The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study

Giovanni Tinelli; Mario D'Oria; Marika D'Oria; Simona Sica; Kevin Mani; Zoran Rancic; Timothy Andrew Resch; Flavia Beccia; Ali Azizzadeh; Marcelo Martins Da Volta Ferreira; Mauro Gargiulo; Sandro Lepidi; Yamume Tshomba; Gustavo S. Oderich; Stéphan Haulon; Adam W. Beck; Adrien Hertault; Ajay Savlania; Alberto Froio; Alessia Giaquinta; Alexander Zimmermann; Thomas Alexander Zimmermann; Anastasios Psyllas; Anders Wanhainen; Andrea Ascoli Marchetti; Andre Brito Queiroz; Andrea Kahlberg; Andrés Reyes-Valdivia; Andres Schanzer; Andrew Tambyraja; Antonio Freyrie; Antonio Lorido; Antoine Millon; Arnaldo Ippoliti; Babak Abai; Barend Mees; Benedikt Reutersberg; Blandine Maurel; Bosiers Michel; Carl Magnus Wahlgren; Carlo Cavazzini; Carlo Setacci; Cheong Jun Lee; Ciro Ferrer; Colin Bicknell; Coscas Raphaël; Daniel Clair; David L. Dawson; Dean J. Arnaoutakis; Dittmar Böckler; Drosos Kotelis; Edin Mujagic; Emiliano Chisci; Enrico Cieri; Enrico Gallitto; Enrico Maria Marone; Eric Ducasse; Fabio Verzini; Felice Pecoraro; Ferdinand Serracino-Inglott; Filippo Benedetto; Francesco Speziale; Francesco Stilo; Francisco Álvarez-Marcos; Gabriele Pagliariccio; Gabriele Piffaretti; Gaetano Lanza; Geisbüsch Philipp; George Geenberg; Georg Jung; Germano Melissano; Gian Franco Veraldi; Gianbattista Parlani; Gianluca Faggioli; Gianmarco De Donato; Gioele Simonte; Giovanni Colacchio; Giovanni De Caridi; Giovanni Pratesi; Giovanni Spinella; Giovanni Torsello; Glenn Wei Leong Tan; Gregory A. Magee; Hence Verhagen; Holden Andrew; Issam Koleilat; J. Westley Ohman; J. P.P.M. De Vries; Jacob Budtz-Lilly; James Black; Jens Eldrup-Jorgensen; Joe Hockley; Jonathan Bath; Jonathan Sobocinski; Joost A. Van Herwaarden; Kopp Reinhard; Kristine C. Orion; Kwame Amankwah; Luca Bertoglio; Luca Di Marzo; Luca Garriboli; Luigi Rizzo; Maani Hakimi; Malachi Sheahan; Manar Khashram; Marc Schermerhorn; Mario Lescan; Mark Conrad; Mark G. Davies; Martin Czerny; Matteo Orrico; Matthew J. Eagleton; Matthew R. Smeds; Maurizio Taurino; Max Wohlauer; Mel J. Sharafuddin; Menges Anna-Leonie; Michel Reijnen; Michele Antonello; Michele Piazza; Marco Graziano Piazza; Nicla Settembre; Nicolas J. Mouawad; Nikolaos Tsilimparis; Nuno Dias; Ombretta Martinelli; Paolo Frigatti; Pasqualino Sirignano; Patrick Chong; Paul Bevis; Paul Dimuzio; Peter Henke; Philip Düppers; Peter Holt; Päivi Helmiö; Patrick Vriens; Raffaele Pulli; Raffaello Bellosta; Raimondo Micheli; Ravi Veeraswamy; Robert Cuff; Roberto Chiappa; Roberto Gattuso; Rodolfo Pini; Ronald L. Dalman; Ross Milner; Salvatore T. Scali; Sandeep Bahia; Sani Laukontaus; Santi Trimarchi; Sebastian Fernandez-Alonso; Sebastien Deglise; Sergi Bellmunt-Montoya; Simone Hofer; Stefan Hofer; Syed W. Yusuf; Sonia Ronchey; Stefano Bartoli; Stefano Bonvini; Stefano Camparini; Stefano Fazzini; Stefano Pirrelli; Tal Hörer; Theodosios Bisdas; Thodur Vasudevan; Thomas Lattmann; Thomas Rudolf Wyss; Thomas Maldonado; Thomas Pfammatter; Tilo Kölbel; Tomasz Jakimowicz; Tommaso Donati; Margaret Tracci; Umberto Marcello Bracale; Valerio Stefano Tolva; Vincent Riambau; Vincenzo Palazzo; Vladimir Makaloski; Regula S. Von Allmen; Walter Dorigo; Wassim Mansour; Wouter Van Den Eynde

