• Association of an Endovascular-First Protocol for Ruptured Abdominal Aortic Aneurysms With Survival and Discharge Disposition. (stanfordhealthcare.org)
  • Methods:We retrospectively reviewed 35 consecutive patients who underwent emergent surgery for rAAA(including ruptured iliac artery aneurysms)between January 2013 and December 2020. (or.jp)
  • Looking at the treatment of abdominal aortic aneurysms ( AAA ) in Germany in particular, a quality assurance survey revealed that 60% of hospitals perform less than five procedures per year. (vascularnews.com)
  • Black patients saw significantly delayed care for ruptured abdominal aortic aneurysms (rAAAs) , with a Vascular Quality Initiative (VQI) analysis showing a median time from hospital admission to intervention of 168 vs. 78 minutes compared to White patients. (vascularspecialistonline.com)
  • Patients with advanced chronic kidney disease (CKD) represent a high-risk group who may not benefit from elective endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs) under traditional sizing criteria. (vascularspecialistonline.com)
  • Inflammation within the abdominal aortic wall is generally considered a very significant ethiopathogenic factor in the development of abdominal aortic aneurysms. (prelekara.sk)
  • Purpose: Octogenarians are known to have less-favorable outcomes following ruptured abdominal aortic aneurysm (rAAA) repair compared with their younger counterparts. (ebsco.com)
  • Ruptured Abdominal Aortic Aneurysm. (avs-ak.com)
  • Aortocaval fistula (ACF) is a rare and life-threatening complication associated with rupture of an abdominal aortic aneurysm (rAAA). (svu.org)
  • Mortality after an open surgical repair of a ruptured abdominal aortic aneurysm (rAAA) remains high. (stanfordhealthcare.org)
  • Objective:The availability of endovascular aneurysm repair(EVAR)has gradually increased the number of patients undergoing surgical treatment for ruptured abdominal aortic aneurysm(rAAA). (or.jp)
  • Objectives: The uptake of endovascular aortic repair for elective and ruptured abdominal aortic aneurysm repair is not well studied. (cmich.edu)
  • Endovascular treatment of the abdominal aortic aneurysm in case of adverse anatomical features of the proximal aneurysmal neck, still represents a major therapeutic challenge. (czytelniamedyczna.pl)
  • The aim of this article is to report the case of the successful endovascular treatment of symptomatic, unruptured abdominal aortic aneurysm with a short proximal neck using endoanchors. (czytelniamedyczna.pl)
  • Abdominal aortic aneurysm (AAA) is a localized enlargement of the abdominal aorta to the diameter ≥ 30 mm. (czytelniamedyczna.pl)
  • A guest commentary on the importance of advocacy in vascular surgery and findings of a Black-White disparity in ruptured abdominal aortic aneurysm repair wait times were also among the most-read articles last month. (vascularspecialistonline.com)
  • A multinational collaboration of researchers received endorsement from the Global Cardiovascular Research Funders Forum (GCRFF) Multinational Clinical Trials Initiative for the WARRIORS (Women's abdominal aortic aneurysm research: repair immediately or routine surveillance) trial. (vascularspecialistonline.com)
  • Proinflammatory cytokines are important mediators of inflammation within the abdominal aortic wall. (prelekara.sk)
  • We present a case study describing the detection of a persistent ACF by duplex ultrasonography (DU) postendovascular aortic repair (EVAR). (svu.org)
  • Only among the EVAR patients, aortic related death occurred in 1 patient(5.6%), which was acute type A aortic dissection. (or.jp)
  • However, as the patients with rAAA tended to be unsuitable for EVAR because of anatomical complexity, open abdominal surgery is important even in the endovascular era. (or.jp)
  • Although, endovascular aortic repair (EVAR) compared to open surgery repair is characterized by a reduced perioperative mortality, the reintervention incidence after EVAR is still higher than after open surgery repair. (czytelniamedyczna.pl)
