Factors Affecting Long-term Mortality After Endovascular Repair of Abdominal Aortic Aneurysms

2008 ◽  
Vol 2008 ◽  
pp. 142-143
Author(s):  
G.L. Moneta
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Factors Affecting ◽  
Abdominal Aortic ◽  
Long Term Mortality

530 FACTORS AFFECTING LONG-TERM MORTALITY AFTER ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC ANEURYSMS.

2006 ◽  
Vol 54 (1) ◽  
pp. S170.5-S170
Author(s):  
C. de Virgilio ◽  
J. K. Tran ◽  
C. Donayre ◽  
R. Lewis ◽  
C. Dauphine ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Factors Affecting ◽  
Abdominal Aortic ◽  
Long Term Mortality

Stents for the Treatment of Aortic Aneurysms

1999 ◽  
Vol 82 (S 01) ◽  
pp. 171-175 ◽  
Author(s):  
D. Ebert ◽  
M. Langer ◽  
P. Uhrmeister
Keyword(s):  
Endovascular Treatment ◽  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Imaging Modalities ◽  
Exclusion Criteria ◽  
Multicenter Studies ◽  
Abdominal Aortic ◽  
First Results

SummaryThe endovascular treatment of abdominal aortic aneurysms has generated a great deal of interest since the early 1990s, and many different devices are currently available. The procedure of endovascular repair has been evaluated in many institutions and the different devices are compared. The first results were encouraging, but complications like endoleak, dislocation or thrombosis of the graft occurred. By the available devices the stent application is only promising, if the known exclusion criteria are strictly respected. Therefore a careful preinterventional assessment of the patient by different imaging modalities is necessary. As the available results up to now are preliminary and the durability of the devices has to be controlled, multicenter studies are required to improve the devices and observe their long- term success in the exclusion of abdominal aortic aneurysms.

scholarly journals Comparison of Long-term Outcomes Following Endovascular Repair of Abdominal Aortic Aneurysms Based on Size Threshold

2012 ◽  
Vol 56 (6) ◽  
pp. 1826-1827
Author(s):  
Charles J. Keith ◽  
Marc A. Passman ◽  
Michael J. Gaffud ◽  
Zdenek Novak ◽  
Marjan U. Mujib ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Long Term Outcomes ◽  
Abdominal Aortic ◽  
Size Threshold

Functional Endoluminal Paving (FELP): Thermoforming, Biodegradation, and Mechanical Properties of a Novel Polymer Graft for Abdominal Aortic Aneurysms

2010 ◽  
Author(s):  
John H. Ashton ◽  
James A. M. Mertz ◽  
Megan J. Alexander ◽  
Marvin J. Slepian ◽  
Joseph L. Mills ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Complex Anatomy ◽  
Abdominal Aortic ◽  
Drug Treatments

The preferred method to treat abdominal aortic aneurysms (AAAs) is endovascular repair with a stent-graft (EVAR). Although EVAR is fairly successful, there are several challenges to address, which include patient ineligibility due to complex anatomy and long-term failure due to migration and endoleak. Drug treatments that reduce or halt AAA growth are also currently under investigation [1].

scholarly journals Improved outcomes from endovascular aortic repair in younger patients: Towards improved risk stratification

Vascular ◽  
2019 ◽  
Vol 27 (6) ◽  
pp. 573-581 ◽  
Author(s):  
Wan Chin Hsieh ◽  
Chung Dann Kan ◽  
Chong Chao Hsieh ◽  
Mohamed Omara ◽  
Brandon Michael Henry ◽  
...  
Keyword(s):  
Open Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Endovascular Aortic Repair ◽  
Younger Patients ◽  
Aortic Repair ◽  
Abdominal Aortic ◽  
Short And Long Term ◽  
Long Term Mortality

Objectives Abdominal aortic aneurysms are conventionally treated by open repair surgery. While endovascular aortic repair improves survival in high-risk patients, younger patients (40–65 years) potentially at lower risk with asymptomatic abdominal aortic aneurysms undergoing endovascular aortic repair usually have poorer post-operative outcomes and require longer term follow-up. In this study, clinical data on younger patients were analyzed to investigate whether endovascular aortic repair leads to poorer short- and long-term outcomes. Methods This was a systematic review and meta-analysis of articles comparing clinical outcomes in patients aged 40–65 years undergoing open repair or endovascular aortic repair and published between 2000 and 2017. In-hospital mortality, long-term mortality, and post-operative complication data were retrieved from eligible studies and clinical outcomes were compared. Twenty-one retrospective cohort analyses were included, accounting for 250,837 patients (149,051 endovascular aortic repair; 101,786 open repair). Risk ratios were pooled using the DerSimonian and Laird random effects model. All statistical analyses were performed in Review Manager 5.3. Results Younger patients with asymptomatic abdominal aortic aneurysms undergoing endovascular aortic repair had a significantly reduced 30-day mortality (odds ratio (OR) = 0.40, 95% confidence intervals (CI) 0.28–0.57; p < 0.00001), long-term mortality (OR = 0.37, 95% CI 0.17–0.82; p = 0.01), incidence of reintervention (OR = 0.47, 95% CI 0.34–0.66; p < 0.0001), and incidence of renal failure (OR = 1.58, 95% CI 1.37–1.82; p < 0.00001). Conclusions Endovascular aortic repair may improve short- and long-term survival and reduce post-operative complications in younger patients with asymptomatic abdominal aortic aneurysms.

scholarly journals Cardiac complications and their prevention in surgery of infrarenal abdominal aortic aneurysms

2015 ◽  
Vol 17 (1) ◽  
pp. 79
Author(s):  
A. A. Karpenko ◽  
A. M. Chernyavskiy ◽  
N. R. Rakhmetov ◽  
A. A. Dyusupov ◽  
Ye. O. Masalimov ◽  
...  
Keyword(s):  
Blood Flow ◽  
Surgical Treatment ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Surgical Correction ◽  
Cardiac Complications ◽  
Abdominal Aortic

We analyzed the data of surgical treatment of 225 patients with infrarenal abdominal aortic aneurysms (AAA) obtained over a period from 1998 to 2012. Depending on the tactics and methods of surgical treatment, the patients were divided into 3 groups. Group 1 included 79 patients (35,2%), who underwent open surgery for AAA with therapeutic correction of combined pathology in the blood pool of the heart. Group 2 had 118 patients (52,4%), who underwent first surgical correction of the arterial bed of the heart and then open surgery for AAA. 28 patients of Group 3 (12,4 %) also underwent first surgical correction in the arterial bed area followed, however, by endovascular repair of AAA. Preliminary surgical correction of the coronary blood flow abnormalities followed by open surgery of AAA allowed to reduce the number of myocardial infarctions in the early postoperative period from 10,1 % to 1,7% and from 12,5% to 1,3% in the long-term period, to reliably reduce perioperative mortality from 10,1% to 0,8% and to improve the actuarial 5-year survival from 77,5% to 91,3%. The absence of cardiac complications after preliminary surgical correction of the coronary blood flow and endovascular repair of AAA both during early and long-term follow-up is indicative of the benefits of this tactic, especially for the elderly with multiple co-morbidities.

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