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Abdominal Aortic Aneurysm

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6781. Right and left ventricular performance during and after abdominal aortic aneurysm repair. (PubMed)

Right and left ventricular performance during and after abdominal aortic aneurysm repair. To evaluate the effect of aortic occlusion and limb reperfusion on global and regional function of the right and left ventricle during infrarenal abdominal aortic aneurysm repair, 23 patients underwent five intraoperative first-pass radionuclide angiocardiograms: 1) before the skin incision, 2) at aortic cross-clamp, 3) 20 minutes after aortic occlusion, 4) at unclamping, and 5) after skin closure (...) ) dyne/cm2). No differences were observed between the two aortic occlusion studies, and the baseline level of function was recovered in all parameters during the last study. These data quantify the changes in heart function that occur during abdominal aortic aneurysm operation and demonstrate that the majority of the adaptations that occurred were due to a variation in afterload.

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1989 Annals of Surgery

6782. Limitations of computed tomography in leaking abdominal aortic aneurysms. (PubMed)

Limitations of computed tomography in leaking abdominal aortic aneurysms. 3416149 1988 10 14 2018 11 13 0959-8138 297 6643 1988 Jul 23 BMJ (Clinical research ed.) BMJ Limitations of computed tomography in leaking abdominal aortic aneurysms. 284-5 Greatorex R A RA Department of Surgery, Addenbrooke's Hospital, Cambridge. Dixon A K AK Flower C D CD Pulvertaft R W RW eng Journal Article England BMJ 8900488 0959-8138 AIM IM Aged Aorta, Abdominal Aortic Aneurysm diagnostic imaging surgery Aortic

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1988 BMJ : British Medical Journal

6783. Management of abdominal aortic aneurysm. (PubMed)

Management of abdominal aortic aneurysm. 3139161 1988 11 17 2018 11 13 0959-8138 297 6646 1988 Aug 13 BMJ (Clinical research ed.) BMJ Management of abdominal aortic aneurysm. 484 Budd J S JS Finch D R DR eng Letter England BMJ 8900488 0959-8138 AIM IM Aged Aged, 80 and over Aorta, Abdominal Aortic Aneurysm prevention & control Aortic Rupture prevention & control Female Humans Male Mass Screening 1988 8 13 1988 8 13 0 1 1988 8 13 0 0 ppublish 3139161 PMC1833876 Br J Surg. 1986 Jul;73(7):551-3

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1988 BMJ : British Medical Journal

6784. Clinical Decision Analysis Using Microcomputers: A Case of Coexistent Hepatocellular Carcinoma and Abdominal Aortic Aneurysm (PubMed)

Clinical Decision Analysis Using Microcomputers: A Case of Coexistent Hepatocellular Carcinoma and Abdominal Aortic Aneurysm Many difficult medical decisions involve uncertainty. Decision analysis-an explicit, normative and analytic approach to making decisions under uncertainty-provides a probabilistic framework for exploring difficult problems in nondeterministic domains. As the methodology has advanced, clinical decision analysis has been applied to increasingly complex medical problems

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1986 Western Journal of Medicine

6785. "Dry heaves" and ruptured abdominal aortic aneurysm. (PubMed)

"Dry heaves" and ruptured abdominal aortic aneurysm. 3791096 1987 02 19 2008 11 20 0820-3946 136 2 1987 Jan 15 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ "Dry heaves" and ruptured abdominal aortic aneurysm. 105 Pagé P P Pagé A A eng Case Reports Letter Canada CMAJ 9711805 0820-3946 AIM IM Aged Aorta, Abdominal Aortic Rupture complications Hiccup etiology Humans Male Vomiting etiology 1987 1 15 1987 1 15 0 1 1987 1 15 0 0 ppublish 3791096

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1987 CMAJ: Canadian Medical Association Journal

6786. "Dry heaves": the sole presenting complaint in a case of ruptured abdominal aortic aneurysm. (PubMed)

"Dry heaves": the sole presenting complaint in a case of ruptured abdominal aortic aneurysm. 3768822 1986 12 18 2018 11 13 0820-3946 135 10 1986 Nov 15 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ "Dry heaves": the sole presenting complaint in a case of ruptured abdominal aortic aneurysm. 1154 Finestone H M HM Clifford J C JC eng Case Reports Journal Article Canada CMAJ 9711805 0820-3946 AIM IM Aged Aorta, Abdominal Aortic Rupture complications

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1986 CMAJ: Canadian Medical Association Journal

6787. The improving long-term outlook for patients over 70 years of age with abdominal aortic aneurysms. (PubMed)

The improving long-term outlook for patients over 70 years of age with abdominal aortic aneurysms. During the past decade, selective criteria for elective surgery for abdominal aortic aneurysms have been refined based on natural history and aneurysm expansion information. Using these criteria, contemporary preoperative preparation and newer intraoperative technical adjuncts, 123 consecutive patients underwent elective resection with 1 death (mortality rate: 0.8%). These include all patients (...) with an elective abdominal aortic aneurysm resection now approaches that of the normal population (67% vs. 69%).

