2023
Six-Month Deep Vein Thrombosis Outcomes by Chronicity: Analysis of the Real-World ClotTriever Outcomes Registry
Abramowitz S, Kado H, Schor J, Annambhotla S, Mojibian H, Marino A, Maldonado T, Gandhi S, Paulisin J, Bunte M, Angel W, Roberts J, Veerina K, Long D, Elmasri F, Shaikh A, Beasley R, Dexter D, Investigators F. Six-Month Deep Vein Thrombosis Outcomes by Chronicity: Analysis of the Real-World ClotTriever Outcomes Registry. Journal Of Vascular And Interventional Radiology 2023, 34: 879-887.e4. PMID: 37105663, DOI: 10.1016/j.jvir.2022.12.480.Peer-Reviewed Original ResearchMeSH KeywordsHumansIliac VeinProspective StudiesQuality of LifeRegistriesRetrospective StudiesThrombectomyThrombolytic TherapyTreatment OutcomeVenous ThrombosisConceptsDeep vein thrombosisSerious adverse eventsChronic deep vein thrombosisClotTriever systemMechanical thrombectomyOutcomes RegistryStent placementDevice-related serious adverse eventsLower extremity deep vein thrombosisExtremity deep vein thrombosisComplete thrombus removalMedian Villalta scoreFatal pulmonary embolismReal-world patientsSelf-reported questionnaire scoresChronic thrombusSubacute groupVillalta scorePulmonary embolismVein thrombosisAdverse eventsPhysician's discretionThrombosis outcomesThrombus removalChronic subgroupImpaired left-ventricular global longitudinal strain by feature-tracking cardiac MRI predicts mortality in systemic sclerosis
Feher A, Miller E, Peters D, Mojibian H, Sinusas A, Hinchcliff M, Baldassarre L. Impaired left-ventricular global longitudinal strain by feature-tracking cardiac MRI predicts mortality in systemic sclerosis. Rheumatology International 2023, 43: 849-858. PMID: 36894756, DOI: 10.1007/s00296-023-05294-6.Peer-Reviewed Original ResearchConceptsLate gadolinium enhancementLV-GLSSystemic sclerosisWorse survivalClinical indicationsImpaired left ventricular global longitudinal strainLeft ventricular global longitudinal strainPresence of LGECMR strainLV cardiac indexWorse LV-GLSLV ejection fractionCox regression analysisGlobal longitudinal strainLV cardiac outputGlobal radialCardiac indexOverall survivalRetrospective cohortEjection fractionPrognostic valueAdverse outcomesCardiac outputGadolinium enhancementRV strain
2022
The Impact of Clinical Follow-Up After Revascularization on the Outcomes of Patients with Chronic Limb Threatening Ischemia
Kiwan G, Mohamedali A, Kim T, Zhuo H, Zhang Y, Mena-Hurtado C, Mojibian H, Cardella J, Ochoa Chaar CI. The Impact of Clinical Follow-Up After Revascularization on the Outcomes of Patients with Chronic Limb Threatening Ischemia. Annals Of Vascular Surgery 2022, 86: 286-294. PMID: 35803459, DOI: 10.1016/j.avsg.2022.05.043.Peer-Reviewed Original ResearchConceptsLower extremity revascularizationReintervention rateCompliant patientsNoncompliant patientsLimb amputationSingle-center retrospective chart reviewChronic limb threatening ischemiaOverall reintervention rateOutcomes of patientsLimb threatening ischemiaMajor amputation ratePeripheral arterial diseaseRetrospective chart reviewLong-term outcomesMajor limb amputationImpact of ClinicalSignificant differencesMajor amputationAmputation ratePerioperative outcomesBaseline characteristicsChart reviewExtremity revascularizationIschemia patientsMore reinterventionsOutcomes from the ClotTriever Outcomes Registry show symptom duration may underestimate deep vein thrombus chronicity
