A comparison of fenestrated endovascular aneurysm repair (fEVAR) with alternative treatment strategies



Millen, Alistair Mackenzie
(2018) A comparison of fenestrated endovascular aneurysm repair (fEVAR) with alternative treatment strategies Doctor of Medicine thesis, University of Liverpool.

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Abstract

Introduction: Fenestrated Endovascular Aneurysm Repair (fEVAR) is one of a multitude of treatment options for repairing a juxtarenal aortic aneurysm. Alternative treatment options include open repair using a prosthetic graft and endovascular repair using a standard EVAR device outside the intended manufacturer's indications for use (IFU). Although there is perceived benefit of fEVAR over open repair and assumed deleterious effects of using standard EVAR outside of IFU, it is not known which of these three treatment options would result in the best clinical outcome when treating an aneurysm that would be anatomically outside the IFU for standard EVAR. For simplicity, this type of aneurysm is referred to as a non-standard aneurysm. The hypothesis tested in this thesis is that fEVAR has the best clinical outcome as a treatment strategy for non-standard abdominal aortic aneurysms (AAAs) that are unruptured in whom aneurysm repair is deemed to be more beneficial than conservative management. 'Best clinical outcome' relates to the clinical outcome measures: all-cause mortality, aneurysm related mortality and clinical success as defined by agreed reporting standards throughout all follow up time points. The outcome ... (continues)

Item Type: Thesis (Doctor of Medicine)
Divisions: Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 15 Jul 2019 11:56
Last Modified: 02 Nov 2024 11:36
DOI: 10.17638/03046736
Supervisors:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3046736
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