  • Although endovascular aortic repair (EVAR) is a safe, effective, and currently the most widely used AAA treatment method, there are still issues which need to be resolved to significantly improve this treatment (4). (czytelniamedyczna.pl)
  • Background and Objectives: Aortic valve replacement (AVR) is considered a class I indication for symptomatic severe aortic stenosis (AS). (koreamed.org)
  • Results:About half of 17 patients(48.6%)were assigned to open repair and as many as 14 of them(82.4%)were excluded from the indication of endovascular treatment due to anatomical unsuitability, which included an extremely short proximal neck, severe aortic elongation and access route problems. (or.jp)
  • Conclusions: While elective open surgical repair use has significantly decreased from 2003 to 2016, elective endovascular aortic repair use has significantly increased. (cmich.edu)
  • There is a "huge diversity" of aortic pathologies and treatment modalities in open surgery, requiring complication prevention and management. (vascularnews.com)
  • In Advanced Endovascular Therapy of Aortic Disease (pp. 181-185). (elsevierpure.com)
  • The first subgroup included patients with symptomatic AAAs, including AAA ruptures (N = 69), the second subgroup included subjects with asymptomatic AAAs (N = 276) with AAA diameters up to 5 cm (N = 72), the third subgroup included 5 cm (N = 72), the fourth included 5-8 cm (N = 192) and the fifth subgroup included subjects with AAA diameters of more than 8 cm (N = 81). (prelekara.sk)
  • TNFα levels were found to be significantly low in symptomatic patients with AAA ruptures (p (prelekara.sk)
  • Accurate information regarding perioperative outcomes following rAAA-repair is import. (ebsco.com)
  • Distal aortic repair after FET: open or endovascular repair? (cxaortic.com)
  • The authors describe open surgical treatment of RAAA. (bvsalud.org)
  • The aim of this study was to evaluate our endovascular first-line surgical treatment strategy for rAAA. (or.jp)
  • Conclusion:Endovascular first-line surgical treatment strategy for rAAA is acceptable. (or.jp)
  • 04) after rAAA repair compared with preprotocol patients. (stanfordhealthcare.org)
  • Patients with an rAAA and appropriate anatomy should be offered endovascular repair as first-line treatment at experienced vascular centers. (stanfordhealthcare.org)
  • In terms of ruptured AAA (rAAA) we have data showing that in a low-volume, low-bed capacity, you have higher mortality and a higher turndown rate, meaning you do not treat as many patients, even those who may be treated by endovascular means," Böckler detailed. (vascularnews.com)
  • According to the European Society of Cardiology Guidelines on the diagnosis and treatment of aortic diseases from 2014, ultrasonography (US) is a recommended AAA screening examination. (czytelniamedyczna.pl)
  • Various complications can occur after surgery for RAAA. (bvsalud.org)
  • 23-25 January, Paris, France), Dittmar Böckler (University Hospital Heidelberg, Heidelberg, Germany) made a case for the centralisation of aortic surgery, detailing 10 reasons why this is "imperative" for patient outcome and safety, cost-efficiency, and education. (vascularnews.com)
  • The audience were subsequently asked if they agreed that aortic surgery should be centralised, with the majority voting in the affirmative. (vascularnews.com)
  • In the Heidelberg catchment area, 72 hospitals offer round-the-clock aortic surgery on their website. (vascularnews.com)
  • Considering data related to speciality and mortality, Böckler pointed out that general surgeons have a 50% morality at 30 days treating rAAA compared to 33% for vascular surgeons. (vascularnews.com)
  • Böckler stressed that there needs to be one to two aortic specialists on call 24/7, availability of an intensive care unit (ICU) 24 hours a day, access to pre- and intraoperative imaging (including fusion and cone beam CT), specific devices in stock, and special settings and skills. (vascularnews.com)
