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Procedure: Abdominal Aneurysm Repair

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Total 216 results found since Jan 2013.

Operative and Midterm Outcomes of the Fenestrated Anaconda Stent-Graft in the Endovascular Treatment of Juxtarenal, Suprarenal, and Type IV Thoracoabdominal Aortic Aneurysms
Conclusion: FEVAR with the Anaconda device delivers satisfactory short-term technical and clinical success rates in patients with juxtarenal, suprarenal, and type IV TAAA. Midterm efficacy and durability with respect to aneurysm sac regression and target vessel patency appear very good. Overall mortality and the need for reintervention were significant in this patient cohort.
Source: Journal of Endovascular Therapy - November 5, 2016 Category: Surgery Authors: Kotelis, D., Schleimer, K., Foldenauer, C., Jalaie, H., Grommes, J., Jacobs, M. J., Kalder, J. Tags: Endovascular Aneurysm Repair Source Type: research

Open Repair of Thoracoabdominal Aortic Aneurysm in Patients 50 Years Old and  Younger
Conclusions Early outcomes of open TAAA repair were excellent for patients 50 years old or younger, despite the fact that these patients typically required extensive repairs.
Source: The Annals of Thoracic Surgery - December 6, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Open Repair of Thoracoabdominal Aortic Aneurysm in Patients 50 Years Old and  Younger.
CONCLUSIONS: Early outcomes of open TAAA repair were excellent for patients 50 years old or younger, despite the fact that these patients typically required extensive repairs. PMID: 27938888 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 5, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Coselli JS, Amarasekara HS, Green SY, Price MD, Preventza O, de la Cruz K, Zhang Q, LeMaire SA Tags: Ann Thorac Surg Source Type: research

Intra-hospital correlations among 30-day mortality rates in 18 different clinical and surgical settings
Conclusions</div>The variability in 30-day mortality rates at hospital level and the correlation between risk mortality rates suggest that there may be common hospital-wide factors influencing short-term mortality.</span>
Source: International Journal for Quality in Health Care - January 31, 2017 Category: Global & Universal Source Type: research

Femoral Neuropathy Following Spontaneous Retroperitoneal Hemorrhage After Cardiac Surgery: A Case Report
A woman underwent ascending aortic aneurysm repair, aortic root and valve replacement, and coronary artery bypass grafting. Her postoperative course was complicated by stroke and status epilepticus. With supportive care and antiepileptics, her neurologic status improved. Intravenous heparin and aspirin were initiated. On postoperative day 13, she developed a large retroperitoneal hematoma with femoral neuropathy. Because her hematoma was not amenable to percutaneous drainage or surgical evacuation, and considering her comorbidities, a conservative approach was elected. Anticoagulation was held but not reversed, and she was...
Source: A&A Case Reports - April 14, 2017 Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research

Retrospective analysis of Spinal Cord Infarction after Aortic Repair (P6.300)
Conclusions:The rate of spinal cord infarction after aortic repair is low overall, but is higher after repair of a ruptured aortic aneurysm or dissection.Study Supported by:Dr. Gialdini is supported by the Feil Family Foundation.Dr. Kamel is supported by NIH grants K23NS082367 and R01NS097443 as well as the Michael Goldberg Research Fund.Disclosure: Dr. Gialdini has nothing to disclose. Dr. Merkler has nothing to disclose. Dr. Parikh has nothing to disclose. Dr. Lerario has nothing to disclose. Dr. Chatterjee has nothing to disclose. Dr. Kamel has received personal compensation for activities with Genentech as a speaker. D...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Gialdini, G., Merkler, A., Parikh, N., Lerario, M., Chatterjee, A., Kamel, H. Tags: Cardiovascular Issues in Ischemic Stroke Source Type: research

Deriving literature-based benchmarks for surgical complications in high-income countries: a protocol for a systematic review and meta-analysis
This study of secondary data does not require ethics approval. It will be presented internationally and published in the peer-reviewed literature. Results will inform a future quality improvement tool and provide benchmarks of surgical complication rates within HICs. Trial registration International Prospective Register of Systematic Reviews (PROSPERO). Registration number CRD42016037519.
Source: BMJ Open - May 9, 2017 Category: General Medicine Authors: Brindle, M. E., Roberts, D. J., Daodu, O., Haynes, A. B., Cauley, C., Dixon, E., La Flamme, C., Bain, P., Berry, W. Tags: Open access, Health policy Protocol Source Type: research

Optimal vs Feasible Volume Thresholds in Vascular Surgery
The volume-outcome relationship in vascular surgery has been an especially controversial topic recently, given the declining trainee exposure to complex open vascular cases, additional series reporting improved outcomes with higher volume, and medical organizations, such as Leapfrog, recommending volume thresholds for certain procedures. However, the definition of volume and the delineation of a specific threshold number of cases below which surgeons should not be credentialed remain unclear. In this issue ofJAMA Surgery, Mao et al took a unique approach to looking at outcomes among the very lowest-volume surgeons —those...
Source: JAMA Surgery - May 17, 2017 Category: Sports Medicine Source Type: research

