Outcomes of Early versus Delayed Endovascular Repair of Blunt Traumatic Aortic Injuries.

Outcomes of Early versus Delayed Endovascular Repair of Blunt Traumatic Aortic Injuries. Oman Med J. 2019 Jul;34(4):283-289 Authors: Al Shamsi S, Naiem A, Abdelhadi I, Al Manei K, Jose S, Al Sukaiti R, Al Hajeri M, Al Wahaibi K Abstract Objectives: Thoracic endovascular aortic repair (TEVAR) has surpassed open surgical repair in the management of blunt traumatic aortic injuries (BTAIs) over the past two decades. It is a less morbid procedure associated with lower mortality. We sought to determine the outcomes of early versus delayed TEVAR of BTAI in our population. Methods: We conducted a retrospective analysis of a prospectively collected registry that looked at patients presenting with an image-proven diagnosis of BTAI at three tertiary health care facilities in Muscat, Oman. Forty consecutive patients were identified between January 2012 and July 2017, of which four were excluded for incomplete data. The remaining 36 patients were divided based on the timing of repair into early (
Source: Oman Medical Journal - Category: Middle East Health Tags: Oman Med J Source Type: research

Related Links:

Although blood transfusion can be lifesaving in active hemorrhage or severe anemia, it is also associated with increased morbidity and mortality. Several trials have established this risk and therefore defined a restrictive standard for transfusion, but this threshold and the risk of transfusions have not been specifically examined in vascular surgery patients. We therefore sought to assess transfusion practices and outcomes of anemic patients undergoing elective endovascular aneurysm repair (EVAR).
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Abstract INTRODUCTION AND AIM: Iliac artery aneurysms make up 2% of all aneurysms. There are only a few data available on the results of surgical treatment, therefore the optimal treatment is unclear. Our objective was the retrospective analysis of the perioperative morbidity and mortality of patients who underwent iliac artery surgery as well as the comparison of elective open surgery and endovascular iliac aneurysm repair (EVIAR). METHOD: Retrospective analysis of patients who underwent surgery for iliac artery aneurysm between 1 January 2005 and 31 December 2014. RESULTS: During the 10-year period, 62...
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
In some institutions, the current blood ordering practice does not discriminate minimally invasive endovascular aneurysm repair (EVAR) from open procedures, with consequent increasing costs and likelihood of blood product wastage for EVARs. This limitation in practice can possibly be addressed with the development of a reliable prediction model for transfusion risk in EVAR patients. We used the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database to create a model for prediction of intraoperative blood transfusion occurrence in patients undergoing EVAR.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
AbstractThe background of this paper is to report the mortality at 30 and 90 days and at mean follow-up after open abdominal aortic aneurysms (AAA) emergent repair and to identify predictive risk factors for 30- and 90-day mortality. Between 1997 and 2002, 104 patients underwent emergent AAA open surgery. Symptomatic and ruptured AAAs were observed, respectively, in 21 and 79% of cases. Mean patient age was 70 (SD 9.2) years. Mean aneurysm maximal diameter was 7.4 (SD 1.6) cm. Primary endpoints were 30- and 90-day mortality. Significant mortality-related risk factor identification was the secondary endpoint. Open repair tr...
Source: Updates in Surgery - Category: Surgery Source Type: research
Authors: Qui J, Shu C, Cai W, Li M, Li Q Abstract BACKGROUND: We conducted this study to explore the early intervention effects of OR and EVAR in treating young AAA patients (maximum diameter 40~54mm). METHODS: We retrospectively analyzed patients under 65 years old with maximum AAA diameter 40-54mm in our hospital from Jan. 2010 to Jan. 2016 (among which there are 38 EVAR cases and 18 OR cases) and compared their short-mid term operation effects. RESULTS: The time of the operation, bleeding volume and volume of blood transfusion during operation in the EVAR group are significantly lower than those in the O...
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research
Conclusions Open surgery remains a safe and valid option for the treatment of inflammatory aortic abdominal aneurysm. Although our study included a small number of patients with endovascular aortic repair treatment, results are promising. Further randomized controlled studies may be necessary to assess long-term effectiveness of endovascular aortic repair treatment in this disease. PMID: 28841130 [PubMed - as supplied by publisher]
Source: Vascular - Category: Surgery Authors: Tags: Vascular Source Type: research
Conclusions: Two different groups were treated by two different techniques. The individualized treatment choice allows to achieve a mortality of 2.7%. Age ≥ 80 years influences survival curve in OR group and ASA ≥ IV in EVAR group. We believe EVAR's incorporation improved the results of OR itself. Patients with more comorbidities were treated by endovascular aneurysm repair, decreasing those excluded from treatment. Late reinterventions were similar for both techniques.
Source: Revista Brasileira de Cirurgia Cardiovascular - Category: Cardiovascular & Thoracic Surgery Source Type: research
Factors associated with survival prognosis among patients who undergo endovascular aortic repair (EVAR) for ruptured abdominal aortic aneurysms (rAAA) have not been sufficiently investigated. In the present st...
Source: World Journal of Emergency Surgery - Category: Emergency Medicine Authors: Source Type: research
We are pleased our paper1 has raised questions and interest. We completely agree with Gokalp et al.2 that blood transfusion can be a significant trigger for post-operative complications. In a previous study, we have already identified blood transfusions as a significant predictor of acute kidney injury (AKI) after thoracic aortic endovascular repair (TEVAR), and evaluated the probability of AKI occurrence in relation to the number of blood units transfused in the peri-operative period.3 In the present study, we included blood transfusions in the analysis as well.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Correspondence Source Type: research
To explore the efficacy of endovascular aneurysm repair (EVAR) compared with traditional open surgical repair (OSR) in the treatment of middle/high-risk patients with abdominal aortic aneurysm (AAA). With a retrospective method, we analyzed the clinical data of 57 patients with middle/high-risk AAA admitted to Linyi People's Hospital Affiliated to Shandong University from January 2010 to January 2014. Twenty-eight of the 57 patients received EVAR and 29 others received OSR. Statistical analysis was conducted by the design of spreadsheet according to preoperative, intraoperative, perioperative, and postoperative follow-up r...
Source: American Journal of Therapeutics - Category: Drugs & Pharmacology Tags: Original Articles Source Type: research
More News: Accidents | Blood Transusion | Endovascular Repair (EVAR) | Gastroenterology | Gastroschisis Repair | Health Management | Intensive Care | Middle East Health | Oman Health | Respiratory Medicine | Statistics | Study