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Abdominal Aortic Aneurysm

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21. Measuring of Abdominal Aortic Aneurysm with Three-Dimensional Computed Tomography Reconstruction before Endovascular Aortic Aneurysm Repair (PubMed)

Measuring of Abdominal Aortic Aneurysm with Three-Dimensional Computed Tomography Reconstruction before Endovascular Aortic Aneurysm Repair Conventional computed tomography (CT) is the gold standard method for case planning for endovascular aortic aneurysm repair (EVAR). However, aortography with a marking catheter is needed for measuring the actual length of an aneurysm. With advances in imaging technology, a 3-dimensional (3D) workstation can obviate the need for the aortography (...) . The objective of this study was to determine whether a 3D workstation could obviate the need for aortography for EVAR.One vascular surgeon and 1 interventional radiologist retrospectively assessed axial CT scans and reformatted the 3D CT scans by using the iNtuition workstation (TeraRecon Inc., San Mateo, CA, USA) for 25 patients who underwent EVAR. Four measurements of diameter and length were obtained from each modality. The actual length of an aneurysm for the proper graft was decided by 2 observers

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2017 Vascular specialist international

22. Calculating when elective abdominal aortic aneurysm repair improves survival for individual patients: development of the Aneurysm Repair Decision Aid and economic evaluation

Calculating when elective abdominal aortic aneurysm repair improves survival for individual patients: development of the Aneurysm Repair Decision Aid and economic evaluation Calculating when elective abdominal aortic aneurysm repair improves survival for individual patients: development of the Aneurysm Repair Decision Aid and economic evaluation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you

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2015 NIHR HTA programme

23. Pulsatile Abdominal Mass, Suspected Abdominal Aortic Aneurysm

Pulsatile Abdominal Mass, Suspected Abdominal Aortic Aneurysm Revised 2016 ACR Appropriateness Criteria ® 1 Pulsatile Abdominal Mass, Suspected AAA American College of Radiology ACR Appropriateness Criteria ® Pulsatile Abdominal Mass, Suspected Abdominal Aortic Aneurysm Variant 1: Pulsatile abdominal mass, suspected abdominal aortic aneurysm. Radiologic Procedure Rating Comments RRL* US aorta abdomen 9 O CTA abdomen with IV contrast 8 ??? MRA abdomen without and with IV contrast 8 O CT abdomen (...) without IV contrast 7 ??? CT abdomen with IV contrast 7 ??? CT abdomen without and with IV contrast 7 ???? MRA abdomen without IV contrast 7 O Aortography abdomen 4 ??? FDG-PET/CT abdomen 2 ???? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Pulsatile Abdominal Mass, Suspected AAA PULSATILE ABDOMINAL MASS, SUSPECTED ABDOMINAL AORTIC ANEURYSM Expert Panel on Vascular Imaging: Stephen P. Reis, MD

2016 American College of Radiology

24. Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm Canadian Task Force on Preventive Health Care | Abdominal Aortic Aneurysm (2017) English Menu Get Involved Abdominal Aortic Aneurysm (2017) Abdominal Aortic Aneurysm (2017) Click to view article Tools Additional Documents Click to see additional documents Endorsements This Clinical Practice Guideline has been endorsed by the Nurse Practitioners’ Association of Canada (NPAC). This clinical practice guideline has been endorsed by the College of Family Physicians (...) for Abdominal Aortic Aneurysm (AAA) with ultrasound reduces the risk of AAA-related mortality, rupture and emergency repair. On the other hand, screening can also lead to identification of AAAs that would never rupture and increases the number of elective repairs which are conducted. The prevalence of AAA in screened populations has declined since these RCTs were conducted, which would reduce the absolute benefit of screening from that reported in the trials. Despite evidence showing increased risk of AAA

2017 Canadian Task Force on Preventive Health Care

25. Transperitoneal versus retroperitoneal approach for elective open abdominal aortic aneurysm repair. (PubMed)

Transperitoneal versus retroperitoneal approach for elective open abdominal aortic aneurysm repair. There has been extensive debate in the surgical literature regarding the optimum surgical access approach to the infrarenal abdominal aorta during an operation to repair an abdominal aortic aneurysm. The published trials comparing retroperitoneal (RP) and transperitoneal (TP) aortic surgery show conflicting results.To assess the effectiveness and safety of the transperitoneal versus (...) retroperitoneal approach for elective open abdominal aortic aneurysm repair on mortality, complications, hospital stay and blood loss.The Cochrane Vascular Trials Search Co-ordinator searched the Cochrane Vascular Specialised Register (last searched May 2015) and CENTRAL (2015, Issue 4) and trials databases (May 2015). The review authors searched the Chinese Biomedical Literature Database and other resources including clinical trials registers.We included randomized controlled trials (RCTs) that assessed

