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Thursday, April 30, 2020 | History

5 edition of Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm found in the catalog.

Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm

Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm

  • 241 Want to read
  • 4 Currently reading

Published by Agency for Healthcare Research Quality, Public Health Service, U.S. Dept. of Health and Human Services in Rockville, MD .
Written in English

    Subjects:
  • Aortic Aneurysm, Abdominal -- mortality,
  • Aortic Aneurysm, Abdominal -- surgery,
  • Costs and Cost Analysis,
  • Surgical Procedures, Minimally Invasive -- methods,
  • Treatment Outcome,
  • Vascular Surgical Procedures -- methods,
  • Evidence-Based Medicine -- methods,
  • Abdominal aneurysm -- Surgery,
  • Abdominal aneurysm -- Endoscopic surgery,
  • Evidence-based medicine

  • Edition Notes

    Statementprepared for Agency for Healthcare Research Quality, U.S. Department of Health and Human Services ; prepared by University of Minnesota Evidence-based Practice Center ; investigators, Timothy J. Wilt ... [et al.].
    SeriesEvidence report/technology assessment -- no. 144, AHRQ publication -- no. 06-E017
    ContributionsWilt, Timothy J., Minnesota Evidence-based Practice Center., United States. Agency for Healthcare Research and Quality.
    Classifications
    LC ClassificationsRD540.3 .C66 2006
    The Physical Object
    Paginationix, 113 p. :
    Number of Pages113
    ID Numbers
    Open LibraryOL14762609M
    ISBN 101587631989
    ISBN 109781587631986
    LC Control Number2006475981
    OCLC/WorldCa82772512

    To compare early and late functional outcomes, as well as survival and recovery, following endovascular or open repair of abdominal aortic aneurysm (AAA).Between and , patients underwent AAA repair ( open and endovascular); 57 patients from each group had month follow-up for functional outcome assessment.   Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet ; ()– Crossref | PubMed; Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled : Ian Wee, Nicholas Syn, Andrew Mtl Choong, Singapore Vascular Surgical Collaborative SingVaSC. Enter search terms. Keep search filters New search. Advanced search. Surgical Outcomes Analysis and Research: | | Surgical Outcomes Analysis & Research (SOAR) | | | World Heritage Encyclopedia, the aggregation of the largest online encyclopedias available, and the most definitive collection ever assembled.


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Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm Download PDF EPUB FB2

Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm. Timothy J Wilt, Frank A Lederle, Roderick Macdonald, Yvonne C Jonk, Randomized controlled trials (RCT) of open surgical repair (OSR), EVAR, or active surveillance, systematic reviews, nonrandomized U.S.

trials, and national registries were used to assess Cited by: Comparison of Endovascular and Open Surgical Repairs for Abdominal Aortic Aneurysm: Evidence Report/Technology Assessment Number [Human Services, U.S. Department of Health and, and Quality, Agency for Healthcare Research] on *FREE* shipping on qualifying offers.

Comparison of Endovascular and Open Surgical Repairs for Abdominal Author: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. Conclusions: In this large, randomized trial, endovascular repair of abdominal aortic aneurysm was associated with a significantly lower operative mortality than open surgical repair.

Get this from a library. Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm. [Timothy J Wilt; Minnesota Evidence-based Practice Center.; United States.

Agency for Healthcare Research and Quality.;]. Background: Whether elective endovascular repair of abdominal aortic aneurysm reduces long-term morbidity and mortality, as compared with traditional open repair, remains uncertain. An abdominal aortic aneurysm (AAA) is defined as an aortic diameter at least one and one-half times the normal diameter at the level of the renal arteries, which is approximately cm.

Thus, generally, a segment of abdominal aorta with a Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm book of greater than cm is considered an aortic aneurysm (1, 2).Cited by: Endovascular aneurysm repair (EVAR), is a type of endovascular surgery used to treat pathology of the aorta, most commonly an abdominal aortic aneurysm (AAA).

When used to treat thoracic aortic disease, the procedure is then specifically termed TEVAR for "thoracic endovascular aortic/aneurysm repair." The procedure involves the placement of an expandable stent graft ICDCM:, Comparison of open surgical techniques for repair of types III and IV thoracoabdominal aortic aneurysms.

Presented at Peripheral Vascular Surgery Society Annual Meeting in San Francisco, Calif,in the Plenary by: 2. Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm book Introduction. Endovascular aneurysm repair (EVAR) offers a short-term benefit over open repair for the management of large abdominal aortic aneurysms (AAA).1, 2 However, data from registries—eg, EUROSTAR (European Collaborators Registry on Stent-graft Techniques for AAA Repair) and RETA (Registry for Endovascular Treatment of Aneurysms)3, 4—indicate the Cited by: INTRODUCTION.

Popliteal artery aneurysm presents in a variety of patients are asymptomatic, while others have symptoms referable to the aneurysm such as pain with ambulation (claudication) or acute limb ischemia due to aneurysm thrombosis or distal embolization [].When popliteal aneurysm repair is indicated, an open surgical Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm book endovascular.

