Badri 2010.
Clinical features and settings | People with AAA who underwent EVAR between April 1998 and December 2007. During this period, 93 procedures performed but complete records unavailable in 34 participants. Type of stents received: Cook‐Zenith (William A Cook, Australia; 54 participants), Talent Medtronic (Medtronic, UK) aortic stent graft (5 participants). Aneurysm diameter: not reported. Setting: Department of Vascular Surgery. |
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Participants | 59 participants; 50 males; mean age: 79 years. Comorbidities: not reported. Geography: UK. |
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Study design | Retrospective design; participants identified retrospectively based on availability of complete records ("93 procedures were performed but complete records were unavailable in 34 patients"). | |
Target condition and reference standard(s) |
Target condition: endoleak. Definition of endoleak: not reported. Endoleak (absolute n): 14. Prevalence of endoleak: 11.8% (37/314). Reference standard: CTA (dual‐phase multidetector CT). Type of CT scanner: Philips MX80000 IDT or GE Prospeed SX. Image acquisition for Philips MX80000 IDT:
Image acquisition for GE Prospeed SX:
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Index and comparator tests |
Index test: DUS (2‐to 5‐MHz transducer, Philips IU22 scanner). Image production: anterior posterior and transverse aortic sac diameters measured in transverse and longitudinal section. Pulsed Doppler used to evaluate any colour Doppler signals exterior to graft. Type of US: 2‐ to 5‐MHz transducer (Philips IU22 scanner). Use of contrast: no. Operator: registered vascular technologist and board‐certified vascular surgeon. |
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Follow‐up | 1, 3, 6, 12, and 18 months, and then yearly afterward (total of 314 paired scans obtained over a follow‐up period from 3 days to 9 years); no apparent loss to follow‐up or missing data. | |
Notes | Other endpoints: sac size: anterior posterior, transverse, and maximum diameter (Dmax); graft patency. | |
Table of Methodological Quality | ||
Item | Authors' judgement | Description |
Representative spectrum? All tests | Yes | Although enrolled people with AAA who underwent EVAR, they were retrospectively studied and from 93 procedures performed complete records were available for only 59 participants. |
Acceptable reference standard? All tests | Yes | CTA (dual‐phase multi‐detector CT on a Philips MX80000 IDT or GE Prospeed SX). |
Acceptable delay between tests? All tests | Yes | "Three hundred and fourteen paired scans were studied. Paired scans and almost all scans took place on the same day. Single scans outside this timeframe were excluded." |
Partial verification avoided? All tests | Yes | All study participants accounted for and results of reference standard reported for all. |
Differential verification avoided? All tests | Yes | All participants who received US subjected to CT scan. |
Incorporation avoided? All tests | Yes | Index test not part of reference standard. |
Reference standard results blinded? All tests | Unclear | "Two consultant interventional radiologists reported the CTA studies and 3 specialist vascular ultrasonographers performed and reported the DUS." |
Index test results blinded? All tests | Unclear | "Two consultant interventional radiologists reported the CTA studies and 3 specialist vascular ultrasonographers performed and reported the DUS." |
Relevant clinical information? All tests | Yes | Yes. |
Uninterpretable results reported? All tests | Yes | All data interpreted. |
Withdrawals explained? All tests | Yes | No apparent withdrawal occurred. |