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2016 Cochrane

26. Intravenous heparin during ruptured abdominal aortic aneurysmal repair. (PubMed)

Intravenous heparin during ruptured abdominal aortic aneurysmal repair. There have been enormous advances in the screening, diagnosis, intervention and overall prognosis of abdominal aortic aneurysms (AAAs) in the last decade, but despite these, ruptured AAAs (rAAAs) still cause around 3500 to 6000 deaths in England and Wales each year. Open repair remains standard treatment for rAAA in most centres but increasingly endovascular aneurysm repair (EVAR) is being adopted. This has a 30-day (...) has been demonstrated in elective repairs.The primary objective was to assess the effect of intravenous heparin on all-cause mortality in ruptured abdominal aortic aneurysm (rAAA) management in people undergoing an emergency repair.The secondary objectives were to assess the effect of intravenous heparin in rAAA management on the incidence of general arterial disease, for example, cardiovascular, cerebral, pulmonary and renal pathologies, in people undergoing emergency repair.The Cochrane Vascular

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2016 Cochrane

27. Controlled hypotension versus normotensive resuscitation strategy for people with ruptured abdominal aortic aneurysm. (PubMed)

Controlled hypotension versus normotensive resuscitation strategy for people with ruptured abdominal aortic aneurysm. An abdominal aortic aneurysm (AAA) is the pathological enlargement of the aorta and can develop in both men and women. Progressive aneurysm enlargement can lead to rupture. The rupture of an AAA is frequently fatal and accounts for the death from haemorrhagic shock of at least 45 people per 100,000 population. The outcome of people with ruptured AAA varies among countries (...) for potential inclusion in the review. We used standard methodological procedures in accordance with the Cochrane Handbook for Systematic Review of Interventions.We identified no RCTs that met the inclusion criteria.We found no RCTs that compared controlled hypotension and normotensive resuscitation strategies in the management of haemorrhagic shock in patients with ruptured abdominal aortic aneurysm that assessed mortality, presence of coagulopathy, intensive care unit length of stay, and the presence

2016 Cochrane

28. Long-term outcome of sac filling with fibrin sealant after endovascular aneurysm repair of abdominal aortic aneurysm with challenging aortic neck anatomy. (PubMed)

Long-term outcome of sac filling with fibrin sealant after endovascular aneurysm repair of abdominal aortic aneurysm with challenging aortic neck anatomy. A retrospective single-center study is reported here to assess the safety and long-term effectiveness of applying a fibrin sealant (FS) sac-filling strategy to eliminate type IA endoleak (TIAE) after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm.Characteristics of abdominal aortic aneurysm patients who had challenging (...) proximal aortic neck anatomy (short or angulated) and underwent FS sac filling to resolve TIAE after traditional EVAR in Changhai Hospital between December 2006 and July 2010 were collected and reviewed. Intrasac pressure was measured with a preloaded catheter before and after FS filling to observe the immediate curative effect. The 7- to 10-year long-term effect was evaluated on the basis of the occurrence of endoleak, maximum aneurysm diameter, all-cause mortality, and other severe complications

2019 Journal of Vascular Surgery

29. CRACKCast E086 – Abdominal Aortic Aneurysm

CRACKCast E086 – Abdominal Aortic Aneurysm CRACKCast E086 - Abdominal Aortic Aneurysm - CanadiEM CRACKCast E086 – Abdominal Aortic Aneurysm In , , by Adam Thomas June 15, 2017 This episode of CRACKCast covers Rosen’s Chapter 86, Abdominal Aortic Aneurysm. This episode covers the diagnosis of Abdominal Aortic Aneurysm including the risk factors, red flags to watch out for, as well as treatment and management. Shownotes – Rosen’s in Perspective AAA = is a TRUE aneurysm in that it involves (...) the lumen / false lumens and any fistulae But contrast isn’t mandatory Helps see retroperitoneal hemorrhage and peri-aortic hematoma 1) List 6 presentations of an abdominal aortic aneurysm. The Natural Hx of AAA: enlarge→ rupture → hemorrhagic cardiac arrest Risk increases with size, most ruptures are > 5 cm Most (any anyone can!) rupture retroperitoneally But can rupture intraperitoneally, into the IVC, or into the GI tract Some can embolize clots and atheromatous material distally; others can erode

