Ruptured Abdominal Aortic Aneurysms: Should We Palliate on Age?

Roosendaal et  al.1 conducted an up to date meta-analysis of mortality outcomes following ruptured abdominal aortic aneurysm (rAAA) in the over 80s, totalling 7 526 patients. The pooled results of eight studies identified an overall mortality rate of 43% at 30 days (27% endovascular aneurysm repair (EVAR), 52% o pen) with a significant advantage of EVAR over open repair. In addition, four studies totalling 2 550 patients reported one year mortality of 47%, also with a relative risk of 0.65 between EVAR and open.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Invited Commentary Source Type: research

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Abstract BACKGROUND: The aim of this study was to examine the value preoperative AT as predictor of postoperative survival in patients who underwent elective EVAR for repair of asymptomatic AAA. METHODS: Consecutive patients who underwent elective EVAR between 2008 and 2018 were analysed. Cardiopulmonary exercise testing was performed. Perioperative/30 day mortality was compared between patients who had AT ≥8 ml kg-1 min-1 and those with AT
Source: The Journal of Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: J Cardiovasc Surg (Torino) Source Type: research
Authors: Bonfill X, Quintana MJ, Bellmunt S, Suclupe S, Gómez E, Fernández de Valderrama I, Castejón B, Miralles M, Pérez E, Escudero JR, AAA Spanish study group Abstract BACKGROUND: To assess potential variability in the clinical characteristics and treatment of patients undergoing elective surgery for abdominal aortic aneurysm (AAA) across five hospitals in Spain. METHODS: Multicenter, retrospective cohort study of patients diagnosed with AAA and treated with open surgical repair (OSR) or endovascular aneurysm repair (EVAR). We evaluated clinical and demographic variables, includin...
Source: International Angiology - Category: Cardiology Tags: Int Angiol Source Type: research
CONCLUSIONS: Different applications of the use of 3D printing and digital imaging in vascular surgery have been experimented with a different maturity level. Whilst the technology has increased its potential in the latest years, the number of studies documented in the literature is still quite narrow. Further research is necessary to fully test the potential of 3D printing, also in combination with other technologies (e.g. 3D imaging and CNC cutting). Early experimentations show that these technologies have the potential to radically change the vascular surgery practice in the near future, in particular in treatment like E...
Source: International Angiology - Category: Cardiology Tags: Int Angiol Source Type: research
aro F Abstract Background: To present a technique of sheath supported contralateral limb gate (CLG) cannulation of modular bifurcated stent-graft in endovascular abdominal aortic repair. Materials and methods: After totally percutaneous bilateral femoral access, the 9F introducer sheath is exchanged to a 30 cm 12 fr introducer sheath over a stiff wire contralateral to the intended main stent-graft insertion side and advanced into the aorta below the lowest renal artery. Parallel to the stiff wire within the sheath an additional standard J-tip guidewire with a 5 fr Pigtail angiographic catheter is advanced to...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - Category: Surgery Authors: Tags: Vasa Source Type: research
The aim was to study outcomes of endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysms (AAAs) in four geographically adjacent populations with identical demographics and variable EVAR rates.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
uml;inen JM Abstract OBJECTIVES: The aim was to study outcomes of endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysms (AAAs) in four geographically adjacent populations with identical demographics and variable EVAR rates. METHODS: This was a multicentre cohort study based on local and national registry data from an area of 815 000 inhabitants. The study involved 527 consecutive patients with an intact AAA treated with EVAR (n = 327) or OSR (n = 200) between 2010 and 2016. The catchment area was divided into four health care districts (popul...
Source: PubMed: Eur J Vasc Endovasc ... - Category: Surgery Authors: Tags: Eur J Vasc Endovasc Surg Source Type: research
A retrospective analysis was conducted of the Vascular Quality Initiative between 2013 and 2018.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Covering one renal artery if necessary during endovascular repair of a ruptured aortic aneurysm may be the best choice Source Type: research
New England Journal of Medicine,Volume 381, Issue 11, September 2019.
Source: New England Journal of Medicine - Category: Internal Medicine Source Type: research
Patients older than 80  years have significantly lower early mortality with endovascular aneurysm repair (EVAR) compared with open repair for abdominal aortic aneurysms (AAAs), but long-term results remain poorly studied. We analyzed the results of both emergent and elective AAA repair in patients aged 80 years or older who had at least 5 years of follow-up.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Endovascular abdominal aortic aneurysm repair (EVAR) has been rigorously compared with open repair for the treatment of abdominal aortic aneurysms in randomized trials and observational studies, but a comparison of individual devices is lacking, and single-device registries and trials are limited by small sample size. Here we report a descriptive analysis of the Effectiveness of Custom Seal with Ovation: Review of the Evidence (ENCORE) database, pooled results of multiple studies evaluating the midterm results of EVAR with the Ovation Abdominal Stent Graft Platform.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
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