Polling Station
Topic: Asymptomatic juxta- and pararenal aortic aneurysms

Patient’s characteristics
Gender: Female
Age: 75 years old
Comorbidity: Arterial hypertension, hypercholesterinemia, previous aortocoronary bypass grafting, previous myocardial infarction, previous smoker, peripheral arterial disease, atrial fibrillation
Symptoms: None
Previous operations: None
Aneurysm characteristics:
Max. aneurysm diameter: 54 mm
Length of proximal infrarenal neck: 0 mm
Distance between SMA and LRA: 20 mm
Diameter of renal arteries: RRA: 5,3 mm, LRA: 6 mm
Suprarenal angulation: 60°
Diameter of distal neck: 30 mm
Minimum diameter of common iliac arteries: R: 11 mm, L:9 mm
Maximum diameter of common iliac arteries: R: 11 mm, L: 14 mm
Minimum diameter of external iliac arteries: R: 7 mm, L: 6,2 mm
Treatment strategy
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Open surgical repair
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fEVAR
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chEVAR
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Branched endografting
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Conservative treatment and follow-up

Diameter
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≥50mm
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≥55mm
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≥60mm

Criterion to decide between fEVAR and chEVAR
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Comorbidity
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Age
-
Costs
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If fEVAR is feasible, chEVAR should not be used in asymptomatic patients

VQI perioperative mortality risk score
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Yes
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No
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I am not familiar with the VQI risk score

Percentage of chEVAR procedures
-
I am not familiar with the chEVAR technique
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< 10%
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10-40%
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40-70%
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> 70%
Percentage of fEVAR procedures
-
I am not familiar with the fEVAR technique
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< 10%
-
10-40%
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40-70%
-
> 70%
Percentage of open surgery
-
I am not a surgeon and I am not referring patients to vascular surgeons
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< 10%
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10-40%
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40-70%
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> 70%