2017 CandiEM

30. Abdominal Aortic Aneurysm: Interventional Planning and Follow-up

Abdominal Aortic Aneurysm: Interventional Planning and Follow-up Revised 2017 ACR Appropriateness Criteria ® 1 AAA: Interventional Planning & Follow-Up American College of Radiology ACR Appropriateness Criteria ® Abdominal Aortic Aneurysm: Interventional Planning and Follow-up Variant 1: Planning for pre-endovascular repair (EVAR) or open repair of AAA. Procedure Appropriateness Category Relative Radiation Level CTA abdomen and pelvis with IV contrast Usually Appropriate ????? MRA abdomen (...) and pelvis without IV contrast and US aorta abdomen with duplex Doppler May Be Appropriate ??? MRA abdomen and pelvis without IV contrast May Be Appropriate O US aorta abdomen with duplex Doppler May Be Appropriate O CT abdomen and pelvis without IV contrast May Be Appropriate ??? CT abdomen and pelvis with IV contrast May Be Appropriate (Disagreement) ??? X-ray abdomen and pelvis May Be Appropriate ??? ACR Appropriateness Criteria ® 2 AAA: Interventional Planning & Follow-Up ABDOMINAL AORTIC ANEURYSM

2017 American College of Radiology

31. No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms

No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms Discover Portal Discover Portal No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms Published on 3 May 2016 doi: Open and keyhole surgery for repairing a ruptured abdominal aortic aneurysm show similar rates of death at three (...) months, though keyhole surgery leads to slightly shorter hospital stays. Women were found to benefit slightly more from the keyhole technique than men, according to this review and meta-analysis. An abdominal aortic aneurysm is a swelling of the aorta – the body’s main artery. Large aneurysms are rare but if they burst there is catastrophic bleeding. The traditional treatment for abdominal aortic aneurysm is open repair: keyhole repair (also known as endovascular repair or EVAR) is a less invasive

2019 NIHR Dissemination Centre

32. Abdominal aortic aneurysm screening for women is unlikely to be a fair use of NHS resources

Abdominal aortic aneurysm screening for women is unlikely to be a fair use of NHS resources Abdominal aortic aneurysm screening for women not cost effective Discover Portal Discover Portal Abdominal aortic aneurysm screening for women is unlikely to be a fair use of NHS resources Published on 13 November 2018 doi: Nearly 4,000 women would need screening to prevent one death, and a third of aneurysms detected wouldn’t have influenced the individual woman's health or lifespan. Aneurysm rupture (...) is a life-threatening emergency with low survival. Men are known to be at higher risk of an aneurysm and are offered screening at age 65 to allow early diagnosis of aneurysms large enough to warrant surgical repair. However, a third of deaths from rupture are in women. This NIHR-funded study is the first to model the potential benefits, harms and cost-effectiveness of abdominal aortic aneurysm screening in women. All screening scenarios were estimated to exceed the NHS cost-effectiveness threshold

2019 NIHR Dissemination Centre

33. Recommendations on screening for abdominal aortic aneurysm in primary care.

Recommendations on screening for abdominal aortic aneurysm in primary care. Recommendations on screening for abdominal aortic aneurysm in primary care. | National Guideline Clearinghouse success fail JUN 10 2017 2018 2019 14 Apr 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history and digital (...) at . TIMESTAMPS Search Sign In Username or Email * Password * Remember Me Don't have an account? The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be available to support the NGC as of that date. For additional information, read our . Guideline Summary NGC:011262 2017 Sep 11 NEATS Assessment Recommendations on screening for abdominal aortic aneurysm in primary care. Canadian Task Force

2017 National Guideline Clearinghouse (partial archive)

34. Abdominal Aortic Aneurysm Screening Guideline

Abdominal Aortic Aneurysm Screening Guideline ? 2006 Kaiser Foundation Health Plan of Washington. All rights reserved. 1 Abdominal Aortic Aneurysm Screening Guideline Major Changes as of December 2016 2 Prevention 2 Screening Recommendations 2 Coding Tips 3 Evidence Summary 3 Clinician Lead and Guideline Development 4 Most recent guideline approval date: December 2016 Guidelines are systematically developed statements to assist patients and providers in choosing appropriate health care (...) any particular recommendation must be made by the provider in light of the circumstances presented by the individual patient. 2 Major Changes as of December 2016 Abdominal aortic aneurysm (AAA) screening is no longer recommended for: • Women of any age, regardless of smoking history or family history of AAA. • Men under age 65. Prevention Because a lifetime history of tobacco use is strongly associated with abdominal aortic aneurysm (AAA) and its associated mortality, it is important to avoid

