457 results match your criteria repair raaa


Outcomes and predictors of mortality in a Belgian population of patients admitted with ruptured abdominal aortic aneurysm and treated by open repair in the contemporary era.

Ann Vasc Surg 2021 Aug 17. Epub 2021 Aug 17.

Department of Cardiovascular and Thoracic Surgery, University Hospital of Liège, Liège, Belgium.

Background: Abdominal aortic aneurysm (AAA) rupture is a serious condition that results in extremely high mortality rates. Some improvements in outcome have been reported during the last 2 decades. The objective of the present study was to determine the overall and operative (by open repair) mortality related to ruptured AAA in the contemporary era and to identify preoperative, intraoperative, and early postoperative parameters associated with poor outcomes. Read More

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Comparative outcomes of open abdominal therapy after ruptured abdominal aortic aneurysm via open and endovascular approaches.

Ann Vasc Surg 2021 Aug 16. Epub 2021 Aug 16.

Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH. Electronic address:

Background: Open abdomen therapy is sometimes a necessary lifesaving procedure after repair of ruptured abdominal aortic aneurysm (rAAA). OAT aims to prevent or treat abdominal compartment syndrome (ACS). This study aims to evaluate our experience with open abdomen therapy (OAT) after repair of ruptured abdominal aortic aneurysms (rAAAs). Read More

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Editor's Choice - Systematic Review and Meta-Analysis of the Impact of Institutional and Surgeon Procedure Volume on Outcomes After Ruptured Abdominal Aortic Aneurysm Repair.

Eur J Vasc Endovasc Surg 2021 Sep 9;62(3):388-398. Epub 2021 Aug 9.

Department of Vascular and Endovascular Surgery, Manchester University NHS Foundation Trust, Manchester, UK; Division of Cardiovascular Sciences, School of Medical Sciences, University of Manchester, Manchester, UK. Electronic address:

Objective: To investigate whether there is a correlation between institutional or surgeon case volume and outcomes in patients with ruptured abdominal aortic aneurysm (rAAA).

Data Sources: The Healthcare Database Advanced Search interface developed by the National Institute of Health and Care Excellence was used to search MEDLINE, Embase, CINAHL, and CENTRAL.

Review Methods: The systematic review complied with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines with the protocol registered in PROSPERO (CRD42020213121). Read More

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September 2021

[Choices of emergency treatment and surgical method for ruptured abdominal aortic aneurysms].

Zhonghua Yi Xue Za Zhi 2021 Aug;101(29):2288-2292

Department of Vascular Surgery, Xiangya Hospital, Central South University, Changsha 413000, China.

To investigate the emergency management process of ruptured abdominal aortic aneurysm (RAAA), and analyze the perioperative mortality factors of different surgical methods. The emergency data and hospitalization data of 91 patients with ruptured abdominal aortic aneurysm in Xiangya Hospital of Central South University from June 2010 to June 2019 were retrospectively analyzed.Twelve of the patients died preoperatively due to excessive blood loss, and the remaining 79 patients were hospitalized for open surgery (OSR) or endovascular repair (EVAR). Read More

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Risk Factors for Abdominal Compartment Syndrome After Endovascular Repair for Ruptured Abdominal Aortic Aneurysm: A Case Control Study.

Eur J Vasc Endovasc Surg 2021 Sep 6;62(3):400-407. Epub 2021 Jul 6.

Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden.

Objective: Ruptured abdominal aortic aneurysms (rAAA) are treated by endovascular aneurysm repair (rEVAR) increasingly often. Despite rEVAR being a minimally invasive method, abdominal compartment syndrome (ACS) remains a significant post-operative threat. The aim of this study was to investigate risk factors for ACS after rEVAR, including aortic morphological features. Read More

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September 2021

Influence of perioperative risk factors on the development of transmural colonic ischemia after open repair of ruptured abdominal aortic aneurysm.

J Cardiovasc Surg (Torino) 2021 Jul 8. Epub 2021 Jul 8.

School of Medicine, University of Belgrade, Belgrade, Serbia.