Maldonado TS, Dexter DJ, Kado H, Schor J, Annambhotla S, Mojibian H, Beasley RE, Investigators C. Outcomes from the ClotTriever Outcomes Registry show symptom duration may underestimate deep vein thrombus chronicity. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2022, 10: 1251-1259. PMID: 35714903, DOI: 10.1016/j.jvsv.2022.04.015.Peer-Reviewed Original ResearchMeSH KeywordsFibrinolytic AgentsHumansIliac VeinRegistriesRetrospective StudiesThrombectomyThrombolytic TherapyTreatment OutcomeVenous ThrombosisConceptsDeep vein thrombosisLower extremity deep vein thrombosisExtremity deep vein thrombosisComplete thrombus removalSymptom durationThrombus removalChronic thrombusOutcomes RegistryClotTriever systemPatients' durationThrombus morphologyPrimary effectiveness end pointEffectiveness end pointPatient symptom durationIndependent core laboratorySingle-session procedureComer patientsMarder scoreSubacute thrombusAcute thrombusVein thrombosisChronic subgroupProcedural characteristicsThrombusChronicityAutomated ascending aorta delineation from ECG-gated computed tomography images
Pirentis A, Kalogerakos PD, Mojibian H, Elefteriades JA, Lazopoulos G, Papaharilaou Y. Automated ascending aorta delineation from ECG-gated computed tomography images. Medical & Biological Engineering & Computing 2022, 60: 2095-2108. PMID: 35579779, DOI: 10.1007/s11517-022-02588-y.Peer-Reviewed Original ResearchInterim outcomes of mechanical thrombectomy for deep vein thrombosis from the All-Comer CLOUT Registry
Dexter DJ, Kado H, Schor J, Annambhotla S, Olivieri B, Mojibian H, Maldonado TS, Gandhi S, Paulisin J, Bunte MC, Angel W, Roberts J, Veerina K, Abramowitz S, Elmasri F, Hnath J, Jung M, Long D, Sanchez L, Cosme O, Skripochnik E, Lodha A, Shaikh A, King C, Bisharat M, Beasley RE, Investigators C. Interim outcomes of mechanical thrombectomy for deep vein thrombosis from the All-Comer CLOUT Registry. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2022, 10: 832-840.e2. PMID: 35218955, DOI: 10.1016/j.jvsv.2022.02.013.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisLower extremity deep vein thrombosisPrimary effectiveness end pointExtremity deep vein thrombosisEffectiveness end pointSerious adverse eventsComer patientsVein thrombosisAdverse eventsClinical outcomesDevice-related serious adverse eventsBilateral deep vein thrombosisVenous Clinical Severity ScoreNumeric Pain Rating ScaleEnd pointComplete thrombus removalPost-thrombotic syndromeClinical severity scorePain rating scaleQuality of lifeClotTriever systemMarder scoreClinical improvementSymptom durationMechanical thrombectomy
2020
Outcomes of treatment with paclitaxel-coated devices for peripheral arterial disease
Kim TI, Kiwan G, Mohamedali A, Zhang Y, Mena-Hurtado C, Mojibian H, Guzman RJ, Ochoa Chaar CI. Outcomes of treatment with paclitaxel-coated devices for peripheral arterial disease. Journal Of Vascular Surgery 2020, 73: 911-917. PMID: 33038480, DOI: 10.1016/j.jvs.2020.08.146.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAmputation, SurgicalCardiovascular AgentsCoated Materials, BiocompatibleDrug-Eluting StentsEndovascular ProceduresFemaleHumansLimb SalvageMaleMiddle AgedPaclitaxelPeripheral Arterial DiseaseProsthesis DesignRetreatmentRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeVascular PatencyConceptsPaclitaxel-coated devicesPeripheral artery diseaseCause of mortalityPCD useRisk of mortalityCumulative doseFemoropopliteal peripheral artery diseaseKaplan-Meier survival curvesLong-term mortalityPeripheral arterial diseaseCox regression analysisDrug-coated balloonsOutcome of treatmentDrug-eluting stentsMajor amputationPrimary patencyReintervention rateArtery diseaseArterial diseaseRandomized trialsOpen surgeryPresent studySingle institutionEndovascular interventionPatients
2019
Routine anterior spinal artery visualization prior to descending and thoracoabdominal aneurysm repair: High detection success
