Deidentified case review IRR variable variation discussion General Q amp A for EVAR Agenda Independent audit Please do not ask for any help from anyone ie other data abstractorsphysicians ID: 1035942
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1. Endovascular AAADr. Sal Scali, University of Florida, Gainesville
2. De-identified case reviewIRR variable variation discussion General Q & A for EVARAgenda:
3. Independent audit: Please do not ask for any help from anyone (i.e. other data abstractors/physicians/etc). No dates includedInstructed if they could not find a data element, it was ok to leave it blank and submit without validation Limitations of the IRR project:
4. Total fluoroscopy time during the index procedure.Min/max range: 1 to 300 minutes Q1: Fluoroscopy Time
5. 4.54040.340.32 40.540.5341OtherUnknown (leave blank) Select A1: Fluoroscopy Time
6. 4.54040.340.32 40.540.5341OtherUnknown (leave blank) A1: Fluoroscopy Time
7. Any Intraoperative EndoleakProximal(Ia) = Proximal attachment site [type Ia];Distal Right (Ib) = Distal attachment site right iliac [type Ib];Distal Left (Ib) = Distal attachment site left iliac [type Ib];Lumbar Branch (II) = Lumbar branch [type II] retrograde filling of sac via lumbar artery;IMA Branch (II) = IMA branch [type II] retrograde filling of sac via inferior mesenteric artery;Accessory Renal Branch (II) = Accessory renal branch [type II] retrograde filling of sac via accessory renal artery;Mid Graft Separation (III) = Mid-graft separation [type III] = Filling of sac via leak at limb overlap sites or limb separation;Midgraft Fabric Hole = Mid-graft fabric hole [type III] = Filling of sac via hole in graft fabric;Indeterminate = Endoleak seen but type is not certain.Q2: Intra Op Endoleak
8. NoYesUnknown (leave blank)Select A2: Intra Op Endoleak
9. NoYesUnknown (leave blank)A2: Intra Op Endoleak
10. Most recent left ventricular ejection fraction (%), by Echo, nuclear scan, or cath estimate, within 6 months;If none within 6 months, choose not done;Choose unknown if it is not known whether a test was done, or if the result cannot be determinedQ3: Ejection Fraction
11. <30%30-50% >50%Not DoneUnknown (leave blank)Select A3: Ejection Fraction
12. <30%30-50% >50%Not DoneUnknown (leave blank)A3: Ejection Fraction
13. Endovascular repair performed because patient was considered too high risk by surgeon for open repair, i.e., mandatory endovascular repairQ4: Unfit for Open Repair
14. NoYesUnknown (leave blank)Select A4: Unfit for Open Repair
15. NoYesUnknown (leave blank)A4: Unfit for Open Repair
16. List reasons the surgeon considered the patient unfit for open surgeryThis field is required if Unfit for Open AAA Repair is [Yes]Q5: Reason Unfit for Open
17. CardiacPulmonaryFrailtyHostile AbdomenNot Unfit for Open (so question not asked) Select A5: Reason Unfit for Open
18. CardiacPulmonaryFrailtyHostile AbdomenNot Unfit for Open (so question not asked)Select A5: Reason Unfit for Open
19. Aneurysm defined as Iliac diameter at least 2.0 cmQ6: Iliac Aneurysm
20. NoRightLeftBilateralUnknown (leave blank) Select A6: Iliac Aneurysm
21. NoRightLeftBilateralUnknown (leave blank) A6: Iliac Aneurysm
22. Adjunctive procedure performed to facilitate delivery of the endovascular devicesQ7: Left Iliac Adjunct
23. NonePTAStentStent GraftOther Unknown (leave blank)Select A7: Left Iliac Adjunct
24. NonePTAStentStent GraftOther Unknown (leave blank)A7: Left Iliac Adjunct
25. Use max diameter measured at right angle to centerline. If not possible, use max AP diameter. If multiple imaging modalities, use most accurate in following hierarchy:CT>MRI>Ultrasound>arteriogramMin/max range: 20 to 150 mm Q8: Max AAA Diameter
26. 52 57OtherUnknown (leave blank) Select A8: Max AAA Diameter
27. 52 57OtherUnknown (leave blank) A8: Max AAA Diameter
28. Maximum angle between axis of suprarenal aorta and aneurysm neck, optimally measured with 3-D CT imaging softwareQ9: Aortic Neck Angle
29. < 45 Degrees45-60 Degrees61-75 Degrees76-90 Degrees90 Degrees Unknown (leave blank)Select A9: Aortic Neck Angle
30. < 45 Degrees45-60 Degrees61-75 Degrees76-90 Degrees90 Degrees Unknown (leave blank)A9: Aortic Neck Angle
31. Questions