Compared with open repair, EVAR offers no advantage with respect to all-cause mortality and HRQL, is more expensive, and leads to a greater number of complications and reinterventions.

However, it does result in a 3% better aneurysm-related survival. The continuing need for interventions mandates ongoing surveillance and longer follow-up of EVAR for detailed cost. Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm book   Wilt TJ, Lederle FA, Macdonald R, et al.

Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm. Evid Cited by: 1. A propensity-matched comparison of outcomes for fenestrated endovascular aneurysm repair and open surgical repair of complex abdominal aortic aneurysms J Vasc Surg, 60 (), pp.

Google ScholarAuthor: David Lindström, David Lindström, Heidi Kettunen, Jan Engström, Göran Lundberg. Lederle FA, Freischlag LA, Kyriakides TC, et al. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm.

N Eng J Med ;– Crossref | PubMed; Henriksen NA, Helgstrand F, Vogt KC, et al. Risk factors for incisional hernia repair after aortic reconstructive surgery in a nationwide study. J Vasc Surg ;57 Author: Thuy-My Nguyen, Saissan Rajendran, Kilian Gm Brown, Prakash Saha, Raffi Qasabian.

Abdominal aortic aneurysm affects % of men and 1,3% of women (Cosworth & Leng, ).Current treatment of aortic aneurysm is going through rapid changes. The first successful open repair with a homograft was performed in (Dubost et al.

).Initially, the aneurysm wall was completely removed which could lead to major by: 2. Female gender and age have long been known to influence the quality of endovascular access, and a recent study demonstrated that ethnicity (Asian ancestry) may also play a role. 4,5 The European Collaborators on Stent-Graft Techniques Abdominal Aortic Aneurysm Repair (Eurostar) registry reported access problems in 13% of patients selected for Author: Vahid Etezadi, Barry T Katzen.

Since the first reported endovascular abdominal aortic aneurysm repair (EVAR) by Parodi in1 the approach to the treatment of aneurysmal pathology has changed. The old concept of substitution of the aneurysmal aorta has been replaced by the new and challenging concept of exclusion, in order to pursue the same aim of preventing or treating aneurysm : Laura Capoccia, Vincent Riambau.

Cheng D, Martin J, Shennib H, et al. Endovascular aortic repair versus open surgical repair for descending thoracic aortic disease a systematic review and meta-analysis of comparative studies. J Am Coll Cardiol. ;55(10)– Mehta M, Darling RC, Taggert JB, et al. Outcomes of planned celiac artery coverage during TEVAR.

For treatment of asymptomatic abdominal aortic aneurysm (AAA) open (OR) and endovascular repair (EVAR) are equally effective with terms of long-term outcome.

However, EVAR has replaced OR in a high percentage due to lower perioperative morbidity and mortality, which has shown to be particularly important in patients of advanced by: 2. Abdominal aortic aneurysm (AAA) is rare in people aged less than 50 years, but prevalence then rises sharply with increasing age.

Abdominal aortic aneurysm affects approximately 4–7% of men and 1–2% of women over the age of 65 years. 2–5 Established risk factors for AAA include advancing age, male gender, smoking and family history (Table. @article{osti_, title = {Endovascular Aneurysm Repair: Current and Future Status}, author = {Hinchliffe, R.

J., E-mail: [email protected] and Ivancev, K.}, abstractNote = {Endovascular aneurysm repair has rapidly expanded since its introduction in the early s.

Early experiences were associated with high rates of complications including conversion to. Abstract. PurposeThe purpose of this study was to evaluate medium-term outcomes following endovascular repair of abdominal aortic aneurysms (EVAR) with unfavourable neck anatomy using stent grafts with a 36 mm or larger proximal als and MethodsA retrospective review of 27 patients who underwent elective EVAR between and using a stent Author: Saha, Prakash.

The Quality of Surgical Care Project: Benchmark standards of open resection for abdominal aortic aneurysm in Western Australia. Aust N Z J Surg. ; [5] The EVAR trial participants. EVAR-1 (EndoVascular Aneurysm Repair): EVAR vs open repair in patients with abdomial aortic aneurym.

Lancet. ; Long-term results of abdominal aortic aneurysm (AAA) endovascular repair are affected by graft design renewals that tend to improve the performance of older generation prostheses but usually reset the follow-up times to zero. The present study investigated the long-term outcomes of endovascular AAA repair (EVAR) using the Zenith graft, still in use without major modification, Cited by: Lederle FA, Freischag JA, Kyriakides TC, et al, Long-term comparison of endovascular and open repair of abdominal aortic aneurysm.

NEJM ; – DOI: /NEJMoa This randomized controlled trial, the endovascular aortic aneurysm repair (EVAR) trial 2, compared outcomes of EVAR and medical management of abdominal aortic aneurysm in patients who were deemed high risk and unfit for open repair.

Three hundred thirty-eight patients were enrolled and randomized to undergo either EVAR or medical therapy alone.