Abdelbaky M, Zafar MA, Saeyeldin A, Wu J, Papanikolaou D, Vinholo TF, Huber S, Buntin J, Ziganshin BA, Mojibian H, Elefteriades JA. Routine anterior spinal artery visualization prior to descending and thoracoabdominal aneurysm repair: High detection success. Journal Of Cardiac Surgery 2019, 34: 1563-1568. PMID: 31705825, DOI: 10.1111/jocs.14310.Peer-Reviewed Original ResearchConceptsAnterior spinal arterySpinal cord blood supplyMagnetic resonance angiographyCT angiographyAneurysm repairTransient lower extremity weaknessThoracoabdominal aortic aneurysm repairLower paraplegia ratesThoracoabdominal aneurysm repairLower extremity weaknessAortic aneurysm repairOpen surgical repairModality of choiceParaplegia rateTAAA repairExtremity weaknessPermanent paraplegiaSpinal arteryEnhanced imaging techniquesSurgical repairSpinal angiographySurgical techniqueBlood supplyDual-energy CT scanningModern imaging technologiesNatural history and management of Kommerell's diverticulum in a single tertiary referral center
Erben Y, Brownstein AJ, Velasquez CA, Li Y, Rizzo JA, Mojibian H, Tanweer M, Zafar MA, Ziganshin BA, Elefteriades JA. Natural history and management of Kommerell's diverticulum in a single tertiary referral center. Journal Of Vascular Surgery 2019, 71: 2004-2011. PMID: 31708305, DOI: 10.1016/j.jvs.2019.08.260.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortaAortic RuptureAortographyCardiovascular AbnormalitiesComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionDiverticulumFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsSex FactorsSubclavian ArteryTertiary Care CentersTreatment OutcomeVascular MalformationsVascular Surgical ProceduresYoung AdultConceptsAberrant subclavian arteryKommerell's diverticulumNatural historyOperative interventionBack painCT scanChest/back painLeft aberrant subclavian arteryRight aberrant subclavian arterySingle tertiary referral centerRight-sided aortaSingle-center experienceTertiary referral centerDeep vein thrombosisSerial CT scansComputed tomography scanMultivariable regression analysisRare developmental abnormalityAsymptomatic patientsHemorrhagic transformationDistal emboliEndovascular repairIschemic strokeMost patientsReferral centerCosts and complications of endovascular inferior vena cava filter retrieval
Brahmandam A, Skrip L, Mojibian H, Aruny J, Sumpio B, Dardik A, Sarac T, Ochoa Chaar CI. Costs and complications of endovascular inferior vena cava filter retrieval. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2019, 7: 653-659.e1. PMID: 31307952, DOI: 10.1016/j.jvsv.2019.02.017.Peer-Reviewed Original ResearchConceptsAdvanced endovascular techniquesIVC filter retrievalFilter dwell timeInferior vena cava filter retrievalEndovascular techniquesFilter retrievalProcedural costsAdditional endovascular techniquesVenous ultrasound examinationVenous access sitesAbnormal radiologic findingsComputed tomography scanTotal procedural timeComplication rateMost complicationsPatient characteristicsTertiary centerRadiologic findingsOutside hospitalIVC filtersLower extremitiesTomography scanUltrasound examinationAccess siteBronchoscopy forcepsSelective Trans-Catheter Coil Embolization of Cystic Duct Stump in Post-Cholecystectomy Bile Leak
Nezami N, Jarmakani H, Arici M, Latich I, Mojibian H, Ayyagari RR, Pollak JS, Perez Lozada JCL. Selective Trans-Catheter Coil Embolization of Cystic Duct Stump in Post-Cholecystectomy Bile Leak. Digestive Diseases And Sciences 2019, 64: 3314-3320. PMID: 31123973, DOI: 10.1007/s10620-019-05677-5.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBileBiliary Tract DiseasesCholecystectomy, LaparoscopicCystic DuctEmbolization, TherapeuticFemaleHumansMaleMiddle AgedRetrospective StudiesConceptsCystic duct stumpPost-cholecystectomy bile leakTrans-catheter coil embolizationSelective coil embolizationBile leakPercutaneous catheter placementCoil embolizationCatheter placementCystic ductGallbladder fossaFurther clinical symptomsPersistent bile leakFirst-line treatmentCommon bile ductCystic stumpResultsAll patientsMethodsSeven patientsEndoscopic treatmentPercutaneous drainageClinical symptomsLaparoscopic cholecystectomyPercutaneous catheterAbscess formationBile ductBiloma formationPatient perspectives on inferior vena cava filter retrieval