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1988 Annals of Surgery

6788. Ultrasound screening for clinically occult abdominal aortic aneurysm. (PubMed)

Ultrasound screening for clinically occult abdominal aortic aneurysm. In a review of the records of 74 patients who had undergone repair of an abdominal aortic aneurysm at a community hospital between 1977 and 1983 we found that the aneurysm had been undiagnosed before rupture in 35%; these patients had an operative death rate of 50%, whereas elective repair carried a death rate of 4%. The characteristic patient was an obese man over the age of 55 years with hypertension, coronary artery (...) disease, cerebrovascular disease or peripheral vascular disease. Ultrasound examination was performed in 45 patients with these characteristics, and six aneurysms were diagnosed. Either surgery or computed tomography confirmed the diagnosis. The rate of false-negative results was estimated by review of the charts of 100 men over the age of 55 years who had undergone abdominal ultrasonography for other indications: no undetected aneurysms were discovered over 3 years of follow-up. Routine screening

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1988 CMAJ: Canadian Medical Association Journal

6789. Current Trends in the Management of Abdominal Aortic Aneurysms (PubMed)

Current Trends in the Management of Abdominal Aortic Aneurysms The treatment of abdominal aortic aneurysm has undergone dramatic changes over the last three decades. More sophisticated diagnostic techniques have allowed early elective repair to be carried out. Improvement has resulted in both morbidity and mortality rates. Investigations such as ultrasound, computerized tomographic scanning and arteriography allow easy confirmation of the diagnosis of aortic aneurysms and permit a better (...) , the major cause of death remains myocardial infarction. As a result of all these improvements, indication for repair of abdominal aortic aneurysms has been extended to patients over the age of 80. Following surgical repair, most patients can be expected to return to normal lifestyles and lifespans.

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1987 Canadian Family Physician

6790. Is abdominal aortic aneurysm familial? (PubMed)

Is abdominal aortic aneurysm familial? 2507033 1989 11 22 2018 11 13 0959-8138 299 6697 1989 Aug 19 BMJ (Clinical research ed.) BMJ Is abdominal aortic aneurysm familial? 493 Collin J J Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital. Walton J J eng Journal Article England BMJ 8900488 0959-8138 AIM IM BMJ. 1989 Oct 7;299(6704):918-9 2510893 Aged Aorta, Abdominal Aortic Aneurysm diagnosis genetics Female Humans Male Middle Aged Ultrasonography 1989 8 19 1989 8 19 0

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1989 BMJ : British Medical Journal

6791. Highlights of an international workshop on abdominal aortic aneurysms. (PubMed)

Highlights of an international workshop on abdominal aortic aneurysms. There is a growing appreciation of the magnitude of the problem of AAA in all Western countries. The large numbers of subjects needed to answer some of the questions, such as the natural history of small AAAs and risk factor analysis, requires that these studies be carried out by a multicentre group. The advantages of international collaboration, when possible, should ensure more uniform methods and definitions as well

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1989 CMAJ: Canadian Medical Association Journal

6792. Is abdominal aortic aneurysm familial? (PubMed)

Is abdominal aortic aneurysm familial? 2510893 1990 01 02 2018 11 13 0959-8138 299 6704 1989 Oct 07 BMJ (Clinical research ed.) BMJ Is abdominal aortic aneurysm familial? 918-9 Scott H J HJ Cheatle T R TR eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1989 Aug 19;299(6697):493 2507033 Aorta, Abdominal Aortic Aneurysm genetics Humans X Chromosome 1989 10 7 1989 10 7 0 1 1989 10 7 0 0 ppublish 2510893 PMC1837737 BMJ. 1989 Aug 19;299(6697):493 2507033 Am J Pathol. 1975 Feb;78(2):199

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1989 BMJ : British Medical Journal

