Latest & greatest articles for Abdominal Aortic Aneurysm

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Top results for Abdominal Aortic Aneurysm

1. Sex differences in repair rates and outcomes of patients with ruptured abdominal aortic aneurysm

Sex differences in repair rates and outcomes of patients with ruptured abdominal aortic aneurysm Data are conflicting on sex differences in ruptured abdominal aortic aneurysm (rAAA) repair rates and outcomes have rarely been addressed. The aim of this study was to investigate differences in the management and outcome of rAAA in men and women, and to describe time trends over a 15-year interval.Data on patients with rAAA were extracted from the Swedish National Patient Registry and the Cause

2019 EvidenceUpdates

2. A systematic review and meta-analysis of the long-term outcomes of endovascular versus open repair of abdominal aortic aneurysm

A systematic review and meta-analysis of the long-term outcomes of endovascular versus open repair of abdominal aortic aneurysm This study synthesized the literature comparing the long-term (5-9 years) and very long-term (≥10 years) all-cause mortality, reintervention, and secondary rupture rates between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysm (AAA).MEDLINE, Embase, and CENTRAL databases were searched from inception to May 2018 for studies

2019 EvidenceUpdates

3. Abdominal aortic aneurysm screening: ultrasound equipment guidelines

Abdominal aortic aneurysm screening: ultrasound equipment guidelines Abdominal aortic aneurysm screening: ultrasound equipment quality assurance guidelines - GOV.UK GOV.UK uses cookies to make the site simpler. Accept cookies You’ve accepted all cookies. You can at any time. Hide Search Guidance Abdominal aortic aneurysm screening: ultrasound equipment quality assurance guidelines Updated 22 March 2019 Contents © Crown copyright 2019 This publication is licensed under the terms of the Open (...) Government Licence v3.0 except where otherwise stated. To view this licence, visit or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: . Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. This publication is available at https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-ultrasound-equipment-guidance/abdominal-aortic-aneurysm-screening-ultrasound

2019 Public Health England

4. Open versus Endovascular Repair of Abdominal Aortic Aneurysm. (PubMed)

Open versus Endovascular Repair of Abdominal Aortic Aneurysm. Elective endovascular repair of an abdominal aortic aneurysm results in lower perioperative mortality than traditional open repair, but after 4 years this survival advantage is not seen; in addition, results of two European trials have shown worse long-term outcomes with endovascular repair than with open repair. Long-term results of a study we conducted more than a decade ago to compare endovascular repair with open repair (...) are unknown.We randomly assigned patients with asymptomatic abdominal aortic aneurysms to either endovascular repair or open repair of the aneurysm. All the patients were candidates for either procedure. Patients were followed for up to 14 years.A total of 881 patients underwent randomization: 444 were assigned to endovascular repair and 437 to open repair. The primary outcome was all-cause mortality. A total of 302 patients (68.0%) in the endovascular-repair group and 306 (70.0%) in the open-repair group

2019 NEJM

5. Meta-analysis of long-term survival after elective endovascular or open repair of abdominal aortic aneurysm

Meta-analysis of long-term survival after elective endovascular or open repair of abdominal aortic aneurysm Endovascular aneurysm repair (EVAR) has become the preferred strategy for elective repair of abdominal aortic aneurysm (AAA) for many patients. However, the superiority of the endovascular procedure has recently been challenged by reports of impaired long-term survival in patients who underwent EVAR. A systematic review of long-term survival following AAA repair was therefore undertaken.A

2019 EvidenceUpdates

6. A systematic review of the impact of preoperative exercise for patients with abdominal aortic aneurysms

A systematic review of the impact of preoperative exercise for patients with abdominal aortic aneurysms Abdominal aortic aneurysm (AAA) surgery carries significant risk of morbidity and mortality. Preoperative exercise may improve the physical fitness capacity of patients with AAA, as well as postoperative outcomes.A systematic review was performed in accordance to the PRISMA guidelines. An electronic search was performed on Medline, EMBASE, and the Cochrane Library for relevant studies