Background: Development of colonic ischemia (CI) after ruptured abdominal aortic aneurysm (RAAA) treatment is a lethal complication with perioperative mortality reported to be high as 50%. Therefore, the main goal of this study was to identify pre-, intra- and postoperative risk factors associated with CI in patients undergoing open repair (OR) due to RAAA, that might help to select patients who are more prone to develop CI.

Methods: This was a single-center prospective cohort study on patients with RAAA undergoing OR between January 1st 2018 and July 1st 2019, at the Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia. Read More

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The role of the pedicle omental flap in ruptured abdominal aortic aneurysm: a case report and literature review.

J Int Med Res 2021 Jul;49(7):3000605211028190

Department of Plastic Surgery, Emergency District Hospital, Cluj-Napoca, Romania.

A ruptured infrarenal abdominal aortic aneurysm (rAAA) is associated with an in-hospital mortality rate of 40% and an overall mortality rate of 60-80%. Open surgical repair for rAAA remains the principal method of treatment when endovascular repair is not available. Graft infection occurs in 1-4% of patients at 5 years, with a high incidence following emergency treatment. Read More

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Long-term survival after repair of ruptured Abdominal Aortic Aneurysms is Improving Over Time - Nationwide Analysis During Twenty-four Years in Sweden (1994-2017).

Ann Surg 2021 Jun 25. Epub 2021 Jun 25.

Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden Centre for Research & Development, Uppsala University/Region Gävleborg.

Mini: We investigated long-term survival after ruptured abdominal aortic aneurysms (rAAA) repair in Sweden during twenty-four years (1994-2017). A registry-based nationwide cohort study was performed, and three 8-year periods (1994-2001, 2002-2009, 2010-2017) were compared. Overall, 8,928 rAAA repair subjects were identified (1994-2001 N = 3,368; 2002-2009 N = 3,405; 2010-2017 N = 2,155). Read More

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Feasibility and Evaluation of Surgical Simulation with Developed Crisis Scenarios: A Comparison of Performance by Vascular Surgery Training Paradigms.

J Surg Educ 2021 Jun 22. Epub 2021 Jun 22.

Division of Vascular Surgery, Department of Surgery, University of Missouri, School of Medicine, Columbia, Missouri. Electronic address:

Objectives: Surgical simulation is an integral component of training and has become increasingly vital in the evaluation and assessment of surgical trainees. Simulation proficiency determination has been traditionally based on accuracy and time to completion of various simulated tasks, but we were interested in assessing clinical judgment during a simulated crisis scenario. This study assessed the feasibility of creating a crisis simulator station for vascular surgery and evaluated the performance of vascular surgery integrated residents (0+5) and vascular surgery fellows (5+2) during a technical testing with an integrated crisis scenario. Read More

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A comparison of endovascular versus open repair for ruptured abdominal aortic aneurysm - Meta-analysis of propensity score-matched data.

Vascular 2021 Jun 14:17085381211025168. Epub 2021 Jun 14.

Department of Vascular and Endovascular Surgery,523611 Manchester University NHS Foundation Trust, Manchester, UK.

Background: Optimal management of ruptured abdominal aortic aneurysms (rAAA) has been heavily debated in the literature. The aim of this review is to assess comparative outcomes from propensity-matched studies of endovascular versus open for rAAA.

Methods: Electronic databases (MEDLINE and Embase) were searched in January 2021 using the Healthcare Databases Advanced Search interface. Read More

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Abdominal aortic aneurysms ruptured to the vena cava: a case series and literature review.

J Vasc Bras 2021 Apr 5;20:e20200174. Epub 2021 Apr 5.

Universidade Estadual de Campinas - UNICAMP, Campinas, SP, Brasil.

Ruptured abdominal aortic aneurysms (RAAA) evolving aortocaval fistula (AF) can have catastrophic hemodynamic effects. Surgical repair is imperative, but the optimal technical approach is still under debate. Our objective is to present 3 cases treated with endovascular repair (EVAR) at a University Hospital. Read More

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Outcomes of emergency endovascular open repair for abdominal aortic aneurysm rupture.

Ann Surg Treat Res 2021 May 29;100(5):291-297. Epub 2021 Apr 29.

Department of Thoracic and Cardiovascular Surgery, Cheju Halla General Hospital, Jeju, Korea.

