Secondary Interventions and Long-term Follow-up after Endovascular Abdominal Aortic Aneurysm Repair

•The present study provides a detailed overview of the nature secondary interventions after endovascular aneurysm repair (EVAR).•Long-term follow-up 53.2 months.•The management post-EVAR complications and information given to patients about possible could be further improved by using findings this study. BackgroundEarly morbidity mortality are low abdominal (EVAR), but late common. The aim multicenter cohort is detail frequency indication for EVAR impact on long-term survival.MethodsA retrospective elective an infrarenal aortic was conducted. Consecutive (n = 349) undergoing between January 2007 2012 were analyzed, with until December 2018. Those requiring intervention classified in accordance indications specific treatment. primary end point overall survival without intervention. Kaplan-Meier analysis used estimate those who did not undergo interventions. Univariable multivariable Cox regression performed identify independent variables associated mortality.ResultsSome 56 (16%) underwent 72 during median (interquartile range) period months (60.1). Some 45 (80.4%) one Indications included mainly endograft kinking/outflow obstruction type II endoleak. An technique 40.3% Median time 24.1 months. In 93 abnormalities imaging, no because abnormality had disappeared imaging (43%). curves showed difference (P 0.153). Age (hazard ratio [HR]: 1.089, 95% confidence interval [CI]: 1.063–1.116), ASA classification (ASA III, IV HR: 1.517, CI: 1.056–2.178) significantly related mortality.ConclusionsSecondary rates still considerable EVAR. Endograft endoleak most common Secondary adversely affect Early survival. A mortality.