Day of surgery: the impact on patient length of stay in a tertiary vascular unit.
This study aimed to assess whether there is a significant difference in postoperative length of hospital stay between the groups with secondary assessment by operation subtype. METHODS: We identified all patients admitted for vascular surgery in 2015 from a prospectively collected database and divided the week into Monday to Wednesday and Thursday to Friday. Endovascular cases were included but day cases were excluded. Further analysis was performed with a breakdown in both groups by operation type. Statistical analysis was performed using SPSS version 16.0. RESULTS: We identified 652 patients who met our criteria. Within the elective patient group, there was a significantly longer length of stay of three days for the late-week group compared with two days for the early-week group (P = 0.016). Femoral artery procedures had a median length of stay of two days for those operated on early in the week compared with four days later in the week (P
CONCLUSION: TF-TAVI can be performed successfully in patients with aortic disease or previous endovascular aortoiliac intervention. Simultaneous and sequential (T)EVAR is feasible. PMID: 31416046 [PubMed - as supplied by publisher]
Abdominal aortic aneurysm (AAA) is a common disease; however, its exact pathogenesis remains unknown, and no specific medical therapies are available. Interleukin (IL)-18 plays a crucial role in atherosclerotic plaque destabilization and is a strong predictor of cardiovascular death. Here, we investigated the role of IL-18 in AAA pathogenesis using an experimental mouse model.
Different abdominal aortic aneurysm (AAA) mouse models have been used over the last two decades. Here, the main AAA models will be highlighted, and what has been learned from them will be discussed.
CONCLUSIONS: In the rural context, POCUS AAA is a reliable 'rule out' test for ruptured abdominal aortic aneurysm and FAST scan has a role as a 'rule in' test for solid organ injury. These findings are consistent with larger studies in the emergency medicine literature. PMID: 31401838 [PubMed - in process]
Conclusions: Although super-utilizers accounted for only 5.3% of patients, these patients accounted for 39.6% of total Medicare expenditures in the year before surgery. Among a subset of super-utilizers, surgical intervention was associated with a reduction in annual Medicare expenditure in the year after surgery.
Abstract BACKGROUND: Data are conflicting on sex differences in ruptured abdominal aortic aneurysm (rAAA) repair rates and outcomes have rarely been addressed. The aim of this study was to investigate differences in the management and outcome of rAAA in men and women, and to describe time trends over a 15-year interval. METHODS: Data on patients with rAAA were extracted from the Swedish National Patient Registry and the Cause of Death Registry for the interval 2001-2015. The study included patients with rAAA whether or not they were admitted to any hospital in Sweden. A propensity score-matched model was used...
Endologix has received investigational device exemption (IDE) approval from FDA for a new pivotal study to evaluate the safety and effectiveness of the Nellix Chimney Endovascular Aneurysm Sealing SystemÂ for the endovascular treatment of complex abdominal aortic aneurysms (AAA). The system is an endovascular abdominal aortic aneurysm therapy designed to combine the Nellix 3.5 endograft with parallel visceral stents to enable treatment of patients with juxta-renal, para-renal, and suprarenal AAA. The application of endovascular aneurysm sealingÂ for patients with complex aneurysms will offer innovativ...
This study reports outcomes up to 5 years for Nellix (Endologix, Irvine, Calif) EVAS.
Juxtarenal Aortic Aneurysm: Are We Ready for a Randomised Trial on Open versus Endovascular Repair? Commentary on "Durability of Open Repair of Juxtarenal Abdominal Aortic Aneurysms. A Multicentre Retrospective Study in Five French Academic Centres". Eur J Vasc Endovasc Surg. 2019 Aug 09;: Authors: Lepidi S, Squizzato F PMID: 31405728 [PubMed - as supplied by publisher]
In the last two decades, advances in endovascular aneurysm repair (EVAR) technology have led to the introduction of fenestrated (fEVAR) and branched (bEVAR) stent grafts for the treatment of juxta- and suprarenal abdominal aortic aneurysms (JRAAAs and SRAAAs), extending the proximal sealing zone from the infrarenal to the suprarenal aorta and expanding the EVAR indications to complex abdominal aortic aneurysms (AAAs).