“…2,5,[8][9][10] The cost-effectiveness of endovascular AAA repair needs further assessment. [11][12][13][14][15][16] We conclude from this study that there is biochemical evidence of previously underestimated myocardial damage associated with elective AAA repair regardless of the type of repair. This subclinical damage is probably significantly less with endovascular than with open repair.…”
There is a previously underestimated incidence of subclinical myocardial damage associated with surgery for infrarenal AAA which is lower after endovascular than open repair.
“…2,5,[8][9][10] The cost-effectiveness of endovascular AAA repair needs further assessment. [11][12][13][14][15][16] We conclude from this study that there is biochemical evidence of previously underestimated myocardial damage associated with elective AAA repair regardless of the type of repair. This subclinical damage is probably significantly less with endovascular than with open repair.…”
There is a previously underestimated incidence of subclinical myocardial damage associated with surgery for infrarenal AAA which is lower after endovascular than open repair.
“…After the patient's vital signs were restored, they carried out a definite open surgical procedure. Larzon et al 2 reported that a transfemoral aortic occlusion balloon was effective in a patient with CPA following a ruptured TAA. Initially, they inserted an aortic occlusion balloon without fluoroscopy guidance.…”
Section: Dear Editormentioning
confidence: 99%
“…Atsushi Kotera, 1 Shinsuke Iwashita, 1 Shunji Kasaoka, 1 Ken Okamoto, 2 Hisashi Sakaguchi, 2 Michio Kawasuji, 2 Katsuyuki Sagishima, 3 Hidenobu Kamohara, 3 and Yoshihiro Kinoshita 3 Departments of 1 Emergency and General Medicine,…”
“…Human studies, with the exception of some case reports, are lacking, but may be initiated in the near future because of the recent advancement of endovascular methods, in particular endovascular resuscitation, in emergency patients (20–23). In a patient with a ruptured thoracic aortic aneurysm in cardiac arrest, endovascular aortic occlusion was successfully initiated during cardiopulmonary resuscitation (CPR) (24). There is an urgent need of novel treatment modalities for nontraumatic and nonhemorrhagic out-of-hospital cardiac arrest because of a low rate of survival to hospital discharge (25, 26).…”
Thoracic aortic occlusion in zone Ic during CPR may be more effective in increasing systemic arterial pressures than occlusion in zone Ib. REBOA during CPR was found to be associated with a more favorable acid-base status of circulating blood. If REBOA is used as an adjunct in CPR, it may be of importance to carefully determine the aortic occlusion level.The study was performed following approval of the Regional Animal Ethics Committee in Linköping, Sweden (application ID 418).
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