Access Type for Endovascular Repair in Ruptured Abdominal Aortic Aneurysms does not Affect Major Morbidity or Mortality

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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Popliteal artery aneurysm (PAA) carries a risk of sudden thromboembolism resulting in acute limb ischaemia (ALI). Since 2010, all 65 years old men in Region Sk åne are invited for abdominal aortic aneurysm (AAA) screening, and subsequently for PAA if AAA is detected.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
Aim of present study was to evaluate early-, mid-, and long-term outcome in an unselected population of patients treated for abdominal aortic aneurysms (AAAs) by endovascular aneurysm repair (EVAR) with different commercially available off-the-shelf devices.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
The present study evaluates aneurysmal sac remodeling and the loss of intercostal arteries after the first step of staged treatment of thoraco-abdominal aortic aneurysms (TAAA). The purpose of this approach is to keep the aneurysmal sac temporarily perfused in order to induce progressive thrombosis of the aneurysm while simultaneously allowing the spinal cord to establish adequate perfusion thereby promoting the development of collateral circulation.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
Endovascular aortic aneurysm repair (EVAR) is associated with the risk of late complications and mandates follow up. This retrospective study assessed post-EVAR complications in a two centre cohort. The study evaluated the rate of complications presenting with symptoms vs. those detected by imaging follow up. Additionally, the agreement between DUS and CTA in detecting complications was assessed in patients with both.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Observational Study Source Type: research
CONCLUSION: Approximately a quarter of the patients developed complications, the majority of which were asymptomatic, underlining the importance of adequate surveillance. There was good agreement between CTA and DUS in detecting complications. Clinically significant complications related to inadequate seal were missed by DUS, suggesting that CTA still plays an important role in EVAR surveillance. PMID: 32209282 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - Category: Surgery Authors: Tags: Eur J Vasc Endovasc Surg Source Type: research
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.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Selected abstracts from the march issue of the european journal of vascular and endovascular surgery Source Type: research
The objective was to investigate whether endovascular aneurysm repair (EVAR) has better peri-operative and late clinical outcomes than open repair for non-ruptured abdominal aortic aneurysm.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Selected abstracts from the march issue of the european journal of vascular and endovascular surgery Source Type: research
Almost since inception, endovascular aneurysm repair (EVAR) was felt to be a less invasive way to treat abdominal aortic aneurysm in higher risk patients, many of whom would not be candidates for open repair. Graft manufacturers are required to submit instructions for use (IFU) as part of the approval process. Physicians are not required to follow the IFU, but it makes sense to adhere to it as much as feasible to allow maximal benefit to the patient. The meta-analysis by Antoniou et  al1 looks at 4500 patients treated with EVAR between 2006 and 2015.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Invited commentary Source Type: research
Rocha et  al1 present the most comprehensive—to date—comparative analysis on outcomes after open vs endovascular repair for thoracoabdominal aortic aneurysms (TAAAs). Their analysis is as thorough as it is thoughtful and candid. An important finding of this study relates to the realization that the risk of postoperative complications is high regardless of treatment strategy. Mortality was similar for both treatment modalities, and although one could argue that sicker patients were preferentially treated with endovascular means, clearly the three- to five-fold improvement in early postoperative mor tality t...
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Invited Commentary Source Type: research
Large aneurysm diameter represents a well known predictor of late complications after endovascular aneurysm repair (EVAR). However, the role of the thrombus free lumen inside the abdominal aortic aneurysm (AAA) sac is not clear. It was hypothesised that greater luminal volume represents a relevant risk factor for late complications after EVAR.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Observational Study Source Type: research
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