Purpose: Ruptured abdominal aortic aneurysm (rAAA) is one of the most common aortic emergencies in vascular surgery and is associated with high operative mortality and morbidity rates despite recent treatment advances. We evaluated operative mortality risks for the outcomes of emergency endovascular aneurysm repair (eEVAR) open repair in rAAA.

Methods: Twenty patients underwent eEVAR (n = 12) or open repair (n = 8) for rAAA between 2016 and 2020. Read More

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Preoperative risk score accuracy confirmed in a modern ruptured abdominal aortic aneurysm experience.

J Vasc Surg 2021 May 3. Epub 2021 May 3.

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash. Electronic address:

Objective: Various risk score calculators used to predict 30-day mortality after treatment of ruptured abdominal aortic aneurysms (rAAAs) have produced mixed results regarding their usefulness and reproducibility. We prospectively validated the accuracy of our preoperative scoring system in a modern cohort of patients with rAAAs.

Methods: A retrospective review of all patients wiith rAAAs who had presented to a single academic center from January 2002 to December 2018 was performed. Read More

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Endovascular Aortic Repair in Nonagenarian Patients.

J Am Coll Cardiol 2021 Apr;77(15):1891-1899

Department of Vascular Surgery, Ludwig-Maximilians-University Hospital, Munich, Germany.

Background: The increasing proportion of elderly patients being treated for abdominal aortic aneurysm (AAA) in the endovascular era is controversial.

Objectives: This study compared 30-day outcomes of endovascular aortic repair (EVAR) in nonagenarians (NAs) with non-nonagenarians (NNAs).

Methods: This retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database included EVAR procedures performed from 2011 to 2017. Read More

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Hypogastric Preservation Using a Retrograde Endovascular Bypass in a Patient with Ruptured AAA and Concomitant Bilateral Common Iliac Aneurysms: A Feasible Option in the Acute Setting.

Ann Vasc Surg 2021 Jul 2;74:497-501. Epub 2021 Apr 2.

Department of Surgery - Vascular Surgery Unit, School of Medicine, University of Ioannina, Ioannina, Greece.

Preservation of the hypogastric circulation is of major clinical importance in cases of endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA). Pelvic ischemia can be detrimental and significantly increase post-operative morbidity and mortality. However, the application of a side branch device or a bell-bottom graft is not possible in ruptured aortoiliac aneurysms (due to off-the-shelf unavailability and/or prolonged operative time) and in most cases pelvic circulation may have to be sacrificed. Read More

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Hybrid emergency room management of a ruptured abdominal aortic aneurysm.

J Vasc Surg Cases Innov Tech 2021 Mar 28;7(1):21-25. Epub 2020 Dec 28.

Department of Vascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan.

Patients with a ruptured abdominal aortic aneurysm (rAAA) still have high mortality. Rapid diagnosis and treatment are vital for improving survival outcomes. rAAA management has evolved regarding these factors. Read More

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A population-based study of post-endovascular aortic repair rupture during 15 years.

J Vasc Surg 2021 09 20;74(3):701-710.e3. Epub 2021 Feb 20.

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden.

Objective: The devastating event of a ruptured abdominal aortic aneurysm (rAAA) in patients who have survived a previous AAA repair, either elective or urgent, is a feared and quite uncommon event. It has been suggested to partly explain the loss of the early survival benefit for endovascular aortic repair (EVAR) vs open surgical repair (OSR). The main objective of this study was to report the national incidence rate, risk factors and outcome of post-EVAR ruptures. Read More

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September 2021

Characteristics and outcomes of small abdominal aortic aneurysm rupture in the American College of Surgeons National Surgical Quality Improvement Program database.

J Vasc Surg 2021 09 19;74(3):729-737. Epub 2021 Feb 19.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, Conn. Electronic address:

Objective: The current guidelines recommend elective abdominal aortic aneurysm (AAA) repair at 5.5 cm for men and 5.0 cm for women. Read More

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September 2021

The Effects of Minimum Caseload Requirements on Management and Outcome in Abdominal Aortic Aneurysm Repair.

Dtsch Arztebl Int 2020 Oct;117(48):820-827

Department for Vascular and Endovascular Surgery, University Hospital rechts der Isar, Technical University of Munich; Department of Statistics, Ludwig Maximilians University Munich.

