The surgical experience and a one to sixteen year follow-up of 277 abdominal aortic aneurysms

Gardner, R. J McKinlay; Gardner, Nancy L.; Tarnay, Thomas J.; Warden, Herbert E.; James, Edwin C.; Watne, Alvin L.

doi:10.1016/0002-9610(78)90105-8

Cited by 51 publications

(11 citation statements)

References 12 publications

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“…7 and 8). Endovascular stented grafts were successfully placed in 11 patients who had a total of 14 iliac artery aneurysms, in 2 patients with popliteal artery aneurysms, and in 1 patient with a subclavian artery aneurysm. One endovascular graft inserted to treat a complex iliac artery aneurysm thrombosed at 9 months, and limb salvage was achieved with an axillobifemoral bypass.…”

Section: Peripheral Artery Aneurysmsmentioning

confidence: 99%

Initial Experience with Transluminally Placed Endovascular Grafts for the Treatment of Complex Vascular Lesions

et al. 1995

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ResultsTechnical and clinical successes were achieved in 91% of the patients with aneurysms, 91% with occlusive lesions, and 100% with traumatic arterial lesions. These patients and grafts have been followed from 1 to 30 months (mean, 13 months). The primary and secondary patency rates at 18 months for aortoiliac occlusions were 77% and 95%, respectively. The 18-month limb salvage rate was 98%. Immediately after aortic aneurysm exclusion, a total of 6 (33%) perigraft channels were detected; 3 of these closed within 8 weeks. Endovascular stented graft procedures were associated with a 10% major and a 14% minor complication rate. The overall 30-day mortality rate for this entire series was 6%. ConclusionsThis initial experience with endovascular graft repair of complex arterial lesions justifies further use and careful evaluation of this technique for major arterial reconstruction. 449

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Section: Peripheral Artery Aneurysmsmentioning

confidence: 99%

Initial Experience with Transluminally Placed Endovascular Grafts for the Treatment of Complex Vascular Lesions

et al. 1995

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“…Factors that reduced operative time and, more importantly, aortic cross-clamp time were preferential use of tube grafts despite the presence of limited iliac aneurysms (<3 cm) and experienced vascular surgeons. In addition, there were no major intraoperative complications such as cardiac arrest, 14,15 venous injury, 12 and intestinal or splenic injury. 4 Hypothermia is a problem frequently encountered in patients undergoing RAAA repair and has been found to be associated with coagulopathy, acidosis, and decreased oxygen delivery.…”

Section: Discussionmentioning

confidence: 94%

Ruptured Versus Elective Abdominal Aortic Aneurysm Repair: Outcome and Cost

Ascher

Scheinman

DePippo

et al. 1999

Annals of Vascular Surgery

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“…Alter fiber 80 Jahre bedeutete eine Verdreifachung der Frfihletalit/it gegenfiber den Jfingeren [4,6,8,12]. Der zweifellos bedrohlichste Umstand war der Eintritt der Ruptur [4,5,6,12,17]. Aneurysmen oder Stenosen der Nierenarterien bewirkten ebenso eine wesentliche Erh6hung der Friihletalit/it wie ein Aneurysmadurchmesser von mehr als 6 cm [4,12].…”

Section: Diskussionunclassified

Langzeitnachkontrolle von Patienten mit asymptomatischen und symptomatischen Bauchaortenaneurysmen

Ruckert

Meier

Senning

1980

Langenbecks Arch Chiv

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In a retrospective study, 268 patients with all three types of abdominal aortic aneurysms (AAA) were analyzed. They had been seen at the Surgical Clinic A of the University Hospital in Zurich, Switzerland, from 1961 through 1977. The follow-up included 97% of the surgical and all nonsurgical cases. This report is based on the analysis of the 167 surgically and 16 nonsurgically treated patients with asymptomatic (I) or expanding (II) AAA. Of the 16 patients not operated on, 15 died after a mean time of 13 months after examination, 57% due to rupture and 29% because of coronary heart disease. In the operative group, the 30-day perioperative mortality was 7% for the asymptomatic AAA and 14% for the expanding. Late mortality reached 25% for type I and 37% for type II after a mean survival time of 50 months. Of all surgically treated patients, 58% could be examined 1-14 (mean 4) years after aneurysmectomy. The cumulative survival rate for the 5th year reached 73% in the surgical asymptomatic group and 48% in the expanding or 62% for both; the nonsurgical group had a survival rate of only 6%. The results of the long-term follow-up are described in detail as well as the various factors related to arteriosclerosis or to surgery with statistically significant influence on prognosis. Comparison of the late results of all three types of AAA and confrontation with the spontaneous course of the disease emphasize the importance of early indication for operation.

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The surgical experience and a one to sixteen year follow-up of 277 abdominal aortic aneurysms

Cited by 51 publications

References 12 publications

Initial Experience with Transluminally Placed Endovascular Grafts for the Treatment of Complex Vascular Lesions

Initial Experience with Transluminally Placed Endovascular Grafts for the Treatment of Complex Vascular Lesions

Ruptured Versus Elective Abdominal Aortic Aneurysm Repair: Outcome and Cost

Langzeitnachkontrolle von Patienten mit asymptomatischen und symptomatischen Bauchaortenaneurysmen

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