2016 Kaiser Permanente Clinical Guidelines

35. Fewer wound hernias occur if mesh is used to reinforce abdominal aortic aneurysm surgery

Fewer wound hernias occur if mesh is used to reinforce abdominal aortic aneurysm surgery Fewer wound hernias occur if mesh is used to reinforce abdominal aortic aneurysm surgery Discover Portal Discover Portal Fewer wound hernias occur if mesh is used to reinforce abdominal aortic aneurysm surgery Published on 18 September 2018 doi: Mesh reinforcement may result in patients developing fewer hernias at the incision site after aortic aneurysm surgery. This type of hernia is a common complication (...) incisions, which are less commonly used in the UK than horizontal incisions. These findings provide evidence to support using mesh in appropriately selected patients who may be at high risk of wound hernia. Share your views on the research. Why was this study needed? An abdominal aortic aneurysm is a swelling or bulge in the wall of the aorta which tends to enlarge, sometimes to the point where the wall ruptures, causing catastrophic bleeding. They are most frequent in men older than 65 years and cause

2019 NIHR Dissemination Centre

36. Simultaneous transcatheter aortic valve implantation and endovascular aneurysm repair in a patient with very severe aortic stenosis with abdominal aortic aneurysm (PubMed)

Simultaneous transcatheter aortic valve implantation and endovascular aneurysm repair in a patient with very severe aortic stenosis with abdominal aortic aneurysm The safety of non-cardiac surgery is uncertain for asymptomatic patients with very severe aortic stenosis (AS). Herein, we describe a case involving an elderly and frail patient with asymptomatic, very severe AS. The patient was considered a high-risk candidate for aortic valve replacement (AVR); thus, transcatheter aortic valve (...) implantation (TAVI) was planned. On perioperative examination, an abdominal aortic aneurysm (AAA) was observed, which required endovascular aneurysm repair (EVAR). To reduce the risks involved with sequential procedures, TAVI and EVAR were performed simultaneously. In patients with severe AS who are high-risk candidates for AVR, TAVI can be considered as an alternative therapy before non-cardiac surgery. In addition, the combined TAVI and EVAR procedure can reduce the risks associated

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2018 Journal of cardiology cases

37. A Case of Superior Mesenteric Artery Aneurysm Mimicking an Abdominal Aortic Aneurysm and Presenting as a Pulsating Abdominal Mass (PubMed)

A Case of Superior Mesenteric Artery Aneurysm Mimicking an Abdominal Aortic Aneurysm and Presenting as a Pulsating Abdominal Mass A 62-year-old male with a smoking history of 30 pack-years presented with a 1-year history of a periumbilical pulsating mass. He had been treated for hypertension for 2 years. Physical examination revealed a huge pulsating mass in the periumbilical abdomen. Femoral and popliteal arterial pulses were palpable. Computed tomography showed arterial dissection (...) in the proximal segment of the superior mesenteric artery, a huge aneurysm (52×50 mm) with mural thrombus and two smaller aneurysms (20×20 mm) in the right ileocolic and ileal branches, along with atherosclerotic changes. Interposition using the great saphenous vein was performed after aneurysmal isolation and ligation of jejunal branches in the sac. Distal flow was reestablished by end-to-end and end-to-side anastomoses of the right ileocolic and ileal branches, respectively. No complications were observed

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2016 Vascular specialist international

38. Information for health insurance fund members on ultrasound screening for abdominal aortic aneurysms: addendum to commission S13-04

Information for health insurance fund members on ultrasound screening for abdominal aortic aneurysms: addendum to commission S13-04 Versicherteninformation zum Ultraschall-Screening auf Bauchaortenaneurysmen: Addendum zum Auftrag S13-04; Auftrag P16-01 [Information for health insurance fund members on ultrasound screening for abdominal aortic aneurysms: addendum to commission S13-04] Versicherteninformation zum Ultraschall-Screening auf Bauchaortenaneurysmen: Addendum zum Auftrag S13-04 (...) ; Auftrag P16-01 [Information for health insurance fund members on ultrasound screening for abdominal aortic aneurysms: addendum to commission S13-04] Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen

2016 Health Technology Assessment (HTA) Database.

39. Meta-analysis and meta-regression analysis of outcomes for ruptured abdominal aortic aneurysm in patients with and without antecedent endovascular aneurysm repair (EVAR)

Meta-analysis and meta-regression analysis of outcomes for ruptured abdominal aortic aneurysm in patients with and without antecedent endovascular aneurysm repair (EVAR) Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

40. Acute Type B Aortic Dissection in a Patient with Previous Endovascular Abdominal Aortic Aneurysm Repair (PubMed)

Acute Type B Aortic Dissection in a Patient with Previous Endovascular Abdominal Aortic Aneurysm Repair Endovascular aortic repair (EVAR) was relatively safe, and became a widely performed procedure. If aortic dissection (AD) occurred in patient with previous EVAR, it could cause fatal complications like endograft collapse. Surgical treatment was limited in this situation for comorbidities and complex anatomies. Here we report a rare case of acute type B AD developed following trans-radial (...) coronary intervention in a patient with previous EVAR of abdominal aortic aneurysm, which was treated with thoracic EVAR.

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2017 Vascular specialist international

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