Two-Year Outcomes After Conventional or Endovascular Repair of Abdominal Aortic Aneurysms

Blankensteijn, Jan D.; Jong, Shiang-Bing; Prinssen, Monique

doi:10.1016/j.accreview.2005.08.255

Cited by 98 publications

(99 citation statements)

References 4 publications

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“…OR is the traditional method with a higher rate of immediate cardiovascular and pulmonary complications [1,2]. The cumulative survival rates seem to be similar after two years for OR and EVAR [2].…”

Section: Introductionmentioning

confidence: 90%

Health Related Quality of Life after Treatment of Abdominal Aortic Aneurysm with Open and Endovascular Techniques—A Two-Year Follow Up

Pettersson¹,

Bergbom²,

Mattsson³

2012

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Background: Patients with Abdominal Aortic Aneurysm can be treated with two different surgical methods: Open Repair (OR) or Endovascular Aortic Repair (EVAR). These two different treatments can probably result in different sense of Health Related Quality of Life, both in a short term and a long term perspective. The purpose of this prospective study was to examine patients' Health Related Quality of Life after surgical treatment of Abdominal Aortic Aneurysm over two years using different instruments for the observations. Methods: Patients were invited consecutively to answer questionnaires before operation, and 1, 12 and 24 months after surgery. The study was conducted by using the Health Related Quality of Life questionnaires Short Form (SF-36) and Nottingham Health Profile (NHP). 76 patient (40 in the OR and 36 in the EVAR group) participated in the study. The mean age in the OR group were 68 years, range 52 -80 and in the EVAR group 75 years, range 65 -85. The results from these two groups of patients were compared to a matched reference group. Results: Both patients treated with EVAR and OR rated their Health Related Quality of Life significantly lower in the domain of Mental Health in relation to a matched reference population before surgery. This difference was not present two years after intervention. After one month Health related qualities of life were worse for the OR group. After two years significant improvements in relation to baseline were observed only among patients in the OR group. No such long-term benefits were seen in the EVAR group. Conclusions: As the component Mental Health seemed to be impaired for these study groups before surgery in relation to the matched reference group, nursing and doctors care actions may be of importance during the pre-operative phase. In the short perspective Health Related Quality of Life is worse for OR patients than the EVAR group but in the long term perspective improvements beyond preoperative status can only be seen with OR patients.

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Section: Introductionmentioning

confidence: 90%

Health Related Quality of Life after Treatment of Abdominal Aortic Aneurysm with Open and Endovascular Techniques—A Two-Year Follow Up

Pettersson¹,

Bergbom²,

Mattsson³

2012

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“…A prótese endovascular é posicionada dentro do aneurisma, como mostrado na figura 1, sob controle radiológico necessitando para isso equipe multidisciplinar, composta de radiologista intervencionista, cirurgião vascular e anestesiologista 10 . As suas principais vantagens (Quadro I) resi- [10][11][12][13][14][15][16] . Outro problema diz respeito aos custos, pois se por um lado existe uma diminuição da permanência hospitalar, por outro o preço da prótese é elevado, acarretando custo final mais alto que o procedimento aberto 19 .…”

Section: Introductionunclassified

“…However, there are controversies about the mediumand long term benefits of this procedure. In the medical literature, several studies question the durability of the stents, as well as the late mortality; other studies have demonstrated similar immediate mortality besides a higher incidence of reoperations [10][11][12][13][14][15][16] . Another problem is related with cost issues because, on the one hand it decreases the length of hospitalization but on the other hand the stent is very expensive, which results in a higher cost than the open procedure 19 .…”

Section: Introductionmentioning

confidence: 99%

Anestesia para intervenção cirúrgica endovascular na aorta abdominal

Lorentz

Boni

Soares

2008

Rev. Bras. Anestesiol.

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Rev Bras AnestesiolARTIGO DE REVISÃO 2008; 58: 5: 520-532 REVIEW ARTICLE RESUMO Lorentz MN, Boni CLA, Soares RR -Anestesia para Intervenção Cirúrgica Endovascular na Aorta Abdominal. JUSTIFICATIVA E OBJETIVOS:O procedimento endovascular para correção de aneurisma de aorta é menos invasivo que o convencional, além de apresentar outras vantagens, como ausência de incisão abdominal, ausência de pinçamento da aorta e menor tempo de recuperação pós-operatória. Por se tratar de procedimento cirúrgico relativamente novo e apresentar uma série de alterações que devem ser conhecidas pelo anestesiologista foi realizado este trabalho com o objetivo de revisar os aspectos mais relevantes do procedimento endovascular e possibilitar manuseio anestésico mais adequado no perioperatório. CONTEÚDO:Apresentação sucinta da técnica cirúrgica para reparo de aneurismas via endovascular, as possíveis vantagens e desvantagens do procedimento, bem como as complicações potenciais. Além disso, foram abordados os cuidados perioperatórios que o procedimento exige e as técnicas anestésicas que podem ser utilizadas. CONCLUSÕES:O conhecimento das alterações provenientes do procedimento endovascular possibilita conduta anestésica mais adequada e melhora dos resultados perioperatórios nesses pacientes.Unitermos: CIRURGIA, Vascular; DOENÇA, Vascular: aneurisma. SUMMARYLorentz MN, Boni CLA, Soares RR -Anesthesia for Endovascular Surgery of the Abdominal Aorta. BACKGROUND AND OBJECTIVES:Endovascular surgery for aneurism of the aorta is less invasive than the conventional procedure besides other advantages such as the absence of abdominal incision, absence of ligature of the aorta, and reduced postoperative recovery time. Since it is a relatively new procedure and to presenting a series of changes that should be known by the anesthesiologist, the objective of this report was to review the most relevant aspects of endovascular surgery, allowing more adequate perioperative anesthetic management. CONTENTS:A brief description of the technique of endovascular aneurism repair, possible vantages and disadvantages of its use, as well as potential complications are discussed. CONCLUSIONS:Knowledge of the changes secondary to the endovascular procedure allows a more adequate anesthetic conduct and improves the postoperative results in those patients.

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“…In the first case renal function after endovascular procedure usually returns to normal spontaneously. Other systemic complications presented in OAR may be manifested in EVAR as well (15,16,17,18,19,20) (11). One of the latest study assessed long-term outcomes of EVAR versus OAR in 9-year observation in the patients following AAA repair.…”

Section: Endovascular Aneurysm Repair or Open Aneurysm Repair For Thementioning

confidence: 99%

Endovascular Aneurysm Repair or Open Aneurysm Repair for the Treatment of Abdominal Aortic Aneurysm – The Latest Update

Kulig¹,

Lewandowski²,

Ziaja³

et al. 2016

Polish Journal of Surgery

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Two-Year Outcomes After Conventional or Endovascular Repair of Abdominal Aortic Aneurysms

Cited by 98 publications

References 4 publications

Health Related Quality of Life after Treatment of Abdominal Aortic Aneurysm with Open and Endovascular Techniques—A Two-Year Follow Up

Health Related Quality of Life after Treatment of Abdominal Aortic Aneurysm with Open and Endovascular Techniques—A Two-Year Follow Up

Anestesia para intervenção cirúrgica endovascular na aorta abdominal

Endovascular Aneurysm Repair or Open Aneurysm Repair for the Treatment of Abdominal Aortic Aneurysm – The Latest Update

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