doi:10.1016/j.jvs.2024.03.007

The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study

Giovanni Tinelli, Mario D'Oria, Marika D'Oria, Simona Sica, Kevin Mani, Zoran Rancic, Timothy Andrew Resch, Flavia Beccia, Ali Azizzadeh, Marcelo Martins Da Volta Ferreira, Mauro Gargiulo, Sandro Lepidi, Yamume Tshomba, Gustavo S. Oderich, Stéphan Haulon, Adam W. Beck, Adrien Hertault, Ajay Savlania, Alberto Froio, Alessia GiaquintaAlexander Zimmermann, Thomas Alexander Zimmermann, Anastasios Psyllas, Anders Wanhainen, Andrea Ascoli Marchetti, Andre Brito Queiroz, Andrea Kahlberg, Andrés Reyes-Valdivia, Andres Schanzer, Andrew Tambyraja, Antonio Freyrie, Antonio Lorido, Antoine Millon, Arnaldo Ippoliti, Babak Abai, Barend Mees, Benedikt Reutersberg, Blandine Maurel, Bosiers Michel, Carl Magnus Wahlgren, Carlo Cavazzini, Carlo Setacci, Cheong Jun Lee, Ciro Ferrer, Colin Bicknell, Coscas Raphaël, Daniel Clair, David L. Dawson, Dean J. Arnaoutakis, Dittmar Böckler, Drosos Kotelis, Edin Mujagic, Emiliano Chisci, Enrico Cieri, Enrico Gallitto, Enrico Maria Marone, Eric Ducasse, Fabio Verzini, Felice Pecoraro, Ferdinand Serracino-Inglott, Filippo Benedetto, Francesco Speziale, Francesco Stilo, Francisco Álvarez-Marcos, Gabriele Pagliariccio, Gabriele Piffaretti, Gaetano Lanza, Geisbüsch Philipp, George Geenberg, Georg Jung, Germano Melissano, Gian Franco Veraldi, Gianbattista Parlani, Gianluca Faggioli, Gianmarco De Donato, Gioele Simonte, Giovanni Colacchio, Giovanni De Caridi, Giovanni Pratesi, Giovanni Spinella, Giovanni Torsello, Glenn Wei Leong Tan, Gregory A. Magee, Hence Verhagen, Holden Andrew, Issam Koleilat, J. Westley Ohman, J. P.P.M. De Vries, Jacob Budtz-Lilly, James Black, Jens Eldrup-Jorgensen, Joe Hockley, Jonathan Bath, Jonathan Sobocinski, Joost A. Van Herwaarden, Kopp Reinhard, Kristine C. Orion, Kwame Amankwah, Luca Bertoglio, Luca Di Marzo, Luca Garriboli, Luigi Rizzo, Maani Hakimi, Malachi Sheahan, Manar Khashram, Marc Schermerhorn, Mario Lescan, Mark Conrad, Mark G. Davies, Martin Czerny, Matteo Orrico, Matthew J. Eagleton, Matthew R. Smeds, Maurizio Taurino, Max Wohlauer, Mel J. Sharafuddin, Menges Anna-Leonie, Michel Reijnen, Michele Antonello, Michele Piazza, Marco Graziano Piazza, Nicla Settembre, Nicolas J. Mouawad, Nikolaos Tsilimparis, Nuno Dias, Ombretta Martinelli, Paolo Frigatti, Pasqualino Sirignano, Patrick Chong, Paul Bevis, Paul Dimuzio, Peter Henke, Philip Düppers, Peter Holt, Päivi Helmiö, Patrick Vriens, Raffaele Pulli, Raffaello Bellosta, Raimondo Micheli, Ravi Veeraswamy, Robert Cuff, Roberto Chiappa, Roberto Gattuso, Rodolfo Pini, Ronald L. Dalman, Ross Milner, Salvatore T. Scali, Sandeep Bahia, Sani Laukontaus, Santi Trimarchi, Sebastian Fernandez-Alonso, Sebastien Deglise, Sergi Bellmunt-Montoya, Simone Hofer, Stefan Hofer, Syed W. Yusuf, Sonia Ronchey, Stefano Bartoli, Stefano Bonvini, Stefano Camparini, Stefano Fazzini, Stefano Pirrelli, Tal Hörer, Theodosios Bisdas, Thodur Vasudevan, Thomas Lattmann, Thomas Rudolf Wyss, Thomas Maldonado, Thomas Pfammatter, Tilo Kölbel, Tomasz Jakimowicz, Tommaso Donati, Margaret Tracci, Umberto Marcello Bracale, Valerio Stefano Tolva, Vincent Riambau, Vincenzo Palazzo, Vladimir Makaloski, Regula S. Von Allmen, Walter Dorigo, Wassim Mansour, Wouter Van Den Eynde

