Short Term Outcomes of Endovascular Vs Open Repair of Ruptured Infrarenal Aortic Aneurysms.

Autor: Bekos, Christos, Hadjipolycarpou, Andreas, Armata, Ilianna E.
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Zdroj: International Journal of Caring Sciences; Jan-Apr2020, Vol. 13 Issue 1, p81-92, 12p, 1 Color Photograph, 1 Black and White Photograph, 1 Diagram, 3 Charts
Abstrakt: Purpose: The purpose of this study is to summarize scientific evidence regarding patients undergoing Endovascular Abdominal Aortic Repair (EVAR) for ruptured of Abdominal Aortic Aneurysm (rAAA). Particular aspects of the procedure which have clinical impact are highlighted. Furthermore, the mortality rate of a single center is investigated retrospectively. Methods: Electronic information sources and bibliographic lists of relevant publications were investigated. Also, a retrospective study was performed in a consecutive series of patients presenting with rAAA, one year before and one year after the implementation of a protocol in a single center (Vascular Department, General Hospital Nicosia, Cyprus). Results: From this single center study, a moderate quality evidence was found suggesting that there is an improved thirty-day mortality using a protocol based endovascular-first approach for the treatment of rAAAs. Conclusions: Overall, there is a relevant evidence that the use of a protocol based endovascular-first approach appears necessary in the treatment of the rAAAs, as it gives lower 30-day mortality rates. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index