Trends and Determinants of Readmissions to Another Facility Following Endovascular Aortic Repair

Endovascular aneurysm repair (EVAR) has become the procedure of choice for abdominal aortic aneurysms (AAAs). It has been previously reported that significant percentage of patients were being readmitted to another hospital following complications after EVAR. We aimed to evaluate trends and clinical predictors of readmission to another (secondary)hospital following index EVAR.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research

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Abdominal aortic aneurysm (AAA) is a life-threatening disease, and the only curative treatment relies on open or endovascular repair. The decision to treat relies on the evaluation of the risk of AAA growth and rupture, which can be difficult to assess in practice. Artificial intelligence (AI) has revealed new insights into the management of cardiovascular diseases, but its application in AAA has so far been poorly described. The aim of this review was to summarize the current knowledge on the potential applications of AI in patients with AAA.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
There is a growing body of literature raising concerns about the long-term durability of endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs), suggesting that long-term outcomes may be better after open AAA repair. However, the data investigating these long-term outcomes largely originate from early in the endovascular era and therefore do not account for increasing clinical experience and technologic improvements. We investigated whether 4-year outcomes after EVAR and open repair have improved over time.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Increasing experience and improving technology have led to the expansion of endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysms (AAA). We investigated whether the 5-year survival after both EVAR and open repair for ruptured AAA changed over the last 14  years.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
This study aimed to clarify the impact of endovascular aneurysm repair (EVAR) on clinical outcomes in Japanese patients of advanced age with ruptured abdominal aortic aneurysm (rAAA).
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
ConclusionsWhole-aorta tMIP-CTA on time-resolved imaging is useful for maintaining contrast enhancement and image quality for EVAR planning, and can substantially reduce the amount of CM.
Source: European Journal of Radiology - Category: Radiology Source Type: research
Existing data regarding endovascular aortic repair (EVAR) of ruptured abdominal aortic aneurysm (rAAA) are conflicting in their findings. The purpose of this paper was to determine the long-term outcomes of EVAR vs open surgical repair (OSR) for treatment of rAAA.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Mycotic aneurysms of the abdominal aorta (MAAA) can be treated by open repair (OR) or endovascular aneurysm repair (EVAR). This nationwide study provides an overview of the situation of MAAA treatment in The Netherlands in  2016.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
ConclusionsAlthough endovascular procedures for repairing juxtarenal AAAs, such as fenestrated EVAR, have been developed, surgical repair is the standard treatment for juxtarenal AAAs. Morbidity and mortality due to open surgery were not higher in the juxtarenal AAA group than in the infrarenal AAA group. Therefore, need for suprarenal clamp should not preclude OSR and also there is continued need for training in surgical exposure of juxtarenal AAA and OSR.
Source: World Journal of Surgery - Category: Surgery Source Type: research
Local market competition has been previously associated with more aggressive surgical decision making. For example, more local competition for organs is associated with acceptance of lower quality kidney offers in transplant surgery. We hypothesized that market competition would be associated with size of abdominal aortic aneurysm (AAA) at time of elective endovascular aneurysm repair (EVAR).
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research
There is heterogeneity in practice with limited data to guide for access type when treating ruptured abdominal aortic aneurysms (rAAA) with EVAR. Our study ’s objective was to evaluate access type in rAAA and its associated outcomes.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research
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