Background: The German quality assurance guideline on abdominal aortic aneurysm (AAA) was implemented by the Joint Federal Committee (Gemeinsamer Bundesausschuss, G-BA) in 2008. The aims of this study were to verify the association between hospital case volume and outcome and to assess the hypothetical effect of minimum caseload requirements.

Methods: The German diagnosis-related groups statistics for the years 2012 to 2016 were scrutinized for AAA (ICD-10 GM I71. Read More

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October 2020

Frailty is a Poor Predictor of Postoperative Morbidity and Mortality After Ruptured Abdominal Aortic Aneurysm.

Ann Vasc Surg 2021 Jul 5;74:122-130. Epub 2021 Feb 5.

Division of Vascular Surgery and Endovascular Therapy, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ. Electronic address:

Background: Frailty has gained prominence as a predictor of postoperative outcomes across a number of surgical specialties, vascular surgery included. The role of frailty is less defined in the acute surgical setting. We assessed the prognostic value of frailty for patients undergoing surgery for a ruptured abdominal aortic aneurysm (rAAA). Read More

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The Effect of Blood Transfusion during Air Medical Transport on Transport Times in Patients with Ruptured Abdominal Aortic Aneurysm.

Prehosp Emerg Care 2021 Feb 17:1-8. Epub 2021 Feb 17.

Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (NM, FXG); Department of Surgery, Division of Vascular Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (ARP, NLL); College of General Studies, University of Pittsburgh, Pittsburgh, Pennsylvania (NC).

Patients presenting with a diagnosis of ruptured abdominal aortic aneurysm (RAAA) to community hospitals must be transported to tertiary care centers, where necessary resources are available. Unfortunately, guidelines for treatment of RAAA lack high-level evidence on the optimal resuscitation of RAAA patients during transport. We hypothesized that transfusion of packed red blood cells (PRBCs) during transport would not delay transport times in patients with RAAA. Read More

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February 2021

Survival and Living Situation After Ruptured Abdominal Aneurysm Repair in Octogenarians.

Eur J Vasc Endovasc Surg 2021 03 6;61(3):375-381. Epub 2021 Jan 6.

Department of Vascular Surgery, Dijklander Ziekenhuis, Hoorn, The Netherlands; Department of Vascular Surgery, Amsterdam UMC, Amsterdam, The Netherlands.

Objective: To determine the 30 day and one year mortality and post-operative living situation in octogenarians treated for ruptured abdominal aortic aneurysm (rAAA).

Methods: A retrospective study was performed at four centres in the Netherlands. All consecutive patients aged ≥80 years, presenting with a rAAA between January 2013 and October 2018, were included. Read More

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Readmission and Utilization After Repair of Ruptured Abdominal Aortic Aneurysms in the United States.

Vasc Endovascular Surg 2021 Apr 23;55(3):245-253. Epub 2020 Dec 23.

Division of Vascular Surgery, Department of Surgery, 2628University of Missouri, School of Medicine, Columbia, MO, USA.

Objectives: Endovascular aneurysm repair (EVAR) has emerged as a less invasive alternative to open repair for ruptured Abdominal Aortic Aneurysms (rAAA), but comparisons to traditional open rAAA repair and late complications leading to readmission are limited.

Materials And Methods: Hospitalizations for patients undergoing repair for rAAA were selected from the Nationwide Readmissions Database (NRD). In-hospital mortality, complications, 30-day readmission, readmission diagnoses, and charges were evaluated. Read More

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Evaluation of Survival Outcomes of Endovascular Versus Open Aortic Repair for Abdominal Aortic Aneurysms with a Big Data Approach.

Entropy (Basel) 2020 Nov 30;22(12). Epub 2020 Nov 30.

Department of Biostatistics, Yale University, New Haven, CT 06520, USA.

Abdominal aortic aneurysm (AAA) is a localized enlargement of the abdominal aorta. Once ruptured AAA (rAAA) happens, repairing procedures need to be applied immediately, for which there are two main options: open aortic repair (OAR) and endovascular aortic repair (EVAR). It is of great clinical significance to objectively compare the survival outcomes of OAR versus EVAR using randomized clinical trials; however, this has serious feasibility issues. Read More

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November 2020

Feasibility of Intraoperative Fusion Imaging Using Non-Contrast CT Scan for EVAR in Ruptured Abdominal Aortic Aneurysm.

