The sac evolution imaging follow-up after endovascular aortic repair: An international expert opinion-based Delphi consensus study
- Autori: Tinelli G.; 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.; 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 J.P.P.M.; 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.
- Anno di pubblicazione: 2024
- Tipologia: Articolo in rivista
- OA Link: http://hdl.handle.net/10447/659393
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. (J Vasc Surg 2024;80:937-45.)