  • Success and quality really depends on experience and volume, not only in AAA care but also in fenestrated and very complex aortic procedures," he added. (vascularnews.com)
  • Rodriguez AL, Quiroga E. Quality of Life after rAAA. (avs-ak.com)
  • Results: We identified 19,489 eAAA (12,232 open (63%) and 7257 endovascular (37%)) and 2732 rAAA (2466 open (90%) and 266 endovascular (10%)) repairs from 2003 to 2016. (cmich.edu)
  • Methods: We conducted a population-based time-series analysis of eAAA and rAAA repairs in Ontario, Canada from 2003 to 2016. (cmich.edu)
  • We aimed to examine the trends in open surgical repair and endovascular aortic repair of eAAA and rAAA and to examine the effects of randomized trial publications on elective open surgical repair and endovascular aortic repair rates. (cmich.edu)
  • Reduction en masse of inguinal hernia is a rare condition following manual reduction of an unrecognized incarcerated inguinal hernia. (biomedcentral.com)
  • Derivation and validation of a practical risk score for prediction of mortality after open repair of ruptured abdominal aortic aneurysms in a U.S. regional cohort and comparison to existing scoring systems. (medscape.com)
  • The VSGNE Ruptured Abdominal Aortic Aneurysm (RAAA) Risk Score calculator is created by QxMD. (medscape.com)
  • We performed a literature search for "endovascular repair of ruptured abdominal aortic aneurysms" using PubMed ( https://www.pubmed.gov ). (medscape.com)
  • Cite this: Endovascular Repair of Ruptured Abdominal Aortic Aneurysms: Systematic Literature Review - Medscape - Aug 01, 2008. (medscape.com)
  • Background An abdominal aortic aneurysm (AAA) is an abnormal widening of the aorta with a risk of rupture if it grows to a large diameter. (gu.se)
  • In Study 2 and Study 4, the outcome in patients with a ruptured abdominal aortic aneurysm (rAAA) who were misdiagnosed at the first assessment in the emergency department was compared to the outcome in patients who were correctly diagnosed initially. (gu.se)
  • 1. Low post-operative mortality after surgery on patients with screening-detected abdominal aortic aneurysms: a Swedvasc registry study. (gu.se)
  • 2. The Impact of Initial Misdiagnosis of Ruptured Abdominal Aortic Aneurysms on Lead Times, Complication Rate, and Survival. (gu.se)
  • An abdominal aortic aneurysm (AAA), defined as any dilatation of the abdominal aorta greater than 3 cm, is an unfortunately common condition in developed countries. (emra.org)
  • In the United States, abdominal aortic aneurysms are the 13th leading cause of death. (emra.org)
  • To report the causes of second rupture in patients treated with a stent graft for ruptured abdominal aortic aneurysm (rAAA). (nih.gov)
  • A 69-year-old man was admitted for abdominal pain and hypovolemic shock 22 months after endovascular exclusion of an rAAA with an aortomonoiliac stent graft and a crossover bypass despite normal duplex ultrasound and sac shrinkage at 1 year. (nih.gov)
  • Factors associated with survival prognosis among patients who undergo endovascular aortic repair (EVAR) for ruptured abdominal aortic aneurysms (rAAA) have not been sufficiently investigated. (biomedcentral.com)
  • Abdominal aortic aneurysm volume and relative intraluminal thrombus volume might be auxiliary predictors of rupture-an observational cross-sectional study. (qxmd.com)
  • The study aimed to identify differences and compare anatomical and biomechanical features between elective and ruptured abdominal aortic aneurysms (AAAs). (qxmd.com)
  • Patients with advanced chronic kidney disease (CKD) represent a high-risk group who may not benefit from elective endovascular aneurysm repair (EVAR) for abdominal aortic. (vascularspecialistonline.com)
  • Overall survival improved from 71% to 80% after a group of community practice surgeons started using an endovascular-first approach to ruptured abdominal aortic aneurysm. (vascularspecialistonline.com)
  • Background: The German quality assurance guideline on abdominal aortic aneurysm (AAA) was implemented by the Joint Federal Committee (Gemeinsamer Bundesausschuss, G-BA) in 2008. (researchgate.net)
