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Erschienen in: CardioVascular and Interventional Radiology 5/2008

01.09.2008 | Clinical Investigation

Can Surgeons Assess CT Suitability for Endovascular Repair (EVAR) in Ruptured Abdominal Aortic Aneurysm? Implications for a Ruptured EVAR Trial

verfasst von: Harjeet Rayt, Kelly Lambert, Matthew Bown, Guy Fishwick, Robert Morgan, Mark McCarthy, Nick London, Robert Sayers

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 5/2008

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Abstract

The purpose of this study was to determine whether surgeons without formal radiological training are able to assess suitability of patients with ruptured abdominal aortic aneurysms (AAA) for EVAR. The CT scans of 20 patients with AAA were reviewed under timed conditions by six vascular surgeons. Twenty minutes was allocated per scan. They were asked to determine if each aneurysm would be treatable by EVAR in the emergency setting and, if so, to measure for device selection. The results were then compared with those of a vascular radiologist. Six surgeons agreed on the suitability of endovascular repair in 45% of cases (95% CI, 23.1–68.5%; 9/20 scans; κ = 0.41 [p = 0.01]) and concurred with the radiologist in eight of these. Individually, agreement ranged from 13 to 16 of the 20 scans, 65–80% between surgeons. The kappa value for agreement between all the surgeons and the radiologist was 0.47 (p = 0.01, moderate agreement). For the individual surgeons, this ranged from 0.3 to 0.6 (p = 0.01). In conclusion, while overall agreement was moderate between the surgeons and the radiologist, it is clear that if surgeons are to assess patients for ruptured EVAR in the future, focused training of surgical trainees is required.
Fußnoten
1
Vascular service provision in our NHS Trust has since been merged into one center. The scans were taken from a consultant based at one of the other hospitals in our Trust.
 
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Metadaten
Titel
Can Surgeons Assess CT Suitability for Endovascular Repair (EVAR) in Ruptured Abdominal Aortic Aneurysm? Implications for a Ruptured EVAR Trial
verfasst von
Harjeet Rayt
Kelly Lambert
Matthew Bown
Guy Fishwick
Robert Morgan
Mark McCarthy
Nick London
Robert Sayers
Publikationsdatum
01.09.2008
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 5/2008
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-008-9338-0

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