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      <comment>Vascular Surgery Unit, University Hospital Virgen de las Nieves, Granada, Spain            
            Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain            
            Department of Vascular and Endovascular Surgery, Asklepios Clinic Wandsbek, Asklepios Medical School, Hamburg, Germany            
            Department of Surgical Sciences, Uppsala University, Uppsala, Sweden            
            Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste ASUGI, Trieste, Italy            
            Kantonsspital Winterthur, Swissvasc Registry, Zurich, Switzerland            
            Waikato Hospital, University of Auckland, Auckland, New Zealand            
            Department of Vascular Surgery, St Olavs Hospital, Trondheim, Norway            
            Department of Vascular Surgery, Graz Medical University, Graz, Austria            
            University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom            
            Division of Vascular Surgery, Department of Cardiovascular Surgery, Aarhus University Hospital, Aarhus, Denmark            
            Cited By :1            
            Export Date: 4 October 2023            
            CODEN: EJVSF            
            Correspondence Address: Lopez Espada, C.; Vascular Surgery Unit, Avenida Fuerzas Armadas, Spain; email: clegra3@hotmail.com</comment>
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      <title>The VASCUNExplanT Project: An International Study Assessing Open Surgical Conversion of Failed Non-Infected Endovascular Aortic Aneurysm Repair</title>
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      <abstractText>Objective: The need for open surgical conversion (OSC) after failed endovascular aortic aneurysm repair (EVAR) persists, despite expanding endovascular options for secondary intervention. The VASCUNExplanT project collected international data to identify risk factors for failed EVAR, as well as OSC outcomes. This retrospective cross sectional study analysed data after OSC for failed EVAR from the VASCUNET international collaboration. Methods: VASCUNET queried registries from its 28 member countries, and 17 collaborated with data from patients who underwent OSC (2005 – 2020). Any OSC for infection was excluded. Data included demographics, EVAR, and OSC procedural details, as well as post-operative mortality and complication rates. Results: There were 348 OSC patients from 17 centres, of whom 33 (9.4%) were women. There were 130 (37.4%) devices originally deployed outside of instructions for use. The most common indication for OSC was endoleak (n = 143, 41.1%); ruptures accounted for 17.2% of cases. The median time from EVAR to OSC was 48.6 months [IQR 29.7, 71.6]; median abdominal aortic aneurysm diameter at OSC was 70.5 mm [IQR 61, 82]. A total of 160 (45.6%) patients underwent one or more re-interventions prior to OSC, while 63 patients (18.1%) underwent more than one re-intervention (range 1 – 5). Overall, the 30 day mortality rate post-OSC was 11.8% (n = 41), 11.1% for men and 18.2% for women (p = .23). The 30 day mortality rate was 6.1% for elective cases, and 28.3% for ruptures (p &lt; .0001). The predicted 90 day survival for the entire cohort was 88.3% (95% CI 84.3 – 91.3). Multivariable analysis revealed rupture (OR 4.23; 95% CI 2.05 – 8.75; p &lt; .0001) and total graft explantation (OR 2.10; 95% CI 1.02 – 4.34; p = .04) as the only statistically significant predictive factors for 30 day death. Conclusion: This multicentre analysis of patients who underwent OSC shows that, despite varying case mix and operative techniques, OSC is feasible but associated with significant morbidity and mortality rates, particularly when performed for rupture. © 2023 European Society for Vascular Surgery</abstractText>
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      <link>/api/publication/34174447</link>
      <label>Lopez Espada C. et al. The VASCUNExplanT Project: An International Study Assessing Open Surgical Conversion of Failed Non-Infected Endovascular Aortic Aneurysm Repair. (2023) EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY 1078-5884 1532-2165 66 5 653-660</label><template>&lt;div class=&quot;JournalArticle Publication short-list&quot;&gt; &lt;div class=&quot;authors&quot;&gt; &lt;span class=&quot;author-name&quot; &gt; Lopez, Espada C. ✉ &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10099503&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10099503&quot; target=&quot;_blank&quot;&gt;Behrendt, C.-A.&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Mani, K. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; D&apos;Oria, M. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Lattman, T. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Khashram, M. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Altreuther, M. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Cohnert, T.U. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Pherwani, A. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Budtz-Lilly, J. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; et al. &lt;/div &gt;&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;34174447&quot; mtid=&quot;34174447&quot; target=&quot;_blank&quot;&gt;The VASCUNExplanT Project: An International Study Assessing Open Surgical Conversion of Failed Non-Infected Endovascular Aortic Aneurysm Repair&lt;/a&gt;&lt;/div&gt; &lt;div class=&quot;pub-info&quot;&gt; &lt;span class=&quot;journal-title&quot;&gt;EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY&lt;/span&gt; &lt;span class=&quot;journal-volume&quot;&gt;66&lt;/span&gt; : &lt;span class=&quot;journal-issue&quot;&gt;5&lt;/span&gt; &lt;span class=&quot;page&quot;&gt; pp. 653-660. , 8 p. &lt;/span&gt; &lt;span class=&quot;year&quot;&gt;(2023)&lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;pub-end&quot;&gt;&lt;div class=&quot;identifier-list&quot;&gt; &lt;span class=&quot;identifiers&quot;&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;10.1016/j.ejvs.2023.07.029&quot; target=&quot;_blank&quot; href=&quot;https://doi.org/10.1016/j.ejvs.2023.07.029&quot;&gt; DOI &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;001112954700001&quot; target=&quot;_blank&quot; href=&quot;https://www.webofscience.com/wos/woscc/full-record/001112954700001&quot;&gt; WoS &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;85171298296&quot; target=&quot;_blank&quot; href=&quot;http://www.scopus.com/record/display.url?origin=inward&amp;eid=2-s2.0-85171298296&quot;&gt; Scopus &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;37490979&quot; target=&quot;_blank&quot; href=&quot;http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;list_uids=37490979&amp;dopt=Abstract&quot;&gt; PubMed &lt;/a&gt; &lt;/span&gt; &lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;short-pub-prop-list&quot;&gt; &lt;span class=&quot;short-pub-mtid&quot;&gt; Publication:34174447 &lt;/span&gt; &lt;span class=&quot;status-holder&quot;&gt;&lt;span class=&quot;status-data status-VALIDATED&quot;&gt; Validated &lt;/span&gt;&lt;/span&gt; &lt;span class=&quot;pub-core&quot;&gt;Core Citing &lt;/span&gt; &lt;span class=&quot;pub-type&quot;&gt;Journal Article (Study Group ) &lt;/span&gt; &lt;!-- &amp;&amp; !record.category.scientific --&gt; &lt;span class=&quot;pub-category&quot;&gt;Scientific&lt;/span&gt; &lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt; &lt;span title=&quot;&quot; class=&quot;citingPub-count&quot;&gt;Citing papers: 19&lt;/span&gt; | Independent citation: 11 | Self citation: 8 | Unknown citation: 0 | Number of citations in WoS: 19 | Number of citations in Scopus:&amp;nbsp;11 | WoS/Scopus assigned:&amp;nbsp;19 | Number of citations with DOI:&amp;nbsp;19 &lt;/div&gt; &lt;/div&gt; &lt;/div&gt; &lt;/div&gt;</template><template2>&lt;div class=&quot;JournalArticle Publication long-list&quot;&gt;
&lt;div class=&quot;authors&quot;&gt;
	&lt;img title=&quot;Forrásközlemény&quot; style=&quot;float: left&quot; src=&quot;/frontend/resources/grid/publication-core-icon.png&quot;&gt;
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		&lt;div class=&quot;autype autype0&quot;&gt;				&lt;span class=&quot;author-name&quot; &gt;Lopez Espada C. ✉
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10099503&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10099503&quot; target=&quot;_blank&quot;&gt;Behrendt C.-A.
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Behrendt Christian-Alexander&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; &lt;/span&gt;)
			&lt;/a&gt;
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/Asklepios Campus Hamburg&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Mani K.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;D&apos;Oria M.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Lattman T.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Khashram M.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Altreuther M.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Cohnert T.U.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Pherwani A.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Budtz-Lilly J.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-affil&quot;&gt;VASCUNExplant Collaborator Group&lt;/span&gt;