Risultato della ricerca: Contributo in rivista › Articolo in rivista

Abstract

Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

Lingua originale	English
pagine (da-a)	N/A-N/A
Rivista	Journal of Vascular Surgery
DOI	https://doi.org/10.1016/j.jvs.2024.03.007
Stato di pubblicazione	Pubblicato - 2024

Keywords

CTA
DUS
Delphi consensus
EVAR
Follow-up
Sac regression

Accesso al documento

10.1016/j.jvs.2024.03.007

Altri file e collegamenti

Open Access link a IRIS PubliCatt

Cita questo

Tinelli, G., D'Oria, M., D'Oria, M., Sica, S., Mani, K., Rancic, Z., Resch, T. A., Beccia, F., Azizzadeh, A., Da Volta Ferreira, M. M., Gargiulo, M., Lepidi, S., Tshomba, Y., Oderich, G. S., Haulon, S., Beck, A. W., Hertault, A., Savlania, A., Froio, A., ... Van Den Eynde, W. (2024). The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study. Journal of Vascular Surgery, N/A-N/A. https://doi.org/10.1016/j.jvs.2024.03.007

@article{2fdebfba55b743adaf55687ec8f1e911,

title = "The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study",

abstract = "Objective: 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. Methods: 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. Results: 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. Conclusions: 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 = "CTA, DUS, Delphi consensus, EVAR, Follow-up, Sac regression, CTA, DUS, Delphi consensus, EVAR, Follow-up, Sac regression",