2019 EvidenceUpdates

7. Accuracy evaluations of three ruptured abdominal aortic aneurysm mortality risk scores using an independent dataset

Accuracy evaluations of three ruptured abdominal aortic aneurysm mortality risk scores using an independent dataset To date, no single scoring system for predicting 30-day mortality in patients with ruptured abdominal aortic aneurysms (rAAAs) has been endorsed by any vascular society or proven to definitively predict treatment futility. Three recently developed scoring systems for predicting 30-day mortality in patients with rAAA have been validated by their respective institutional data (...) under the receiver operating characteristic (AUC) curves.Complete data from 38 patients was used for accuracy evaluation. The AUCs for the Dutch Aneurysm Score, Harborview Medical Center score, and Vascular Surgery Group of New England (VSGNE) score were 0.762, 0.792, and 0.860, respectively, for all patients. When evaluating 30-day mortality for patients undergoing ruptured endovascular aneurysm repair, the scores were 0.802, 0.893, and 0.927, respectively. The difference between scores did

2019 EvidenceUpdates

8. Fenestrated endovascular aneurysm repair is associated with lower perioperative morbidity and mortality compared with open repair for complex abdominal aortic aneurysms

Fenestrated endovascular aneurysm repair is associated with lower perioperative morbidity and mortality compared with open repair for complex abdominal aortic aneurysms The Zenith Fenestrated Endovascular Graft (ZFEN; Cook Medical, Bloomington, Ind) has expanded the anatomic eligibility of endovascular aneurysm repair (EVAR) for complex abdominal aortic aneurysms (AAAs). Current data on ZFEN mainly consist of single-institution experiences and show conflicting results. Therefore, we compared (...) with an aortic cross-clamping position that was above at least one renal artery. The primary outcome was perioperative mortality, defined as death within 30 days or within the index hospitalization. Secondary outcomes included postoperative renal dysfunction (creatinine concentration increase of >2 mg/dL from preoperative value or new dialysis), occurrence of any complication, procedure times, blood transfusion rates, and length of stay. To account for baseline differences, we calculated propensity scores

2019 EvidenceUpdates

9. Safety and efficacy of exercise training in patients with abdominal aortic aneurysm: A meta-analysis of randomized controlled trials

Safety and efficacy of exercise training in patients with abdominal aortic aneurysm: A meta-analysis of randomized controlled trials Low exercise capacity preoperatively leads to increased postoperative complications, perioperative mortality, length of stay, and inpatient costs among patients going through elective abdominal aortic aneurysm (AAA) surgery. Therefore, exercise training may be extremely important for reducing perioperative adverse events in AAA patients. This paper aimed

2019 EvidenceUpdates

10. A systematic review on the quality of life and functional status after abdominal aortic aneurysm repair in elderly patients with an average age older than 75 years

A systematic review on the quality of life and functional status after abdominal aortic aneurysm repair in elderly patients with an average age older than 75 years Endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysms (AAAs) are increasingly performed in elderly patients (>75 years of age) with satisfactory results. Quality of life (QOL) is increasingly considered a primary goal of intervention after AAA repair. However, there is currently no consensus on QOL

2019 EvidenceUpdates

11. 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

12. 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

13. Endovascular aortic repair (EVAR) surgery more beneficial for ruptured abdominal aortic aneurysms than open repair

Endovascular aortic repair (EVAR) surgery more beneficial for ruptured abdominal aortic aneurysms than open repair EVAR surgery more beneficial for ruptured abdominal aortic aneurysms than open repair Discover Portal Discover Portal Endovascular aortic repair (EVAR) surgery more beneficial for ruptured abdominal aortic aneurysms than open repair Published on 28 August 2018 doi: EVAR surgery to repair a ruptured abdominal aortic aneurysm had a slightly better survival rate after three years than (...) open repair surgery. The survival benefit in this trial wasn’t apparent 30 days after surgery, but those having EVAR did recover more quickly and went home sooner. This NIHR-funded study also found that EVAR is likely to be more cost-effective. An abdominal aortic aneurysm is a swelling in the main artery that runs from the heart through the abdomen. If it bursts, there is catastrophic bleeding. The traditional treatment is urgent open surgery to repair the rupture. EVAR is a less invasive strategy