				    &lt;/div&gt;
		&lt;div class=&quot;autype autype-11&quot;&gt;			Collaborator:
				&lt;span class=&quot;author-name&quot; &gt;Linares-Palomino J.
    &lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
																																		&lt;span class=&quot;author-name&quot; mtid=&quot;10025764&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10025764&quot; target=&quot;_blank&quot;&gt;Szeberin Z.
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Szeberin Zoltán&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Érsebészet&lt;/span&gt;)
			&lt;/a&gt;
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/&lt;span title=&quot;Cardiovascular Center&quot;&gt;Cardiovascular Center&lt;/span&gt;/Érsebészeti és Endovaszkuláris Tanszék&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
																																																																																							 et al. (39)
	    &lt;/div&gt;
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&lt;/div&gt;
&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;34174447&quot; target=&quot;_blank&quot;&gt;The VASCUNExplanT Project: An International Study Assessing Open Surgical Conversion of Failed Non-Infected Endovascular Aortic Aneurysm Repair&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY&lt;/span&gt;

        &lt;span class=&quot;journal-issn&quot;&gt;(&lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/1078-5884&quot;&gt;1078-5884&lt;/a&gt; &lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/1532-2165&quot;&gt;1532-2165&lt;/a&gt;)&lt;/span&gt;:
		&lt;span class=&quot;journal-volume&quot;&gt;66&lt;/span&gt; &lt;span class=&quot;journal-issue&quot;&gt;5&lt;/span&gt;
&lt;span class=&quot;page&quot;&gt;
	pp 653-660
			
&lt;/span&gt;		 &lt;span class=&quot;year&quot;&gt;(2023)&lt;/span&gt;  
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				&lt;div class=&quot;journal-subject&quot;&gt;Journal subject: Scopus - Surgery&amp;nbsp;&amp;nbsp;&amp;nbsp;Rank:&amp;nbsp;D1&lt;/div&gt;
				&lt;div class=&quot;journal-subject&quot;&gt;Journal subject: Scopus - Cardiology and Cardiovascular Medicine&amp;nbsp;&amp;nbsp;&amp;nbsp;Rank:&amp;nbsp;Q1&lt;/div&gt;
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	&lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt;
		&lt;span title=&quot;&quot; class=&quot;citingPub-count&quot;&gt;Citing papers: 19&lt;/span&gt;
		| Independent citation: 11
		| Self citation: 8
		| Unknown citation: 0
		| Number of citations in WoS: 19 
		|  Number of citations in Scopus:&amp;nbsp;11 
		|  WoS/Scopus assigned:&amp;nbsp;19 
		|  Number of citations with DOI:&amp;nbsp;19 
		
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			Number of cited publications: 5
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Core	 Citing
	
	
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&lt;div class=&quot;lastModified&quot;&gt;Last Modified: 2025.03.20. 14:52 Malte Koop (SE_AOK_Asklepios_Admin, admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Comments&lt;/u&gt;: Vascular Surgery Unit, University Hospital Virgen de las Nieves, Granada, Spain            
            Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain            
            Department of Vascular and Endovascular Surgery, Asklepios Clinic Wandsbek, Asklepios Medical School, Hamburg, Germany            
            Department of Surgical Sciences, Uppsala University, Uppsa...&lt;/pre&gt;

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