author = "Giovanni Tinelli and Mario D'Oria and Marika D'Oria and Simona Sica and Kevin Mani and Zoran Rancic and Resch, {Timothy Andrew} and Flavia Beccia and Ali Azizzadeh and {Da Volta Ferreira}, {Marcelo Martins} and Mauro Gargiulo and Sandro Lepidi and Yamume Tshomba and Oderich, {Gustavo S.} and St{\'e}phan Haulon and Beck, {Adam W.} and Adrien Hertault and Ajay Savlania and Alberto Froio and Alessia Giaquinta and Alexander Zimmermann and Zimmermann, {Thomas Alexander} and Anastasios Psyllas and Anders Wanhainen and Marchetti, {Andrea Ascoli} and Queiroz, {Andre Brito} and Andrea Kahlberg and Andr{\'e}s Reyes-Valdivia and Andres Schanzer and Andrew Tambyraja and Antonio Freyrie and Antonio Lorido and Antoine Millon and Arnaldo Ippoliti and Babak Abai and Barend Mees and Benedikt Reutersberg and Blandine Maurel and Bosiers Michel and Wahlgren, {Carl Magnus} and Carlo Cavazzini and Carlo Setacci and Lee, {Cheong Jun} and Ciro Ferrer and Colin Bicknell and Coscas Rapha{\"e}l and Daniel Clair and Dawson, {David L.} and Arnaoutakis, {Dean J.} and Dittmar B{\"o}ckler and Drosos Kotelis and Edin Mujagic and Emiliano Chisci and Enrico Cieri and Enrico Gallitto and Marone, {Enrico Maria} and Eric Ducasse and Fabio Verzini and Felice Pecoraro and Ferdinand Serracino-Inglott and Filippo Benedetto and Francesco Speziale and Francesco Stilo and Francisco {\'A}lvarez-Marcos and Gabriele Pagliariccio and Gabriele Piffaretti and Gaetano Lanza and Geisb{\"u}sch Philipp and George Geenberg and Georg Jung and Germano Melissano and Veraldi, {Gian Franco} and Gianbattista Parlani and Gianluca Faggioli and {De Donato}, Gianmarco and Gioele Simonte and Giovanni Colacchio and {De Caridi}, Giovanni and Giovanni Pratesi and Giovanni Spinella and Giovanni Torsello and {Leong Tan}, {Glenn Wei} and Magee, {Gregory A.} and Hence Verhagen and Holden Andrew and Issam Koleilat and Ohman, {J. Westley} and {De Vries}, {J. P.P.M.} and Jacob Budtz-Lilly and James Black and Jens Eldrup-Jorgensen and Joe Hockley and Jonathan Bath and Jonathan Sobocinski and {Van Herwaarden}, {Joost A.} and Kopp Reinhard and Orion, {Kristine C.} and Kwame Amankwah and Luca Bertoglio and {Di Marzo}, Luca and Luca Garriboli and Luigi Rizzo and Maani Hakimi and Malachi Sheahan and Manar Khashram and Marc Schermerhorn and Mario Lescan and Mark Conrad and Davies, {Mark G.} and Martin Czerny and Matteo Orrico and Eagleton, {Matthew J.} and Smeds, {Matthew R.} and Maurizio Taurino and Max Wohlauer and Sharafuddin, {Mel J.} and Menges Anna-Leonie and Michel Reijnen and Michele Antonello and Michele Piazza and Piazza, {Marco Graziano} and Nicla Settembre and Mouawad, {Nicolas J.} and Nikolaos Tsilimparis and Nuno Dias and Ombretta Martinelli and Paolo Frigatti and Pasqualino Sirignano and Patrick Chong and Paul Bevis and Paul Dimuzio and Peter Henke and Philip D{\"u}ppers and Peter Holt and P{\"a}ivi Helmi{\"o} and Patrick Vriens and Raffaele Pulli and Raffaello Bellosta and Raimondo Micheli and Ravi Veeraswamy and Robert Cuff and Roberto Chiappa and Roberto Gattuso and Rodolfo Pini and Dalman, {Ronald L.} and Ross Milner and Scali, {Salvatore T.} and Sandeep Bahia and Sani Laukontaus and Santi Trimarchi and Sebastian Fernandez-Alonso and Sebastien Deglise and Sergi Bellmunt-Montoya and Simone Hofer and Stefan Hofer and Yusuf, {Syed W.} and Sonia Ronchey and Stefano Bartoli and Stefano Bonvini and Stefano Camparini and Stefano Fazzini and Stefano Pirrelli and Tal H{\"o}rer and Theodosios Bisdas and Thodur Vasudevan and Thomas Lattmann and Wyss, {Thomas Rudolf} and Thomas Maldonado and Thomas Pfammatter and Tilo K{\"o}lbel and Tomasz Jakimowicz and Tommaso Donati and Margaret Tracci and Bracale, {Umberto Marcello} and Tolva, {Valerio Stefano} and Vincent Riambau and Vincenzo Palazzo and Vladimir Makaloski and {Von Allmen}, {Regula S.} and Walter Dorigo and Wassim Mansour and {Van Den Eynde}, Wouter",

year = "2024",

doi = "10.1016/j.jvs.2024.03.007",

language = "English",

pages = "N/A--N/A",

journal = "Journal of Vascular Surgery",

issn = "0741-5214",

publisher = "-NEW YORK, USA: MOSBY-ELSEVIER -Orlando, FL: Mosby Year Book Incorporated INTERNET: http://www.mosby.com,",