6793. Regarding "Use of doxycycline to decrease the growth rate of abdominal aortic aneurysms: a randomized, double-blind, placebo-controlled pilot study". (PubMed)

Regarding "Use of doxycycline to decrease the growth rate of abdominal aortic aneurysms: a randomized, double-blind, placebo-controlled pilot study". 11668336 2001 12 07 2013 11 21 0741-5214 34 4 2001 Oct Journal of vascular surgery J. Vasc. Surg. Regarding "Use of doxycycline to decrease the growth rate of abdominal aortic aneurysms: a randomized, double-blind, placebo-controlled pilot study". 757-8 Baxter B T BT University of Nebraska Medical Center and Methodist Hospital, Omaha 68198-3280 (...) , USA. bernardbaxter@aol.com eng Comment Journal Article United States J Vasc Surg 8407742 0741-5214 EC 3.4.24.- Metalloendopeptidases N12000U13O Doxycycline IM J Vasc Surg. 2001 Oct;34(4):606-10 11668312 Aortic Aneurysm, Abdominal classification drug therapy enzymology etiology Confounding Factors (Epidemiology) Disease Progression Double-Blind Method Doxycycline pharmacology therapeutic use Humans Metalloendopeptidases antagonists & inhibitors drug effects Pilot Projects Randomized Controlled

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2001 Journal of Vascular Surgery Controlled trial quality: predicted high

6794. Randomized double-blind controlled trial of roxithromycin for prevention of abdominal aortic aneurysm expansion. (PubMed)

Randomized double-blind controlled trial of roxithromycin for prevention of abdominal aortic aneurysm expansion. 11952600 2002 05 23 2013 11 21 0007-1323 89 4 2002 Apr The British journal of surgery Br J Surg Randomized double-blind controlled trial of roxithromycin for prevention of abdominal aortic aneurysm expansion. 491-2; author reply 492 Gibbs R R eng Comment Letter England Br J Surg 0372553 0007-1323 0 Anti-Bacterial Agents 21KOF230FA Roxithromycin AIM IM Br J Surg. 2001 Aug;88(8):1066 (...) -72 11488791 Anti-Bacterial Agents therapeutic use Aortic Aneurysm, Abdominal pathology prevention & control Double-Blind Method Humans Randomized Controlled Trials as Topic Roxithromycin therapeutic use 2002 4 16 10 0 2002 5 25 10 1 2002 4 16 10 0 ppublish 11952600 2088_7 10.1046/j.1365-2168.2002.20887.x

2002 The British journal of surgery Controlled trial quality: predicted high

6795. Randomized double-blind controlled trial of roxithromycin for prevention of abdominal aortic aneurysm expansion. (PubMed)

Randomized double-blind controlled trial of roxithromycin for prevention of abdominal aortic aneurysm expansion. 11952603 2002 05 23 2013 11 21 0007-1323 89 4 2002 Apr The British journal of surgery Br J Surg Randomized double-blind controlled trial of roxithromycin for prevention of abdominal aortic aneurysm expansion. 492; author reply 492 Boyle J R JR eng Comment Letter England Br J Surg 0372553 0007-1323 0 Anti-Bacterial Agents 21KOF230FA Roxithromycin N12000U13O Doxycycline AIM IM Br J (...) Surg. 2001 Aug;88(8):1066-72 11488791 Anti-Bacterial Agents administration & dosage therapeutic use Aortic Aneurysm, Abdominal pathology prevention & control Double-Blind Method Doxycycline administration & dosage Humans Observer Variation Randomized Controlled Trials as Topic Roxithromycin therapeutic use 2002 4 16 10 0 2002 5 25 10 1 2002 4 16 10 0 ppublish 11952603 2088_8 10.1046/j.1365-2168.2002.20888.x

2002 The British journal of surgery Controlled trial quality: predicted high

6796. Evidence against prophylactic repair in small, asymptomatic abdominal aortic aneurysms. (PubMed)

Evidence against prophylactic repair in small, asymptomatic abdominal aortic aneurysms. 10487792 1999 11 10 2016 11 24 0195-668X 20 19 1999 Oct European heart journal Eur. Heart J. Evidence against prophylactic repair in small, asymptomatic abdominal aortic aneurysms. 1365-6 Powell J T JT eng Clinical Trial Editorial Randomized Controlled Trial England Eur Heart J 8006263 0195-668X IM Aged Aortic Aneurysm, Abdominal mortality surgery Elective Surgical Procedures Hospital Mortality Humans Middle

