Polling station

Welcome to the Polling Station of Vascupedia. Every first of the month and during all the month, you can vote on a new topic of great interest. The results of the voting will illuminate the current practice and needs in the treatment of vascular diseases worldwide.

 

Why is your participation important?

Here you can express your opinion and vote actively on controversial issues in vascular medicine. Your vote is of unique importance to evaluate current techniques and technologies and to highlight your demands and challenges. After voting, you will be able to follow the ongoing results anytime and to see the expert’s opinion on the respective topic. At the end of the month, the expert will comment also on the final results

 

To provide a valid vote, you have to be registered as a Vascupedian.

 

Poll 13/04/2018 – 30/06/2018

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

Question # 7
Question # 6
Question # 5
Question # 4
Question # 3
Question # 2
Question # 1

Treatment strategy

What would be your treatment strategy in this case?
  • Open surgical repair

  • fEVAR

  • chEVAR

  • Branched endografting

  • Conservative treatment and follow-up

Next Question

Diameter

Which diameter is an indication for the open or endovascular treatment of a juxta- or pararenal AAA in your daily practice?
  • ≥50mm

  • ≥55mm

  • ≥60mm

Next Question

Criterion to decide between fEVAR and chEVAR

Which criterion is the most important to decide between fEVAR and chEVAR in a patient with an asymptomatic juxta- or pararenal AAA and appropriate anatomy for both procedures?
  • Comorbidity

  • Age

  • Costs

  • If fEVAR is feasible, chEVAR should not be used in asymptomatic patients

Next Question

VQI perioperative mortality risk score

Do you use the Vascular Quality Initiative (VQI) perioperative mortality risk score in your daily practice?
  • Yes

  • No

  • I am not familiar with the VQI risk score

Next Question

Percentage of chEVAR procedures

Which is approximately the percentage of chEVAR procedures for asymptomatic juxta-/suprarenal aortic aneurysms in your daily practice?
  • I am not familiar with the chEVAR technique

  • < 10%

  • 10-40%

  • 40-70%

  • > 70%

Next Question

Percentage of fEVAR procedures

Which is approximately the percentage of fEVAR procedures for asymptomatic juxta-/suprarenal aortic aneurysms in your daily practice?
  • I am not familiar with the fEVAR technique

  • < 10%

  • 10-40%

  • 40-70%

  • > 70%

Next Question

Percentage of open surgery

Which is approximately the percentage of open surgery for asymptomatic juxta-/suprarenal aortic aneurysms in your daily practice?
  • I am not a surgeon and I am not referring patients to vascular surgeons

  • < 10%

  • 10-40%

  • 40-70%

  • > 70%

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