Ruptured abdominal aortic aneurysm treatment in the stent graft era.

Autor: Tulga UA; Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey., Fahrettin K; Department of Radiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey., Erdal S; Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey erdaldr@yahoo.com., Sarper O; Department of Radiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey., Serkan M; Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey., Mustafa O; Department of Radiology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey., Ahmet S; Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey., Kerem V; Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey., Levent B; Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Vascular and endovascular surgery [Vasc Endovascular Surg] 2014 Oct-Nov; Vol. 48 (7-8), pp. 503-8. Date of Electronic Publication: 2014 Dec 08.
DOI: 10.1177/1538574414561232
Abstrakt: Background: We aim to decrease mortality and morbidity by early diagnosis and endovascular aneurysm repair (EVAR) or by using open surgery.
Methods: The patients who had underwent open surgery and EVAR with a diagnosis of ruptured abdominal aortic aneurysms were evaluated retrospectively. Patients with EVAR were separated as group I and the patients with surgical operations constituted group II. The risk factors, duration of the operation, blood product usage, drainage amounts, complications, mortality, and morbidity rates were evaluated.
Results: The duration of the operation and the required blood and blood products were lower in group I (P < .05). There is no any significant difference between the groups in terms of mortality, complications, short-, and long-term results.
Conclusion: We support the idea that better results can be obtained by showing regard to suitable patient, suitable clinical condition, and suitable anatomy together with the correct choice of operation type.
(© The Author(s) 2014.)
Databáze: MEDLINE