}

Tinelli, G, D'Oria, M, D'Oria, M, Sica, S, Mani, K, Rancic, Z, Resch, TA, Beccia, F, Azizzadeh, A, Da Volta Ferreira, MM, Gargiulo, M, Lepidi, S, Tshomba, Y, Oderich, GS, Haulon, S, Beck, AW, Hertault, A, Savlania, A, Froio, A, Giaquinta, A, Zimmermann, A, Zimmermann, TA, Psyllas, A, Wanhainen, A, Marchetti, AA, Queiroz, AB, 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, CM, Cavazzini, C, Setacci, C, Lee, CJ, Ferrer, C, Bicknell, C, Raphaël, C, Clair, D, Dawson, DL, Arnaoutakis, DJ, Böckler, D, Kotelis, D, Mujagic, E, Chisci, E, Cieri, E, Gallitto, E, Marone, EM, 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, GF, Parlani, G, Faggioli, G, De Donato, G, Simonte, G, Colacchio, G, De Caridi, G, Pratesi, G, Spinella, G, Torsello, G, Leong Tan, GW, Magee, GA, Verhagen, H, Andrew, H, Koleilat, I, Ohman, JW, De Vries, JPPM, Budtz-Lilly, J, Black, J, Eldrup-Jorgensen, J, Hockley, J, Bath, J, Sobocinski, J, Van Herwaarden, JA, Reinhard, K, Orion, KC, Amankwah, K, Bertoglio, L, Di Marzo, L, Garriboli, L, Rizzo, L, Hakimi, M, Sheahan, M, Khashram, M, Schermerhorn, M, Lescan, M, Conrad, M, Davies, MG, Czerny, M, Orrico, M, Eagleton, MJ, Smeds, MR, Taurino, M, Wohlauer, M, Sharafuddin, MJ, Anna-Leonie, M, Reijnen, M, Antonello, M, Piazza, M, Piazza, MG, Settembre, N, Mouawad, NJ, 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, RL, Milner, R, Scali, ST, Bahia, S, Laukontaus, S, Trimarchi, S, Fernandez-Alonso, S, Deglise, S, Bellmunt-Montoya, S, Hofer, S, Hofer, S, Yusuf, SW, Ronchey, S, Bartoli, S, Bonvini, S, Camparini, S, Fazzini, S, Pirrelli, S, Hörer, T, Bisdas, T, Vasudevan, T, Lattmann, T, Wyss, TR, Maldonado, T, Pfammatter, T, Kölbel, T, Jakimowicz, T, Donati, T, Tracci, M, Bracale, UM, Tolva, VS, Riambau, V, Palazzo, V, Makaloski, V, Von Allmen, RS, Dorigo, W, Mansour, W & Van Den Eynde, W 2024, 'The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study', Journal of Vascular Surgery, pagg. N/A-N/A. https://doi.org/10.1016/j.jvs.2024.03.007

TY - JOUR

T1 - The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study

AU - Tinelli, Giovanni

AU - D'Oria, Mario

AU - D'Oria, Marika

AU - Sica, Simona

AU - Mani, Kevin

AU - Rancic, Zoran

AU - Resch, Timothy Andrew

AU - Beccia, Flavia

AU - Azizzadeh, Ali

AU - Da Volta Ferreira, Marcelo Martins

AU - Gargiulo, Mauro

AU - Lepidi, Sandro

AU - Tshomba, Yamume

AU - Oderich, Gustavo S.

AU - Haulon, Stéphan

AU - Beck, Adam W.

AU - Hertault, Adrien

AU - Savlania, Ajay

AU - Froio, Alberto

AU - Giaquinta, Alessia

AU - Zimmermann, Alexander

AU - Zimmermann, Thomas Alexander

AU - Psyllas, Anastasios

AU - Wanhainen, Anders

AU - Marchetti, Andrea Ascoli

AU - Queiroz, Andre Brito

AU - Kahlberg, Andrea

AU - Reyes-Valdivia, Andrés

AU - Schanzer, Andres

AU - Tambyraja, Andrew

AU - Freyrie, Antonio

AU - Lorido, Antonio

AU - Millon, Antoine

AU - Ippoliti, Arnaldo

AU - Abai, Babak

AU - Mees, Barend

AU - Reutersberg, Benedikt

AU - Maurel, Blandine

AU - Michel, Bosiers

AU - Wahlgren, Carl Magnus

AU - Cavazzini, Carlo

AU - Setacci, Carlo

AU - Lee, Cheong Jun

AU - Ferrer, Ciro

AU - Bicknell, Colin

AU - Raphaël, Coscas

AU - Clair, Daniel

AU - Dawson, David L.

AU - Arnaoutakis, Dean J.

AU - Böckler, Dittmar

AU - Kotelis, Drosos

AU - Mujagic, Edin

AU - Chisci, Emiliano

AU - Cieri, Enrico

AU - Gallitto, Enrico

AU - Marone, Enrico Maria

AU - Ducasse, Eric

AU - Verzini, Fabio

AU - Pecoraro, Felice

AU - Serracino-Inglott, Ferdinand

AU - Benedetto, Filippo

AU - Speziale, Francesco

AU - Stilo, Francesco

AU - Álvarez-Marcos, Francisco

AU - Pagliariccio, Gabriele

AU - Piffaretti, Gabriele

AU - Lanza, Gaetano

AU - Philipp, Geisbüsch

AU - Geenberg, George

AU - Jung, Georg

AU - Melissano, Germano

AU - Veraldi, Gian Franco

AU - Parlani, Gianbattista

AU - Faggioli, Gianluca

AU - De Donato, Gianmarco

AU - Simonte, Gioele

AU - Colacchio, Giovanni

AU - De Caridi, Giovanni

AU - Pratesi, Giovanni

AU - Spinella, Giovanni

AU - Torsello, Giovanni

AU - Leong Tan, Glenn Wei

AU - Magee, Gregory A.