2019 NIHR Dissemination Centre

14. 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

15. Value of risk scores in the decision to palliate patients with ruptured abdominal aortic aneurysm

Value of risk scores in the decision to palliate patients with ruptured abdominal aortic aneurysm The aim of this study was to develop a 48-h mortality risk score, which included morphology data, for patients with ruptured abdominal aortic aneurysm presenting to an emergency department, and to assess its predictive accuracy and clinical effectiveness in triaging patients to immediate aneurysm repair, transfer or palliative care.Data from patients in the IMPROVE (Immediate Management (...) of the Patient With Ruptured Aneurysm: Open Versus Endovascular Repair) randomized trial were used to develop the risk score. Variables considered included age, sex, haemodynamic markers and aortic morphology. Backwards selection was used to identify relevant predictors. Predictive performance was assessed using calibration plots and the C-statistic. Validation of the newly developed and other previously published scores was conducted in four external populations. The net benefit of treating patients based

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2019 EvidenceUpdates

16. Abdominal Aortic Aneurysm Follow-up (Without Repair)

Abdominal Aortic Aneurysm Follow-up (Without Repair) New 2018 ACR Appropriateness Criteria ® 1 AAA Follow-up (Without Repair) American College of Radiology ACR Appropriateness Criteria ® Abdominal Aortic Aneurysm Follow-up (Without Repair) Variant 1: Asymptomatic abdominal aortic aneurysm surveillance (without repair). Procedure Appropriateness Category Relative Radiation Level US duplex Doppler aorta abdomen Usually Appropriate O CTA abdomen and pelvis with IV contrast Usually Appropriate (...) contrast May Be Appropriate O MRI abdomen and pelvis without IV contrast May Be Appropriate (Disagreement) O Aortography abdomen Usually Not Appropriate ??? Radiography chest abdomen pelvis Usually Not Appropriate ??? ACR Appropriateness Criteria ® 2 AAA Follow-up (Without Repair) ABDOMINAL AORTIC ANEURYSM FOLLOW-UP (WITHOUT REPAIR) Expert Panel on Vascular Imaging: Michael Collard, MD, MA a ; Patrick D. Sutphin, MD, PhD b ; Sanjeeva P. Kalva, MD c ; Bill S. Majdalany, MD d ; Jeremy D. Collins, MD e

2019 American College of Radiology

17. A prognostic review and meta-analysis of the outcomes of open and endovascular ruptured abdominal aortic aneurysm repair in patients with hostile versus friendly aortic anatomy

A prognostic review and meta-analysis of the outcomes of open and endovascular ruptured abdominal aortic aneurysm repair in patients with hostile versus friendly aortic anatomy 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

18. Treatment of abdominal aortic aneurysm with synchronous renal neoplasia: a systematic review and meta-analysis

Treatment of abdominal aortic aneurysm with synchronous renal neoplasia: a systematic review and meta-analysis 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 for the content of this registration record, any associated files

2019 PROSPERO

19. Development of a core outcome set for clinical studies reporting the outcomes of patients undergoing repair of degenerative infrarenal abdominal aortic aneurysms

Development of a core outcome set for clinical studies reporting the outcomes of patients undergoing repair of degenerative infrarenal abdominal aortic aneurysms 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 for the content

2019 PROSPERO

20. A systematic review and meta-analysis of the effects of exercise training intervention for rupture risks in patients with abdominal aortic aneurysm

A systematic review and meta-analysis of the effects of exercise training intervention for rupture risks in patients with abdominal aortic aneurysm 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 for the content

2019 PROSPERO