Endovascular treatment of acute abdominal aortic aneurysm with a bifurcated stentgraft
| Autor: | B. Van der Heij, C.J. Zeebregts, J.J.A.M. van den Dungen, I. F. J. Tielliu, M. R. Kapma, T. R. Prins, E.L.G. Verhoeven |
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| Přispěvatelé: | Man, Biomaterials and Microbes (MBM), Vascular Ageing Programme (VAP) |
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment OPEN REPAIR Endovascular aneurysm repair law.invention Cohort Studies abdominal aortic aneurysm Primary outcome law MANAGEMENT medicine Humans Local anesthesia suitability Endovascular treatment Emergency Treatment Procedure time Aged Medicine(all) Aged 80 and over business.industry Middle Aged medicine.disease mortality Intensive care unit Abdominal aortic aneurysm Surgery Anesthesia Acute Disease rupture endovascular EXPERIENCE Open repair TRIAL Female Stents Cardiology and Cardiovascular Medicine business LOCAL-ANESTHESIA Aortic Aneurysm Abdominal |
| Zdroj: | European Journal of Vascular and Endovascular Surgery, 29(5), 510-515. W B SAUNDERS CO LTD |
| ISSN: | 1078-5884 |
| Popis: | Objectives. To analyse the results of emergency endovascular aneurysm repair (eEVAR) for acute abdominal aortic aneurysms (AAA), in comparison to open repair, and to evaluate suitability and application rate.Patients and methods. All patients treated for an acute AAA between January 1998 and August 2004 were included. The primary outcome measure was in-hospital mortality. Secondary outcome measures were procedure time, intra-operative blood loss, transfusion requirement, intensive care unit, and hospital length of stay. Suitability and application rate for eEVAR were assessed in a subgroup of patients, from January 2003.Results. A total of 253 patients were treated. eEVAR was performed in 40 patients, 5 (13%) died in-hospital. Open repair was performed in 213 patients, 64 (30%) died in-hospital. Secondary outcome measures were all significantly improved in the eEVAR subgroup. From January 2003, 56 patients were treated. Of the 44 (79%) patients who were evaluated for eEVAR, 16 (36%) patients were anatomically suitable. Eventually, 15 out of the 56 (27%) patients were treated by eEVAR.Conclusion. The results of eEVAR in a selected group of patients are promising, but suitability and application rate were low. |
| Databáze: | OpenAIRE |
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