AU - Verhagen, Hence

AU - Andrew, Holden

AU - Koleilat, Issam

AU - Ohman, J. Westley

AU - De Vries, J. P.P.M.

AU - Budtz-Lilly, Jacob

AU - Black, James

AU - Eldrup-Jorgensen, Jens

AU - Hockley, Joe

AU - Bath, Jonathan

AU - Sobocinski, Jonathan

AU - Van Herwaarden, Joost A.

AU - Reinhard, Kopp

AU - Orion, Kristine C.

AU - Amankwah, Kwame

AU - Bertoglio, Luca

AU - Di Marzo, Luca

AU - Garriboli, Luca

AU - Rizzo, Luigi

AU - Hakimi, Maani

AU - Sheahan, Malachi

AU - Khashram, Manar

AU - Schermerhorn, Marc

AU - Lescan, Mario

AU - Conrad, Mark

AU - Davies, Mark G.

AU - Czerny, Martin

AU - Orrico, Matteo

AU - Eagleton, Matthew J.

AU - Smeds, Matthew R.

AU - Taurino, Maurizio

AU - Wohlauer, Max

AU - Sharafuddin, Mel J.

AU - Anna-Leonie, Menges

AU - Reijnen, Michel

AU - Antonello, Michele

AU - Piazza, Michele

AU - Piazza, Marco Graziano

AU - Settembre, Nicla

AU - Mouawad, Nicolas J.

AU - Tsilimparis, Nikolaos

AU - Dias, Nuno

AU - Martinelli, Ombretta

AU - Frigatti, Paolo

AU - Sirignano, Pasqualino

AU - Chong, Patrick

AU - Bevis, Paul

AU - Dimuzio, Paul

AU - Henke, Peter

AU - Düppers, Philip

AU - Holt, Peter

AU - Helmiö, Päivi

AU - Vriens, Patrick

AU - Pulli, Raffaele

AU - Bellosta, Raffaello

AU - Micheli, Raimondo

AU - Veeraswamy, Ravi

AU - Cuff, Robert

AU - Chiappa, Roberto

AU - Gattuso, Roberto

AU - Pini, Rodolfo

AU - Dalman, Ronald L.

AU - Milner, Ross

AU - Scali, Salvatore T.

AU - Bahia, Sandeep

AU - Laukontaus, Sani

AU - Trimarchi, Santi

AU - Fernandez-Alonso, Sebastian

AU - Deglise, Sebastien

AU - Bellmunt-Montoya, Sergi

AU - Hofer, Simone

AU - Hofer, Stefan

AU - Yusuf, Syed W.

AU - Ronchey, Sonia

AU - Bartoli, Stefano

AU - Bonvini, Stefano

AU - Camparini, Stefano

AU - Fazzini, Stefano

AU - Pirrelli, Stefano

AU - Hörer, Tal

AU - Bisdas, Theodosios

AU - Vasudevan, Thodur

AU - Lattmann, Thomas

AU - Wyss, Thomas Rudolf

AU - Maldonado, Thomas

AU - Pfammatter, Thomas

AU - Kölbel, Tilo

AU - Jakimowicz, Tomasz

AU - Donati, Tommaso

AU - Tracci, Margaret

AU - Bracale, Umberto Marcello

AU - Tolva, Valerio Stefano

AU - Riambau, Vincent

AU - Palazzo, Vincenzo

AU - Makaloski, Vladimir

AU - Von Allmen, Regula S.

AU - Dorigo, Walter

AU - Mansour, Wassim

AU - Van Den Eynde, Wouter

PY - 2024

Y1 - 2024

N2 - Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

AB - Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

KW - CTA

KW - DUS

KW - Delphi consensus

KW - EVAR

KW - Follow-up

KW - Sac regression

KW - CTA

KW - DUS

KW - Delphi consensus

KW - EVAR

KW - Follow-up

KW - Sac regression

UR - http://hdl.handle.net/10807/281459

U2 - 10.1016/j.jvs.2024.03.007

DO - 10.1016/j.jvs.2024.03.007

M3 - Article

SN - 0741-5214

SP - N/A-N/A

JO - Journal of Vascular Surgery

JF - Journal of Vascular Surgery

ER -

The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study

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