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Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases
INTRODUCTION: Endovascular aneurysm repair as a minimally invasive alternative has become a commonly used surgical method for treating patients with abdominal aortic aneurysm (AAA). AIM: To analyze short-term outcomes of endovascular treatment of AAA patients, including ruptured cases. MATERIAL AND...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041580/ https://www.ncbi.nlm.nih.gov/pubmed/30002758 http://dx.doi.org/10.5114/wiitm.2018.73358 |
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author | Kulig, Piotr Lewandowski, Krzysztof Banaś, Bartłomiej Piekorz, Piotr Kostka, Andrzej Zaniewski, Maciej |
author_facet | Kulig, Piotr Lewandowski, Krzysztof Banaś, Bartłomiej Piekorz, Piotr Kostka, Andrzej Zaniewski, Maciej |
author_sort | Kulig, Piotr |
collection | PubMed |
description | INTRODUCTION: Endovascular aneurysm repair as a minimally invasive alternative has become a commonly used surgical method for treating patients with abdominal aortic aneurysm (AAA). AIM: To analyze short-term outcomes of endovascular treatment of AAA patients, including ruptured cases. MATERIAL AND METHODS: From 2010 to 2015, 247 patients with AAA were treated using the endovascular aneurysm repair technique. A short-term analysis was conducted – up to 30 days after surgery. It included 236 patients with planned surgery and 11 operated on in emergency mode, due to ruptured AAA. RESULTS: Rates of short-term mortality and re-interventions among patients undergoing planned surgery were 2.5% and 4.2%, respectively. Surgical complications occurred in 18 (7.6%) patients, with the most common being thrombosis and blockage of the stent graft (2.5%). Systemic complications were found in 19 (8%) planned cases, with the most common being arrhythmias (1.7%). In patients with ruptured AAA, short-term mortality was 36.4%, while re-interventions were performed in 3 (27.3%) patients. Rates of surgical and systemic complications for ruptured AAA were 45.4% and 72.7%, respectively. CONCLUSIONS: The AAA patients undergoing endovascular aneurysm repair showed relatively low short-term mortality. However, larger groups of patients with ruptured AAA are required in order to assess the outcomes in this sub-population. |
format | Online Article Text |
id | pubmed-6041580 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-60415802018-07-12 Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases Kulig, Piotr Lewandowski, Krzysztof Banaś, Bartłomiej Piekorz, Piotr Kostka, Andrzej Zaniewski, Maciej Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Endovascular aneurysm repair as a minimally invasive alternative has become a commonly used surgical method for treating patients with abdominal aortic aneurysm (AAA). AIM: To analyze short-term outcomes of endovascular treatment of AAA patients, including ruptured cases. MATERIAL AND METHODS: From 2010 to 2015, 247 patients with AAA were treated using the endovascular aneurysm repair technique. A short-term analysis was conducted – up to 30 days after surgery. It included 236 patients with planned surgery and 11 operated on in emergency mode, due to ruptured AAA. RESULTS: Rates of short-term mortality and re-interventions among patients undergoing planned surgery were 2.5% and 4.2%, respectively. Surgical complications occurred in 18 (7.6%) patients, with the most common being thrombosis and blockage of the stent graft (2.5%). Systemic complications were found in 19 (8%) planned cases, with the most common being arrhythmias (1.7%). In patients with ruptured AAA, short-term mortality was 36.4%, while re-interventions were performed in 3 (27.3%) patients. Rates of surgical and systemic complications for ruptured AAA were 45.4% and 72.7%, respectively. CONCLUSIONS: The AAA patients undergoing endovascular aneurysm repair showed relatively low short-term mortality. However, larger groups of patients with ruptured AAA are required in order to assess the outcomes in this sub-population. Termedia Publishing House 2018-02-07 2018-06 /pmc/articles/PMC6041580/ /pubmed/30002758 http://dx.doi.org/10.5114/wiitm.2018.73358 Text en Copyright: © 2018 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Kulig, Piotr Lewandowski, Krzysztof Banaś, Bartłomiej Piekorz, Piotr Kostka, Andrzej Zaniewski, Maciej Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases |
title | Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases |
title_full | Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases |
title_fullStr | Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases |
title_full_unstemmed | Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases |
title_short | Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases |
title_sort | short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041580/ https://www.ncbi.nlm.nih.gov/pubmed/30002758 http://dx.doi.org/10.5114/wiitm.2018.73358 |
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