Aurshina A, Brahmandam A, Zhang Y, Yang Y, Mojibian H, Sarac T, Ochoa Chaar CI. Patient perspectives on inferior vena cava filter retrieval. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2019, 7: 507-513. PMID: 30850353, DOI: 10.1016/j.jvsv.2018.11.011.Peer-Reviewed Original ResearchMeSH KeywordsAdultClinical Decision-MakingComorbidityDevice RemovalDirect-to-Consumer AdvertisingFemaleHealth CommunicationHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient CompliancePatient Education as TopicPatientsPulmonary EmbolismRetrospective StudiesRisk FactorsSex FactorsVena Cava FiltersConceptsIVC filter placementMajority of patientsFilter placementIVC filtersPatient's perspectiveRetrospective single-center reviewSingle-center reviewLong-term complicationsPrimary care providersTelephone surveyInferior Vena Cava Filter Retrieval RatesInferior vena cava filter retrievalTeam of physiciansFilter retrieval ratesElectronic medical recordsTerms of demographicsHealth-related communicationPatient demographicsPatient characteristicsPatient factorsMedical recordsPatient awarenessVascular specialistsOverall retrieval rateLong-term effectsLeft atrial fibrosis correlates with extent of left ventricular myocardial delayed enhancement and left ventricular strain in hypertrophic cardiomyopathy
Latif SR, Nguyen VQ, Peters DC, Soufer A, Henry ML, Grunseich K, Testani J, Hur DJ, Huber S, Mojibian H, Dicks D, Sinusas AJ, Meadows JL, Papoutsidakis N, Jacoby D, Baldassarre LA. Left atrial fibrosis correlates with extent of left ventricular myocardial delayed enhancement and left ventricular strain in hypertrophic cardiomyopathy. The International Journal Of Cardiovascular Imaging 2019, 35: 1309-1318. PMID: 30790116, DOI: 10.1007/s10554-019-01551-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAngiotensin Receptor AntagonistsAngiotensin-Converting Enzyme InhibitorsAtrial Function, LeftAtrial RemodelingCardiomyopathy, HypertrophicContrast MediaFemaleFibrosisHeart AtriaHeart VentriclesHumansHypertrophy, Left VentricularMagnetic Resonance Imaging, CineMaleMiddle AgedOrganometallic CompoundsPredictive Value of TestsRetrospective StudiesVentricular Dysfunction, LeftVentricular Function, LeftVentricular RemodelingConceptsLA fibrosisLV-LGEHypertrophic cardiomyopathyLA-LGELV fibrosisLV parametersLV end-diastolic volumeSetting of HCMAldosterone system inhibitionLate gadolinium enhancement (LGE) sequencesLV global strainLeft ventricular massEnd-diastolic volumeLeft atrial fibrosisMaximum wall thicknessFibrosis correlatesRenin-AngiotensinVentricular strainMedication usageAtrial fibrosisLV remodelingVentricular massLV massSystem inhibitionDiastolic volumePrognostic and functional implications of left atrial late gadolinium enhancement cardiovascular magnetic resonance