  • Elderly patients often have underlying cardiovascular and pulmonary disease, which decreases physiologic reserve and predisposes them to conditions such as abdominal aortic aneurysm (AAA) and mesenteric ischemia. (medscape.com)
  • Misdiagnosis is common in patients who seek care for a rAAA, and misdiagnosis is associated with a substantially higher risk of dying from the ruptured aneurysm. (gu.se)
  • However, more than half of cases lack one or more of these characteristics, and the first presentation may be the aneurysm rupture itself. (emra.org)
  • In a multivariable model, including gender and age as confounder variables, maximal aneurysm diameter [MAD, odds ratio (OR) = 1.063], relative intraluminal thrombus (rILT, OR = 1.039), and total aneurysm volume (TAV, OR = 1.006) continued to be significant predictors of AAA rupture with PWS (OR = 1.010) and RRED (OR = 1.031). (qxmd.com)
  • Based on our results, in addition to MAD, other important predictors of rupture that might be used during aneurysm surveillance are TAV and rILT. (qxmd.com)
  • Rupture is associated with massive bleeding and a poor prognosis for survival. (gu.se)
  • A further aim was to investigate how common misdiagnosis is in the emergency department in patients seeking care for a ruptured AAA (rAAA), and how misdiagnosis affects the prognosis. (gu.se)
  • 78-93% of patients undergo a preoperative CT scan in modern algorithms for RAAA management. (medscape.com)
  • 3 Here, we describe a case of a missed ruptured AAA (rAAA), measuring 7.5 cm, in a paraplegic patient not fitting the classic demographic presenting in shock, where the RUSH protocol likely would have reduced delays in care and improved the outcome. (emra.org)
  • 76 (OR 5.3, 95% CI 2.8-10.1), preoperative cardiac arrest (OR 4.3, 95% CI 1.6-12), loss of consciousness (OR 2.6, 95% CI 1.2-6), and suprarenal aortic clamp (OR 2.4, 95% CI 1.3-4.6). (medscape.com)
  • Anatomical, morphological, and biomechanical imaging markers like peak wall stress (PWS) and rupture risk equivalent diameter (RRED), comorbid conditions, and demographics were compared between the groups. (qxmd.com)
  • This integer-based VSGNE RAAA Risk Score was generated from a cohort of patients that included all patients who underwent open repair of RAAA from 2003-2009 at 10 centers, both community and academic, involved in the Vascular Study Group of New England (VSGNE). (medscape.com)
  • The VSGNE RAAA Risk Score is the first risk score developed and validated in a prospectively-collected United States cohort and the first developed in the era of endovascular repair of ruptured AAA. (medscape.com)
  • A third aim was to investigate whether it is beneficial to treat patients with a primary open abdomen with delayed closure after open repair for rAAA. (gu.se)
  • No survival advantage and no lower frequency of complications was observed in patients treated with a primary open abdomen and delayed closure after open repair for rAAA as compared to a propensity score-matched control group where the majority of patients were treated with primary closure of the abdomen. (gu.se)
  • Distal aortic repair after FET: open or endovascular repair? (cxaortic.com)
  • Data (clinical, anatomical, and biomechanical) of 98 patients with AAA, 75 (76.53%) asymptomatic (Group aAAA) and 23 (23.46%) ruptured AAA (Group rAAA), were prospectively collected and analyzed. (qxmd.com)
  • The image below illustrates an inflammatory mass of an elderly woman with a ruptured appendix. (medscape.com)
  • Study 2 included patients who reached surgery and Study 4 included all patients with rAAA, whether or not they reached surgery. (gu.se)
  • Studies 2 and 4: Misdiagnosis was common and occurred in more than one-third of the patients with rAAA. (gu.se)
  • Coagulopathy among patients with rAAA was found to progress even after they had presented at the hospital. (biomedcentral.com)
  • The discrimination of the VSGNE RAAA Risk Score was evaluated via the area under the ROC (AUC). (medscape.com)