Endpoints were all. Grieve R, Gomes M, Sweeting MJ, et al. Endovascular strategy or open repair for ruptured abdominal aortic aneurysm: one-year outcomes from the IMPROVE randomized trial. Eur Heart J. ;36(31)– [PubMed: ] +. Coselli is especially attuned to the needs of international patients, and he routinely provides expert care to patients throughout the world.

He has performed more than 7, surgical repairs of the aorta and over 3, open repairs of the thoracoabdominal aorta, for which he is the world’s most experienced surgeon. Surgical repair involves opening the chest to expose the aorta in the area of the aneurysm.

A heart-lung machine is connected to maintain circulation while the surgeon removes the diseased portion of the aorta. Clamps are placed above and below the aneurysm, which is then cut out and removed.

A fabric tube, or graft, is sewn onto both cut ends. Abdominal Aortic Aneurysm in Portuguese Mainland State Hospitals: Regional Variations of Treatment Choice and In-Hospital Mortality Description: Prediction of day mortality after endovascular repair or open surgery in patients with ruptured abdominal type of abdominal aortic aneurysm (ruptured or.

However, the accuracy of palpation depends on the width of the aneurysm and the patient's abdominal girth. 11 Abdominal palpation has only a moderate overall ability in detecting smaller AAAs, but does appear very useful in identifying aneurysms large enough to warrant elective repairs.

11, 28, 29 The sensitivity of palpation in patients with Cited by: 4. Aortic aneurysms (AA) can be the primary cause of o deaths and indirect cause for anot deaths annually in the USA as per the recent data released by the Centers for Disease Control and Prevention.

Among the several factors related to high mortality, imaging methods and intervention procedures could be important. The commonly used diagnostic Author: Abdullah Al Amoudi, Shankar Srinivasan, Mohamed Yacin Sikkandar.

Endovascular versus open surgical repair of morphologically matched infrarenal abdominal aortic aneurysms. Journal of Endovascular Therapy Jun; 9(3) Lee WA, Wolf YG, Hill BB, Cipriano P, Fogarty TJ, Zarins CK.

The first endovascular AAA repairs at a single institution: how steep is the learning curve. J Endovasc Ther Jun. - Endovascular Aneurysm Repair: It follows a similar procedure like that of TEVAR and is used to effectively treat patients with the abdominal aortic aneurysm.

- Fenestrated Endovascular Aneurysm Repair: A small incision made in the groin helps in the placement of a stent-graft to preserve blood flow to the kidneys, intestines, stomach and liver. Study Rundown: Ruptured abdominal aortic aneurysms (rAAA) are frequently fatal and have high mortality rates even with surgical intervention.

This study compared the outcomes of patients with rAAA in England and the USA from to and found that the overall in-hospital mortality was significantly lower in the USA.

An operation is the only solution when the size of an aneurysm is above 5 centimeters. The chance for a rupture is high in this case, and doctors tend to attend to the situation immediately.

An operation includes an open repair or endovascular repair procedure. Selecting between the two procedures depends on several factors, such as. This manual is designed to serve as the standard for the management of patients with ruptured abdominal aortic aneurysm (AAA) by means of modern techniques.

All aspects are covered, from pathogenesis, clinical presentation, and diagnosis through to initial management, operative strategies, postoperative complications, outcomes and quality of life issues. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG () EVAR trial participants.

Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), day operative mortality results: randomised controlled Author: Ezgi Erkiliç, Elvin Kesimci, Cihan Döğer, Tülin Gümüş, Abdullah Yalçin, Orhan Kanbak.

Rupture after endovascular abdominal aortic aneurysm repair: A late challenge. Speaker: Nelson A comparison of survival after endovascular and open repairs of unruptured elective infrarenal abdominal aortic aneurysms in octogenarians Long-term outcomes of surgical, endovascular and hybrid treatment of aortoiliac occlusive disease in.

Of the patients who underwent open AAA repair, % were male, with a mean age of ± years. Mean aneurysm size was ± cm; % of repairs were urgent or emergent. An infrarenal aortic clamp was required in %, a suprarenal clamp in %, and a supraceliac clamp in %.

Thoracoabdominal aortic aneurysm – toward consensus. Aortic arch reconstruction update. Vascular and Pdf Consensus Update.

Charing Cross International Symposium. London: BIBA Mastracci TM, Clase CM, Devereaux PJ, Cinà CS Open Versus Endovascular Repair of Abdominal Aortic Aneurysms: A Survey of Canadian Vascular Surgeons.Six years after randomization, endovascular and open repair of abdominal aortic aneurysm resulted in similar rates of survival.

The rate of secondary interventions was significantly higher for endovascular repair. 1: Greenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D, Sculpher MJ. Endovascular versus open repair of abdominal aortic.An abdominal aortic aneurysm (AAA) ebook the other hand still can be dealt with in the traditional fashion using an open approach and placing a synthetic graft or now more recently with endoluminal stenting.

Endovascular repairs are rapidly .