Quail M, Grunseich K, Baldassarre LA, Mojibian H, Marieb MA, Cornfeld D, Soufer A, Sinusas AJ, Peters DC. Prognostic and functional implications of left atrial late gadolinium enhancement cardiovascular magnetic resonance. Journal Of Cardiovascular Magnetic Resonance 2019, 21: 2. PMID: 30602395, PMCID: PMC6317232, DOI: 10.1186/s12968-018-0514-3.Peer-Reviewed Original ResearchConceptsLA late gadolinium enhancementNew-onset atrial arrhythmiasLate gadolinium enhancementAtrial arrhythmiasAtrial late gadolinium enhancementLA functionAtrial fibrillationGadolinium enhancementCardiovascular magnetic resonance imagingNew atrial arrhythmiasPoor procedural outcomesLV diastolic functionLA ejection fractionVentricular mechanical functionCardiovascular magnetic resonanceMagnetic resonance imagingSeptal eDiastolic functionEjection fractionHazard ratioLA volumeProcedural outcomesPrognostic biomarkerCardiac diseasePrior history
2018
Natural history of aneurysmal aortic arch branch vessels in a single tertiary referral center
Brownstein AJ, Rajaee S, Erben Y, Li Y, Rizzo JA, Lyall V, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history of aneurysmal aortic arch branch vessels in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 1631-1639.e1. PMID: 29803680, DOI: 10.1016/j.jvs.2018.03.412.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortic Aneurysm, ThoracicAortic RuptureAortographyBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationClinical Decision-MakingComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEndovascular ProceduresFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsStentsTertiary Care CentersTime FactorsTreatment OutcomeWatchful WaitingYoung AdultConceptsAortic arch branch vesselsArch branch vesselsOperative repairNatural historyArtery aneurysmAortic aneurysmBranch vesselsCommon carotid artery aneurysmLeft subclavian artery aneurysmSingle tertiary referral centerSubclavian artery aneurysmTertiary referral centerCarotid artery aneurysmComputed tomography scanMultivariable regression analysisBenign natural historyCross-sectional imagingAortic operationsChest painOperative interventionPatient demographicsPostoperative hemorrhageReferral centerAortic dissectionRight subclavianNatural history and management of splanchnic artery aneurysms in a single tertiary referral center
Erben Y, Brownstein AJ, Rajaee S, Li Y, Rizzo JA, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history and management of splanchnic artery aneurysms in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 1079-1087. PMID: 29573962, DOI: 10.1016/j.jvs.2017.12.057.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAdultAgedAged, 80 and overAneurysmAneurysm, RupturedAsymptomatic DiseasesCeliac ArteryClinical Decision-MakingComorbidityComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEmbolization, TherapeuticFemaleHumansMaleMesenteric ArteriesMiddle AgedMultivariate AnalysisReferral and ConsultationRetrospective StudiesRisk FactorsSex FactorsSmokingSplenectomyTertiary Care CentersTime FactorsTreatment OutcomeVascular Surgical ProceduresConceptsSplanchnic artery aneurysmsOperative interventionArtery aneurysmAbdominal operationsEndovascular embolizationOpen abdominal surgical proceduresPostoperative acute kidney injurySingle tertiary referral centerNatural historyUnderwent operative interventionAcute kidney injuryMultisystem organ failureSevere abdominal painSingle-center experienceTertiary referral centerHistory of smokingPopulation of patientsAbdominal surgical proceduresAneurysm growth rateOpen abdominal operationsComputed tomography scanMultivariable regression analysisRisk of ruptureAbdominal painAsymptomatic patientsIncreased mortality in octogenarians treated for lifestyle limiting claudication