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1999 European Heart Journal Controlled trial quality: uncertain

6797. Design of a trial to evaluate the effect of propranolol upon abdominal aortic aneurysm expansion. (PubMed)

Design of a trial to evaluate the effect of propranolol upon abdominal aortic aneurysm expansion. 8959004 1997 01 13 2016 11 24 0077-8923 800 1996 Nov 18 Annals of the New York Academy of Sciences Ann. N. Y. Acad. Sci. Design of a trial to evaluate the effect of propranolol upon abdominal aortic aneurysm expansion. 252-3 Ricci M A MA Department of Surgery, University of Vermont College of Medicine, Burlington 05401, USA. mricci@moose.uvm.edu Pilcher D B DB McBride R R eng Clinical Trial Journal (...) Article Multicenter Study Randomized Controlled Trial United States Ann N Y Acad Sci 7506858 0077-8923 0 Adrenergic beta-Antagonists 9Y8NXQ24VQ Propranolol IM Adrenergic beta-Antagonists therapeutic use Aortic Aneurysm, Abdominal complications diagnostic imaging drug therapy psychology Aortic Rupture etiology prevention & control Disease Progression Double-Blind Method Humans Propranolol therapeutic use Quality of Life Ultrasonography 1996 11 18 1996 11 18 0 1 1996 11 18 0 0 ppublish 8959004

1997 Annals of the New York Academy of Sciences Controlled trial quality: uncertain

6798. Trends in abdominal aortic aneurysm surgery in Scotland (1971-1984). (PubMed)

Trends in abdominal aortic aneurysm surgery in Scotland (1971-1984). The trends in diagnosis, operative workload and mortality of patients with abdominal aortic aneurysm in Scottish hospitals between 1971 and 1984 were analysed using the Scottish Hospital In-patient Statistics. The frequency of diagnosis of aneurysm increased from 25.8 per 100,000 population aged over 55 in 1971 to 63.6 per 100,000 in 1984. The proportion of diagnosed aneurysms treated by operation rose from 24% in 1971 to 41 (...) % in 1984, resulting in a 4-fold increase in operative workload. Despite the rise in diagnosis of abdominal aortic aneurysm, the ratio of elective to emergency procedures has only improved slightly during the 14 years, the majority still being operated on as emergencies. The operative mortality following elective procedures fell from 10.5% in 1971 to 4.3% in 1984, while that for emergencies fell from 50% to 36%. The reasons for the increased surgical workload are multifactorial. It is not solely

1988 European journal of vascular surgery Controlled trial quality: uncertain

6799. Comparison of hetastarch to albumin for perioperative bleeding in patients undergoing abdominal aortic aneurysm surgery. A prospective, randomized study. (PubMed)

Comparison of hetastarch to albumin for perioperative bleeding in patients undergoing abdominal aortic aneurysm surgery. A prospective, randomized study. The effects of hetastarch and human albumin solutions on perioperative bleeding and coagulation parameters during abdominal aortic aneurysm repair were compared. In two randomized groups of 20 patients, albumin 5% (group 1) or hetastarch 6% (group 2) 1 g/kg was given during surgery. The remaining perioperative fluids consisted of lactated (...) were within normal limits for both groups. Hetastarch does not cause clotting disorders in patients undergoing abdominal aortic aneurysm repair, at least if the quantities used in this study are not exceeded.

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1990 Annals of surgery Controlled trial quality: uncertain

6800. Decreased morbidity associated with retroperitoneal exclusion treatment for abdominal aortic aneurysm. (PubMed)

Decreased morbidity associated with retroperitoneal exclusion treatment for abdominal aortic aneurysm. A prospective randomized study has been carried out to compare the retroperitoneal (RP) and the transperitoneal (TP) approaches to infrarenal abdominal aortic aneurysms (AAA). From November 1988 to July 1989, 27 patients were randomized to one or the other group. Twelve patients underwent TP resection of their AAA; 11 of these were performed using the open aneurysmorrhaphy technique. The RP (...) study comparing TP and RP approaches to AAA showed that the RPE approach had less blood loss, less transfusion requirement, and earlier resumption of enteral feeding than the TP approach. We feel the RPE technique is safe and efficient in the treatment of infrarenal abdominal aortic aneurysm.

1992 The Journal of cardiovascular surgery Controlled trial quality: uncertain

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