Trends in management of abdominal aortic aneurysms

Abstract

This 10-year analysis shows a significant shift toward an endovascular approach in the repair of infrarenal AAAs at our Canadian center. Similar to other jurisdictions, higher risk and older patients are more likely to be treated with an endovascular repair resulting in a survival advantage in these patients compared to standard open repair.

Open vs. endovascular repair of abdominal aortic aneurysm: a comparative analysis

“…The differences are greater for our ET group results, since patients were older and had higher rates of heart disease and coronary disease, which are important predictors of mortality in AAA treatment. 6,16,35,36 The higher number of patients with dialytic acute renal failure in the OS group is probably related to the higher prevalence, among our patients, of complex aneurysms, requiring clamping above the renal arteries or even reimplantation of the renal arteries. Notwithstanding, with the development of branched and fenestrated stents, in addition to new endovascular techniques, there is a trend for increased proportions of patients with unfavorable characteristics to be treated with ET; however, no comparative studies have been published to date.…”

“…However, publications giving long-term data from these studies did not report significant difference in long-term survival. 16,[32][33][34][35] Although the choice of treatment took into consideration clinical and anatomic characteristics, the fact that our sample was composed of a majority of patients with high surgical risk appears to have contributed to higher mortality rates than reported by the large-scale studies. The differences are greater for our ET group results, since patients were older and had higher rates of heart disease and coronary disease, which are important predictors of mortality in AAA treatment.…”

Determination of Patient Preference for Location of Elective Abdominal Aortic Aneurysm Surgery

“…6 This method of utility measurement is subject to good validity. 10 For the purpose of this study, risk of postoperative mortality at our center was set at 2%.…”

Entwöhnung von der Langzeitbeatmung: Daten eines Weaningzentrums von 2007 bis 2011

“…Gründe sind die Verbesserung des Notarztsystems, wodurch mehr Menschen überleben -wenn auch schwerer krank [4,23] -und die verbesserte Gesundheitsversorgung. Letztere führt vermehrt zu älteren und kränkeren Patienten, die dann auch häufiger als früher operiert werden [1,10,26]. Zusätzlich werden viele Patienten in die außerklinische invasive Beatmung entlassen, ohne dass vorher in einem Weaningzentrum ein Entwöhnungsversuch gemacht wurde [12].…”