scholarly journals Pain, blood loss, and death from leaking abdominal aortic aneurysms.

1994 ◽  
Vol 47 (3) ◽  
pp. 272-273 ◽  
Author(s):  
P P Anthony ◽  
T Clarke ◽  
P Sarsfield
Keyword(s):  
Blood Loss ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

scholarly journals Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms

2020 ◽  
Vol 37 (04) ◽  
pp. 382-388
Author(s):  
Alexander S. Fairman ◽  
Grace J. Wang
Keyword(s):  
Blood Loss ◽  
Abdominal Aortic Aneurysms ◽  
Treatment Method ◽  
Aortic Aneurysms ◽  
Aortic Repair ◽  
Abdominal Aortic ◽  
Routine Surveillance ◽  
Open Aortic Repair ◽  
Elective Treatment ◽  
Ruptured Abdominal Aortic Aneurysms

AbstractSince 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.

Ruptured Abdominal Aortic Aneurysms in Community Practice: Age and Operative Variables Predict Survival

2007 ◽  
Vol 73 (9) ◽  
pp. 912-916 ◽  
Author(s):  
Sarah J. Pae ◽  
John Alfred Carr
Keyword(s):  
Blood Loss ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Survival Duration ◽  
Community Hospitals ◽  
Abdominal Aortic ◽  
Transfusion Requirements ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Ruptured Abdominal Aortic Aneurysms

Our objective is to determine if the mortality and functional outcome of patients with ruptured abdominal aortic aneurysms treated at community hospitals is more a function of patient factors and comorbidities or hospital system and surgeon-controlled variables. We used a retrospective review of all patients with infrarenal ruptured abdominal aortic aneurysms treated at three large community hospitals in Chicago from 1996 to 2005. There was an overall 58 per cent mortality rate. There was a statistically significant difference in the age of those who lived (69 ± 9.8) and those who died (78 ± 7.9, P = 0.0005). Mortality was found to increase with each increasing decade of life. None of the patients from age 50 to 60 died, whereas 44 per cent of the patients from 61 to 70, 65 per cent of those 71 to 80, 64 per cent of those 81 to 90, and 100 per cent of those older than 90 died. There was an increased hazard ratio of 10.9 times the risk of mortality once a patient became older than age 70 (P = 0.02). Intra-operative variables did influence survival: duration of surgery (lived 230 ± 78 minutes, died 324 ± 130 minutes, P = 0.006), intra-operative blood loss (lived 1894 ± 1014 mL, died 5692 ± 3018 mL, P = 0.00003), and blood transfusion (lived 6.7 ± 2.8 units, died 10.5 ± 3.7 units, P = 0.0006). Age and intra-operative factors play a major role in the survival or mortality of patients with ruptured abdominal aortic aneurysms. Short operative time combined with minimizing blood loss and transfusion requirements improve survival, especially in the elderly.

Impact of an Autotransfusion System during Endoluminal Repair of Abdominal Aortic Aneurysms: Does it Decrease the use of Allogeneic Blood?

2005 ◽  
Vol 71 (9) ◽  
pp. 786-790
Author(s):  
Carlos Donayre ◽  
Uzoamaka Adimora ◽  
Tae Song ◽  
George Kopchok ◽  
Maurice Lippmann ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Abdominal Aortic Aneurysms ◽  
Group Iv ◽  
Aortic Aneurysms ◽  
Group Iii ◽  
Endoluminal Repair ◽  
Group I ◽  
Abdominal Aortic ◽  
Group Ii

Endoluminal repair of abdominal aortic aneurysms (AAA) is associated with decreased blood loss and transfusion requirements when compared to open AAA repair. We evaluated the use of an intraoperative autotransfusion system during endoluminal exclusion of AAAs. Fifty endoluminal AAA procedures selected at random were reviewed retrospectively. Patients were divided into 4 groups according to their estimated blood loss: Group I, 20 patients (0–500 cc); Group II, 18 patients (501–1,000 cc); Group III, 7 patients (1,001–1,500 cc); and Group IV, 5 patients (1,501–3,400 cc). The average blood loss was 327 cc for Group I, 728 cc for Group II, 1,217 for Group III, and 2,125, for Group IV. The overall blood loss was 834 cc, but 75 per cent was recovered. Hematuria was always present when greater than 1,000 cc of blood was retransfused, but renal function was not affected even with the concomitant administration of radiographic contrast. Only one patient required an autologous blood transfusion. The use of an autotransfusion device is safe, efficacious, and appears to further limit the need for homologous blood transfusion in patients undergoing endoluminal AAA repair.

Ruptured abdominal aortic aneurysms: Clinical presentation in Auckland 1993-1997

2001 ◽  
Vol 71 (6) ◽  
pp. 341-344
Author(s):  
Johanna Rose ◽  
Ian Civil ◽  
Timothy Koelmeyer ◽  
David Haydock ◽  
Dave Adams
Keyword(s):  
Clinical Presentation ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms

Current evidence and prospects for medical treatment of abdominal aortic aneurysms

VASA ◽  
2005 ◽  
Vol 34 (4) ◽  
pp. 217-223 ◽  
Author(s):  
Diehm ◽  
Schmidli ◽  
Dai-Do ◽  
Baumgartner
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Medical Treatment ◽  
Endovascular Treatment ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Current Evidence ◽  
Significant Morbidity ◽  
Abdominal Aortic ◽  
Risk Of Rupture

Abdominal aortic aneurysm (AAA) is a potentially fatal condition with risk of rupture increasing as maximum AAA diameter increases. It is agreed upon that open surgical or endovascular treatment is indicated if maximum AAA diameter exceeds 5 to 5.5cm. Continuing aneurysmal degeneration of aortoiliac arteries accounts for significant morbidity, especially in patients undergoing endovascular AAA repair. Purpose of this review is to give an overview of the current evidence of medical treatment of AAA and describe prospects of potential pharmacological approaches towards prevention of aneurysmal degeneration of small AAAs and to highlight possible adjunctive medical treatment approaches after open surgical or endovascular AAA therapy.

Statin therapy for patients with abdominal aortic aneurysms

VASA ◽  
2012 ◽  
Vol 41 (1) ◽  
pp. 3-4
Author(s):  
Diehm ◽  
Diehm ◽  
Dick
Keyword(s):  
Statin Therapy ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

Endovascular management of ruptured abdominal aortic aneurysms and acute aortic dissections

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 35-46
Author(s):  
Stephen Hofmeister ◽  
Matthew B. Thomas ◽  
Joseph Paulisin ◽  
Nicolas J. Mouawad
Keyword(s):  
Abdominal Aortic Aneurysms ◽  
Rapid Identification ◽  
Aortic Aneurysms ◽  
Endovascular Interventions ◽  
Current State ◽  
Technological Advances ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms ◽  
Vascular Emergencies ◽  
Aortic Dissections

Abstract. The management of vascular emergencies is dependent on rapid identification and confirmation of the diagnosis with concurrent patient stabilization prior to immediate transfer to the operating suite. A variety of technological advances in diagnostic imaging as well as the advent of minimally invasive endovascular interventions have shifted the contemporary treatment algorithms of such pathologies. This review provides a comprehensive discussion on the current state and future trends in the management of ruptured abdominal aortic aneurysms as well as acute aortic dissections.

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