Endovascular treatment for ruptured abdominal aortic aneurysm.
CONCLUSIONS: The conclusions of this review are currently limited by the paucity of data. We found from the data available moderate-quality evidence suggesting there is no difference in 30-day mortality between eEVAR and open repair. Not enough information was provided for complications for us to make a well-informed conclusion, although it is possible that eEVAR is associated with a reduction in bowel ischaemia. Long-term data were lacking for both survival and late complications. More high-quality randomised controlled trials comparing eEVAR and open repair for the treatment of RAAA are needed to better understand if one...
Source: Cochrane Database of Systematic Reviews - May 26, 2017 Category: General Medicine Authors: Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW Tags: Cochrane Database Syst Rev Source Type: research

Management of hemothorax after thoracic endovascular aortic repair for ruptured aneurysms.
Conclusions The morbidity and mortality of ruptured degenerative thoracic aortic aneurysms remains high despite the introduction of TEVAR. In this single-center experience, there was a trend toward decreased respiratory complications and increased survival with early chest decompression of hemothorax after TEVAR. PMID: 28699426 [PubMed - as supplied by publisher]
Source: Vascular - January 1, 2017 Category: Surgery Authors: Ju MH, Nooromid MJ, Rodriguez HE, Eskandari MK Tags: Vascular Source Type: research

Rates of Spinal Cord Infarction After Repair of Aortic Aneurysm or Dissection Clinical Sciences
Background and Purpose—The rate of spinal cord infarction (SCI) after surgical or endovascular repair of an aortic aneurysm or dissection is unclear.Methods—Using administrative claims data, we identified adult patients discharged from nonfederal acute care hospitals in California, New York, and Florida who underwent surgical or endovascular repair of an aortic aneurysm or dissection between 2005 and 2013. Patients with SCI diagnosed before the aortic repair were excluded. Our primary outcome was an SCI during the index hospitalization for aortic repair. Descriptive statistics were used to estimate crude rates of SCI. ...
Source: Stroke - July 24, 2017 Category: Neurology Authors: Gino Gialdini, Neal S. Parikh, Abhinaba Chatterjee, Michael P. Lerario, Hooman Kamel, Darren B. Schneider, Babak B. Navi, Santosh B. Murthy, Costantino Iadecola, Alexander E. Merkler Tags: Cardiovascular Surgery, Revascularization, Aneurysm, Aortic Dissection Original Contributions Source Type: research

Single-center mid-term experience with chimney-graft technique for the preservation of flow to the supra-aortic branches.
Conclusions The chimney-graft technique, despite a technically demanding strategy, is a useful tool as bailout procedure in our armamentarium for high-risk patients, unsuitable for open or hybrid repair. PMID: 29022854 [PubMed - as supplied by publisher]
Source: Vascular - January 1, 2017 Category: Surgery Authors: Shahverdyan R, Mylonas S, Gawenda M, Brunkwall J Tags: Vascular Source Type: research

Arterial smooth muscle dynamics in development and repair.
Abstract Arterial vasculature distributes blood from early embryonic development and provides a nutrient highway to maintain tissue viability. Atherosclerosis, peripheral artery diseases, stroke and aortic aneurysm represent the most frequent causes of death and are all directly related to abnormalities in the function of arteries. Vascular intervention techniques have been established for the treatment of all of these pathologies, yet arterial surgery can itself lead to biological changes in which uncontrolled arterial wall cell proliferation leads to restricted blood flow. In this review we describe the intricat...
Source: Developmental Biology - February 1, 2018 Category: Biology Authors: Roostalu U, Wong JK Tags: Dev Biol Source Type: research

Early outcomes of patients transferred with ruptured suprarenal aneurysm or dissection.
Conclusions Although the number of patients with rSRAD is low and those who are transferred alive are a self-selecting group, this study suggests that transfer of such patients to a specialist vascular centre is associated with acceptable mortality rates following emergency complex aortic repair. PMID: 29484940 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - February 27, 2018 Category: Surgery Authors: Rudarakanchana N, Hamady M, Harris S, Afify E, Gibbs R, Bicknell CD, Jenkins MP Tags: Ann R Coll Surg Engl Source Type: research

Optimizing medical treatment of abdominal aortic aneurysm: Interest of vascular centers.
Abstract Diagnosis of abdominal aortic aneurysm (AAA) at preoperative stage is increasingly frequent. It carries both a local risk of rupture and an increased global cardiovascular risk. Patients with AAA have indeed a 20 times higher risk of dying from myocardial infarction or stroke than from a ruptured aneurysm. Cardiovascular risk factors control is therefore essential, particularly smoking cessation. Treatment in cardiovascular prevention is also warranted. Seeking for atheromatous sites is needed as they determine prognosis. Evidence of the benefit of medical treatment to slow AAA growth is still lacking. In...
Source: Presse Medicale - February 27, 2018 Category: General Medicine Authors: Madika AL, Mounier-Vehier C, Azzaoui R Tags: Presse Med Source Type: research