Bicknell C., Raphaël C., Clair D., Dawson D.L., Arnaoutakis D.J., Böckler D., Kotelis D., Mujagic E., Chisci E., Cieri E., Gallitto E., Marone E.M., Ducasse E., Verzini F., Pecoraro F., Serracino-Inglott F., Benedetto F., Speziale F., Stilo F., Álvarez-Marcos F., Pagliariccio G., Piffaretti G., Lanza G., Philipp G., Geenberg G., Jung G., Melissano G., Veraldi G.F., Parlani G., Faggioli G., de Donato G., Simonte G., Colacchio G., De Caridi G., Pratesi G., Spinella G., Torsello G., Leong Tan G.W., Magee G.A., Verhagen H., Andrew H., Koleilat I., Ohman J.W., de Vries JPPM, Budtz-Lilly J., Black J., Eldrup-Jorgensen J., Hockley J., Bath J., Sobocinski J., van Herwaarden J.A., Reinhard K., Orion K.C., Amankwah K., Bertoglio L., di Marzo L., Garriboli L., Rizzo L., Hakimi M., Sheahan M., Khashram M., Schermerhorn M., Lescan M., Conrad M., Davies M.G., Czerny M., Orrico M., Eagleton M.J., Smeds M.R., Taurino M., Wohlauer M., Sharafuddin M.J., Anna-Leonie M., Reijnen M., Antonello M., Piazza M., Settembre N., Mouawad N.J., Tsilimparis N., Dias N., Martinelli O., Frigatti P., Sirignano P., Chong P., Bevis P., DiMuzio P., Henke P., Düppers P., Holt P., Helmiö P., Vriens P., Pulli R., Bellosta R., Micheli R., Veeraswamy R., Cuff R., Chiappa R., Gattuso R., Pini R., Dalman R.L., Milner R., Scali S.T., Bahia S., Laukontaus S., Trimarchi S., Fernandez-Alonso S., Deglise S., Bellmunt-Montoya S., Hofer S., Yusuf S.W., Ronchey S., Bartoli S., Bonvini S., Camparini S., Fazzini S., Pirrelli S., Hörer T., Bisdas T., Vasudevan T., Lattmann T., Wyss T.R., Maldonado T., Pfammatter T., Kölbel T., Jakimowicz T., Donati T., Tracci M., Bracale U.M., Tolva V.S., Riambau V., Palazzo V., Makaloski V., Regula S V.A., Dorigo W., Mansour W., Van den Eynde W.
ISSN
1097-6809 (Electronic)
ISSN-L
0741-5214
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Publication Status: aheadofprint
Abstract
Management of follow-up protocols after endovascular aortic repair (EVAR), vary significantly between centres and is not standardized according to the sac regression. By designing an international expert-based Delphi consensus, the study aimed to create recommendations on follow-up after EVAR according to sac evolution.
Eight facilitators created appropriate statements regarding the study topic that were voted, using a 4-point Likert scale, by a selected panel of international experts using a three-round modified Delphi consensus process. Based on the experts' responses, only those statements reaching a Grade A (full agreement ≥75%) or B (overall agreement ≥80% and full disagreement <5%) were included in the final document.
One-hundred and seventy-four participants were included in the final analysis, and each voted the initial 29 statements related to the definition of sac regression (Q1-Q9), EVAR follow-up (Q10-Q14), and the assessment and role of sac regression during follow-up (Q15-Q29). At the end of the process, 2 statements (6.9%) were rejected, 9 statements (31%) received a grade B consensus strength, and 18 (62.1%) reached a grade A consensus strength. Out of twenty-seven final statements, fifteen statements (55.6%) were classified as grade I, while twelve (44.4%) were classified as grade II. Experts agreed that sac regression should be considered an important indicator of EVAR success and always be assessed during follow-up after EVAR.
Based on the elevated strength and high consistency of this international expert-based Delphi consensus, most of the statements might guide current clinical management of follow-up after EVAR according to the sac regression. Future studies are needed to clarify debated issues.
Eight facilitators created appropriate statements regarding the study topic that were voted, using a 4-point Likert scale, by a selected panel of international experts using a three-round modified Delphi consensus process. Based on the experts' responses, only those statements reaching a Grade A (full agreement ≥75%) or B (overall agreement ≥80% and full disagreement <5%) were included in the final document.
One-hundred and seventy-four participants were included in the final analysis, and each voted the initial 29 statements related to the definition of sac regression (Q1-Q9), EVAR follow-up (Q10-Q14), and the assessment and role of sac regression during follow-up (Q15-Q29). At the end of the process, 2 statements (6.9%) were rejected, 9 statements (31%) received a grade B consensus strength, and 18 (62.1%) reached a grade A consensus strength. Out of twenty-seven final statements, fifteen statements (55.6%) were classified as grade I, while twelve (44.4%) were classified as grade II. Experts agreed that sac regression should be considered an important indicator of EVAR success and always be assessed during follow-up after EVAR.
Based on the elevated strength and high consistency of this international expert-based Delphi consensus, most of the statements might guide current clinical management of follow-up after EVAR according to the sac regression. Future studies are needed to clarify debated issues.
Keywords
Cta, Dus, Delphi Consensus, Evar, Follow-up, Sac Regression, CTA, DUS, EVAR
Pubmed
Open Access
Yes
Create date
14/03/2024 18:33
Last modification date
15/03/2024 8:14
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