Outcomes of Elective Endovascular Aortic Aneurysm Repair in Octogenarians
Introduction - Endovascular Aneurysm Repair (EVAR) has replaced open surgery in patients with suitable anatomy due to its low perioperative morbidity and mortality rates. In the context of an ageing population, EVAR has become the standard approach to managing aneurysmal disease in the elderly. However, long-term outcomes in older patients are unclear.
CONCLUSIONS: Most patients eligible for AAA repair present with baseline erectile and sexual dysfunction. Laparoscopic AAA repair provides no onset of erectile or sexual dysfunction but a global improvement after surgery. Ejaculation troubles are frequent and persistent at 1 year. However, EVAR treatment, doesn't allow recovering of sexual function at 1 year. LEVEL OF EVIDENCE: 4. PMID: 31959570 [PubMed - as supplied by publisher]
ConclusionsStriking differences in the relative numbers of unruptured AAA repairs and in the population characteristics in various districts of the country point to the possibility of different health needs in the regions and variations in standards of care.
Trials for endovascular aneurysm repair (EVAR) report lower perioperative mortality and morbidity, but also higher costs compared with open repair. However, few studies have examined the subsequent cost of follow-up evaluations and interventions. Therefore, we present the index and 5-year follow-up costs of EVAR from the Endurant Stent Graft System Post Approval Study.
Authors: Borioni R, Guarnera G, Fratticci L, Tesori MC, Paciotti C, Cotticelli V, Garofalo M Abstract AIM: The purpose of this study was to examine the influence of aneurysm size on early outcome in women undergoing abdominal aortic aneurysm (AAA) repair, with suggestion of lowered threshold for intervention. PATIENTS AND METHODS: Retrospective cohort study on the early outcome of 25 females undergoing elective endovascular (EVAR) and open AAA repair, compared to 340 males from 2005 to 2017. The study was focused on 30-days mortality (primary endpoint) and incidence of non fatal major adverse events - MAE (seco...
DISCUSSION: A literature review of proper screening, referral timeframe, the most common surgical techniques, potential complications, and postoperative surveillance was conducted. Early detection, referral to vascular surgery, and possible open or endovascular repair are key to limiting the morbidity and mortality associated with AAA. PMID: 31926569 [PubMed - in process]
Females remain underrepresented in studies of endovascular aneurysm repair (EVAR) owing to anatomic ineligibility for EVAR devices. The aim of the LUCY study is to explore the comparative safety and effectiveness of EVAR using a low-profile stent graft (Ovation; Endologix, Inc, Irvine, Calif) in females as well as males.
Iliac branch device (IBD) technology has become a more accepted endovascular option to preserve internal iliac artery flow for aneurysms involving the iliac bifurcation. Because several studies reported inferior outcomes in women compared with men after endovascular aortic aneurysm repair with standard EVAR devices,1 the aim of this work was to evaluate the impact of sex differences on the post-operative outcome for patients treated with an IBD.
The aim was to assess peri-operative mortality of endovascular aneurysm repair (EVAR) vs. open repair for ruptured abdominal aortic aneurysm (AAA) and to investigate whether outcomes have improved over the years and whether there is an association between institutional caseload and peri-operative mortality.
CONCLUSION: Hostile aortic anatomy is associated with increased mortality in patients with ruptured AAA treated by EVAR. PMID: 31948911 [PubMed - as supplied by publisher]
To investigate the effect of hostile aortic anatomy on the outcomes of endovascular and open repair for ruptured abdominal aortic aneurysm (AAA).