The sac evolution imaging follow-up after endovascular aortic repair: 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 endovascular aortic repair: 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., Tambyraja A., 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., Von Allmen R.S., Dorigo W., Mansour W., Van den Eynde W.
ISSN
1097-6809 (Electronic)
ISSN-L
0741-5214
Publication state
Published
Issued date
09/2024
Peer-reviewed
Oui
Volume
80
Number
3
Pages
937-945
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Management of follow-up protocols after endovascular aortic repair (EVAR) varies significantly between centers and is not standardized according to 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. Of 27 final statements, 15 (55.6%) were classified as grade I, whereas 12 (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 the 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. Of 27 final statements, 15 (55.6%) were classified as grade I, whereas 12 (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 the current clinical management of follow-up after EVAR according to the sac regression. Future studies are needed to clarify debated issues.
Keywords
Humans, Endovascular Procedures/adverse effects, Endovascular Procedures/standards, Delphi Technique, Consensus, Blood Vessel Prosthesis Implantation/adverse effects, Blood Vessel Prosthesis Implantation/standards, Treatment Outcome, Aortic Aneurysm, Abdominal/surgery, Aortic Aneurysm, Abdominal/diagnostic imaging, Predictive Value of Tests, Time Factors, Aortography/standards, Computed Tomography Angiography/standards, Endovascular Aneurysm Repair, CTA, DUS, Delphi consensus, EVAR, Follow-up, Sac regression
Pubmed
Open Access
Yes
Create date
14/03/2024 17:33
Last modification date
27/08/2024 6:22
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