EJVES Vasc Forum 2020 26;47:35-37. Epub 2020 Mar 26.

Department of Angiology and Vascular Surgery, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Spain.

Introduction: Acute renal failure is a frequent major complication (24%) of endovascular repair for ruptured abdominal aneurysm (rAAA). Iodinated contrast media is known to be nephrotoxic. This report describes a case of endovascular aneurysm repair (EVAR) under fusion imaging guidance in a patient diagnosed with a rAAA after non-contrast CT. Read More

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Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms.

Semin Intervent Radiol 2020 Oct 1;37(4):382-388. Epub 2020 Oct 1.

Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Since its inception in the 1990s, endovascular aortic repair has quickly replaced traditional open aortic repair (OAR) as the most common method for elective treatment of abdominal aortic aneurysms (AAA). After numerous iterations and failures of different endografts, the technology has undergone dramatic improvements with evidence pointing to this technology serving as a safe and durable modality, albeit with the requirement of routine surveillance. Not surprisingly, the ability to treat patients with AAAs with minimally invasive technology that could theoretically mitigate some of the risks associated with OAR, such as aortic cross clamping and significant blood loss, was also adopted in patients with ruptured AAAs and is now the preferred treatment method if anatomically feasible. Read More

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October 2020

A Late Post-EVAR Rupture in a 102-Year-Old Patient Related to a Type II Endoleak.

Vasc Endovascular Surg 2020 Nov 25;54(8):729-733. Epub 2020 Aug 25.

Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, México.

Purpose: Endovascular abdominal aortic aneurysm repair (EVAR) is progressively being applied in the elderly population. Type II endoleaks are common and mostly benign, but they are related to more aneurysm sac expansion after EVAR. They may lead to rupture in <1% of cases. Read More

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November 2020

Modern mortality risk stratification scores accurately and equally predict real-world postoperative mortality after ruptured abdominal aortic aneurysm.

J Vasc Surg 2021 03 21;73(3):1048-1055. Epub 2020 Jul 21.

Division of Vascular Surgery and Endovascular Therapy, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ. Electronic address:

Objective: It is often unclear which patients presenting with a ruptured abdominal aortic aneurysm (rAAA) are likely to survive after surgery. The Harborview Medical Center (HMC), Dutch Aneurysm Score (DAS), and Vascular Study Group of New England (VSGNE) risk scores have been recent attempts at predicting mortality in this setting. We compared the prognostic value of these scoring systems for patients at our institution with rAAA. Read More

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Patients with a Ruptured Abdominal Aortic Aneurysm Are Better Informed in Hospitals with an "EVAR-preferred" Strategy: An Instrumental Variable Analysis of the Dutch Surgical Aneurysm Audit.

Ann Vasc Surg 2020 Nov 15;69:332-344. Epub 2020 Jun 15.

Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Background: While several observational studies suggested a lower postoperative mortality after minimal invasive endovascular aneurysm repair (EVAR) in patients with a ruptured abdominal aortic aneurysm (RAAA) compared to conventional open surgical repair (OSR), landmark randomized controlled trials have not been able to prove the superiority of EVAR over OSR. Randomized controlled trials contain a selected, homogeneous population, influencing external validity. Observational studies are biased and adjustment of confounders can be incomplete. Read More

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November 2020

Inverse probability of treatment analysis of open vs endovascular repair in ruptured infrarenal aortic aneurysm - Cohort study.

Int J Surg 2020 Aug 15;80:218-224. Epub 2020 Jun 15.

Department of Surgery, Division of Vascular Surgery, Medical University of Vienna, Austria. Electronic address:

Background: To compare open repair (OR) with EVAR for the management of ruptured infrarenal abdominal aortic aneurysms (RAAA) in a cohort study over a time period of 15 years with inverse probability of treatment weights.

Material And Methods: From 2000/01 through 2015/12 136 patients were treated for RAAA, 98 (72.1%) underwent OR, 38 (27. Read More

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