Our study has demonstrated through analysis of the National Surgical Quality Improvement Program that inferior mesenteric artery (IMA) replantation does not sufficiently decrease the rates of ischemic colitis after an open abdominal aortic aneurysm (AAA) repair that is comparable to the cohort of patients who undergo IMA ligation.1 Lazaris and colleagues have expressed in their letter to the Editor that comparison of these two cohorts (open AAA repair with IMA replantation vs open AAA repair with IMA ligation) is not valid because of inherent underlying differences.
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.
This study aimed to demonstrate the impact of elective major abdominal surgery and subsequent postoperative delirium on quality of life (QOL; primary outcome), cognitive functioning and depressive symptoms (secondary outcomes) in older surgical patients.Method: A single-centre, longitudinal prospective cohort study was conducted between November 2015 and June 2018, including patients ≥70 years old who underwent surgery for colorectal cancer or an abdominal aortic aneurysm. They were followed-up at discharge and at 6 and 12 months postoperatively until June 2019. QOL was assessed with the World Health Organ...
We report the first case of persisting HIT after an elective abdominal aortic aneurysm repair presenting with arterial and venous thrombosis, and describe the potential role of intravenous immunoglobulin in such patients.
Publication date: Available online 6 February 2020Source: Interventional Cardiology ClinicsAuthor(s): Akshit Sharma, Prince Sethi, Kamal Gupta
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.
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).
Although outcomes following infrarenal abdominal aortic aneurysm surgery are worse in females, sex-specific differences in outcomes following open thoracoabdominal aortic aneurysm(TAAA) surgery are less clear. The goal of this study was to identify sex-based disparities in short and long-term outcomes after open type I-III TAAA surgery.
We present the case of a 68-year-old female with HIV, being treated with antiretrovirals, who presented with a symptomatic abdominal aortic aneurysm (AAA). The aneurysm developed within one week. The patient underwent endovascular aneurysm repair and her aneurysm completely resolved on follow up CT imaging 16 months later.
The authors would like to inform you that their study, “Abdominal Aortic Aneurysm Repair Readmissions and Disparities of Socioeconomic Status: A Multistate Analysis, 2007-2014” published October 2019 in the Journal of Cardiothoracic and Vascular Anesthesia, is an analysis of the State Inpatient Database (SID), a restricted-access, publicly available dataset that is maintained by the Agency for Healthcare Research and Quality (AHRQ). One of the provisions of the State Data Use Agreement (DUA), which was signed when purchasing the data, is that no data observation involving less than or equal to 10 observations is to be published.
Response to "Re. Proposed NICE Abdominal Aortic Aneurysm Repair Guidelines: Swinging the Pendulum too Far?" Eur J Vasc Endovasc Surg. 2020 Jan 30;: Authors: Liapis CD, Avgerinos ED, Eckstein HH PMID: 32008934 [PubMed - as supplied by publisher]