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Purpose: Several investigators have suggested a dismal prognosis of ruptured abdominal aortic aneurysm (rAAA) repair in the elderly. The purpose of this study is to evaluate the morbidity and mortality of rAAA repair in octogenarians and compare it to that of a younger population.
Methods: From 1980 to 2000, all patients undergoing emergent rAAA repair were divided into two groups based on their age; Group I: age <80, Group II: > or =80 years. Outcomes were evaluated based on a Chi-square test and a P-value <0.05 indicated statistical significance.
Results: Over a 20-year period, 323 patients underwent rAAA repair through a left retroperitoneal (74%) or standard transperitoneal (26%) approach. In Group I (age <80 years) and II (> or =80 years), the overall 30-day mortality was 25 and 41% (P<0.05), respectively. Furthermore, the elderly population had a higher incidence of death due to myocardial infarction (15 vs. 7%), as well as non-fatal cardiac and cerebrovascular events (17 vs. 4%) when compared to the younger patients.
Conclusion: Although the elderly patients have an increased risk of having cardiac and cerebrovascular events in the postoperative period, the treatment of rAAAs in these patients should not be any different than that of a younger population. The left retroperitoneal approach is feasible and beneficial for rAAA repair and is associated with a limited morbidity and mortality.
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http://dx.doi.org/10.1016/S0967-2109(03)00101-7 | DOI Listing |
J Cardiothorac Surg
December 2024
Department of Vascular Surgery, Changhai Hospital, Second (Navy) Military Medical University, Shanghai, 200433, China.
Background: Ruptured abdominal aortic aneurysm (RAAA) is a fatal disease. This study aimed to assess the prognostic value of the preoperative neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in patients with RAAA undergoing endovascular aneurysm repair (EVAR).
Materials And Methods: This retrospective study included patients with RAAA who underwent EVAR from 2012 to 2022.
Beijing Da Xue Xue Bao Yi Xue Ban
December 2024
Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.
Objective: To investigate the safety and effectiveness of balloon occlusion and intra-sac thrombin injection in the endovascular repair of ruptured abdominal aortic aneurysm.
Methods: From October 2019 to October 2022, the clinical data of 16 patients with rAAA treated with balloon occlusion technique and intra-sac thrombin injection combined with EVAR were retrospectively analyzed, including 13 males and 3 females, aged 42-85 years, with a median age of 70.5 years.
Ann Vasc Surg
November 2024
Center of Healthcare Expertise/Competence and Development Services, Hospital Nova of Central Finland, Wellbeing Services County of Central Finland, Jyväskylä, Finland.
Background: Opportunities to practice emergency laparotomy (EL) and open surgical repair (OSR) for a ruptured abdominal aortic aneurysm (rAAA) are limited. While simulation-based training (SBT) is effective in educating healthcare professionals in medical emergencies, SBT specifically in EL and OSR for rAAA is scarce. It takes a team to diagnose a patient with massive abdominal bleeding, such as in rAAA, to organize primary care, and to provide definite treatment without unnecessary delays.
View Article and Find Full Text PDFJ Clin Med
November 2024
University Heart and Vascular Center Hamburg, Department for Vascular Medicine, University Hospital Hamburg-Eppendorf, 20251 Hamburg, Germany.
Long-term gender-specific survival and cancer incidence in patients with ruptured abdominal aortic aneurysm (rAAA) were investigated after endovascular (EVAR) and open repair (OAR). : Data from 2933 patients (EVAR n = 1187, OAR n = 1746) from a health insurance company in Germany (men n = 2391, women n = 542) were analyzed. All patients were cancer-free in their history.
View Article and Find Full Text PDFEur J Vasc Endovasc Surg
November 2024
Department of Vascular Surgery, Rijnstate, Arnhem, the Netherlands; Department of Vascular Surgery, Albert Schweitzer Ziekenhuis, Dordrecht, the Netherlands; Department of Vascular Surgery, Isala, Zwolle, the Netherlands; Department of Vascular Surgery, Jeroen Bosch Ziekenhuis, 's- Hertogenbosch, the Netherlands; Department of Vascular Surgery, Maxima MC, Eindhoven, the Netherlands; Multi-Modality Medical Imaging Group, Techmed Centre, University of Twente, Enschede, the Netherlands.
Objective: This retrospective, multicentre, observational cohort study aimed to assess the long term quality of life, health status, and residential destination after successful treatment of a ruptured abdominal aortic aneurysm (rAAA) treated with endovascular aneurysm repair (EVAR) or open surgical repair (OSR).
Methods: Consecutive patients from five large teaching hospitals with a computed tomography confirmed rAAA from 1 January 2013 to 31 December 2018 were included. Mortality, morbidity, discharge destination, and residential destination through follow up were registered.
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