Erben Y, Mena‐Hurtado C, Miller S, Jean R, Sumpio BJ, Velasquez CA, Mojibian H, Aruny J, Dardik A, Sumpio B. Increased mortality in octogenarians treated for lifestyle limiting claudication. Catheterization And Cardiovascular Interventions 2018, 91: 1331-1338. PMID: 29405592, DOI: 10.1002/ccd.27523.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overComorbidityDatabases, FactualEndovascular ProceduresFemaleHealth StatusHumansIntermittent ClaudicationLength of StayMaleMiddle AgedPeripheral Arterial DiseaseRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesVascular Surgical ProceduresConceptsCharlson Comorbidity IndexOpen surgeryTreatment modalitiesHigher Charlson comorbidity indexMean Charlson Comorbidity IndexYounger cohortsInfectious wound complicationsInfra-inguinal interventionsAcute kidney injuryPeripheral arterial diseasePeripheral artery diseaseCongestive heart failureNationwide Inpatient SampleBinary logistic regression analysisLogistic regression analysisSkilled nursing facilitiesTreatment of LLCHospital mortalityComorbidity indexExercise therapyHospital stayKidney injuryOverall morbidityWound complicationsLonger LOSNatural history and management of renal artery aneurysms in a single tertiary referral center
Brownstein AJ, Erben Y, Rajaee S, Li Y, Rizzo JA, Mojibian H, Ziganshin BA, Elefteriades JA. Natural history and management of renal artery aneurysms in a single tertiary referral center. Journal Of Vascular Surgery 2018, 68: 137-144. PMID: 29398313, DOI: 10.1016/j.jvs.2017.10.086.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAneurysmClinical Decision-MakingComorbidityComputed Tomography AngiographyConnecticutDatabases, FactualDisease ProgressionEmbolization, TherapeuticFemaleFlank PainHumansHypertensionMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsRenal ArteryRetrospective StudiesRisk FactorsSex FactorsSmokingTime FactorsTreatment OutcomeVascular Surgical ProceduresWatchful WaitingConceptsRenal artery aneurysmBenign natural historyOperative repairRenal arteryNatural historyArtery aneurysmSingle tertiary referral centerMean overall diameterHistory of hypertensionRenal function changesSingle-center experienceTertiary referral centerProximal renal arteriesComputed tomography scanMultivariable regression analysisDistal renal arteryUncontrolled hypertensionAsymptomatic patientsFlank painPostoperative complicationsOpen resectionReferral centerSmoking historyRetrospective reviewAneurysm characteristics
2016
Image-Guided Transvesicular Drainage of Pelvic Fluid Collections: A Safe and Effective Alternative Approach
Ayyagari RR, Yeh C, Arici M, Mojibian H, Reiner E, Pollak JS. Image-Guided Transvesicular Drainage of Pelvic Fluid Collections: A Safe and Effective Alternative Approach. Journal Of Vascular And Interventional Radiology 2016, 27: 689-693. PMID: 27106643, DOI: 10.1016/j.jvir.2016.01.005.Peer-Reviewed Original ResearchSystemic Inflammatory Disease and its Association With Type II Endoleak and Late Interventions After Endovascular Aneurysm Repair
Shalaby SY, Foster TR, Hall MR, Brownson KE, Vasilas P, Federman DG, Mojibian HR, Dardik A. Systemic Inflammatory Disease and its Association With Type II Endoleak and Late Interventions After Endovascular Aneurysm Repair. JAMA Surgery 2016, 151: 147. PMID: 26501863, DOI: 10.1001/jamasurg.2015.3219.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalEndoleakEndovascular ProceduresFemaleHumansInflammationMaleRetrospective StudiesTime FactorsConceptsSystemic inflammatory diseaseEndovascular aneurysm repairType II endoleakAneurysm repairInflammatory diseasesPostoperative complicationsSignificant endoleakChronic inflammationSac expansionVeterans Affairs Connecticut Healthcare SystemLate sac expansionPersistent autoimmune responseSac diameter increaseSimilar comorbid conditionsMajor postoperative complicationsOverall postoperative complicationsAbdominal aortic aneurysmMore endoleaksYearly imagingAortic remodelingRetrospective reviewComorbid conditionsAutoimmune responseSac ruptureAortic aneurysm