Repair of ruptured abdominal aortic aneurysms with bifurcated endografts: a single-center study

Queiroz, André Brito; Schneidwind, Karina Paula Domingos Rosa; Mulatti, Grace Carvajal; Santo, F R F Espirito; Neto, Paulo Sassaki; Torres, Inez Ohashi; Luccia, Nélson De

doi:10.6061/clinics/2014(06)09

Cited by 7 publications

(9 citation statements)

References 20 publications

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“…Length of stay can be used as a measure of healthcare efficiency. 26,27 We found a difference in the length of stay between the two groups. Stays were shorter for patients who underwent endovascular procedures, with a length of stay of 3 to 7 days in most cases.…”

Section: Discussionmentioning

confidence: 76%

Surgical repair of abdominal aortic aneurysms on the public health system in the largest city in Brazil: a descriptive analysis of in-hospital data on 2693 procedures over 10 years

et al. 2022

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Background From 1990 to 2015, mortality from aortic aneurysms increased 16.8% in Brazil. São Paulo is the largest city in Brazil and about 5 million people depend on the public health system there. Objectives To conduct an epidemiological analysis of abdominal aortic aneurysm surgeries in the city of São Paulo. Methods Infra-renal aortic aneurysm procedures performed over a decade (from 2008 to 2017) were studied using publicly-available platforms from the Unified Health System and DATASUS. Results 2693 procedures were analyzed; 66.73% were endovascular; 78.7% of patients were male; 70.7% were aged 65 years or more; 64.02% were elective hospital admissions. There were 288 in-hospital deaths (mortality: 10.69%). In-hospital mortality was lower for endovascular surgery than for open surgery; both for elective (4.13% versus 14.42%) and urgent (9.73% versus 27.94%) (p = 0.019) admissions. The highest volume hospital (n = 635) had the lowest in-hospital mortality (3.31%). USD 24,835,604.84 was paid; an average of $ 2,318.63 for elective open, $ 3,420.10 for emergency open, $ 12,157.35 for elective endovascular and $ 12,969.12 for urgent endovascular procedures. Endovascular procedure costs were statistically higher than the values paid for open surgeries (p <0.001). Conclusions Endovascular surgeries were performed twice as often as open surgeries; they had shorter hospital stays and lower mortality.

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Section: Discussionmentioning

confidence: 76%

Surgical repair of abdominal aortic aneurysms on the public health system in the largest city in Brazil: a descriptive analysis of in-hospital data on 2693 procedures over 10 years

et al. 2022

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“…The aortic endografting under emergency circumstances presents many challenges. This approach requires both a permanent team that is well trained in endovascular techniques and the availability of a wide variety of endografts in the hospital [22]. Those eight patients with sAAA were treated by EVAR in median time of two days.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of Symptomatic (Non-ruptured) Abdominal Aortic Aneurysm in the University Hospital Centre Split

Penović¹,

Cambj-Sapunar²,

Batinić³

et al. 2018

JPP

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The aim of this study is overview of endovascular sAAA (symptomatic abdominal aortic aneurysm) treatment in the University Hospital Centre Split. The sAAA refers to a number of symptoms associated with aneurysm. EVAR (endovascular aortic repair) is increasingly used as an alternative to an open method that carries a number of advantages. Between January 2016 and February 2017, eight patients were admitted to the University Hospital Centre Split due to sAAA, following clinical and diagnostic treatment by a team of vascular surgeons and emergency radiologists, and ultimately treated with EVAR. Two patients had femoral endarterectomy. One patient had fistula of the right external iliac artery with left common iliac vein. After EVAR with embolization of the right internal iliac artery, the fistula was resolved. Also, one patient had occluded left external iliac artery and femoral-femoral bypass graft was made. After the procedure, two patients had endoleak of type II. Perioperative mortality was zero. On control examinations, all patients were with good general condition and without complications. A prompt diagnosis of sAAA and good team working will result of emergency endovascular procedure and resolve the risk for abdominal aortic aneurysm rupture.

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“…The establishment of protocols and the volume and experience of the health care service are associated with better outcomes and higher chances of survival throughout the world. 7,[238][239][240] Both diagnosis and referral for treatment require a pre-established workflow in hospital departments.…”

Section: Iiamentioning

confidence: 99%

Brazilian Society for Angiology and Vascular Surgery guidelines on abdominal aortic aneurysm

Mulatti,

Joviliano,

Pereira

et al. 2023

J. vasc. bras.

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The Brazilian Society of Angiology and Vascular Surgery, through the Guidelines Project, presents new Abdominal Aortic Aneurysm Guidelines, on the subject of care for abdominal aortic aneurysm patients. Its development prioritized descriptive guidelines, using the EMBASE, LILACS, and PubMed databases. References include randomized controlled trials, systematic reviews, meta-analyses, and cohort studies. Quality of evidence was evaluated by a pair of coordinators, aided by the RoB 2 Cochrane tool and the Newcastle Ottawa Scale forms. The subjects include juxtarenal aneurysms, infected aneurysms, and new therapeutic techniques, especially endovascular procedures. The current version of the guidelines include important recommendations for the primary topics involving diagnosis, treatment, and follow-up for abdominal aortic aneurysm patients, providing an objective guide for medical practice, based on scientific evidence and widely available throughout Brazil.

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Repair of ruptured abdominal aortic aneurysms with bifurcated endografts: a single-center study

Cited by 7 publications

References 20 publications

Surgical repair of abdominal aortic aneurysms on the public health system in the largest city in Brazil: a descriptive analysis of in-hospital data on 2693 procedures over 10 years

Surgical repair of abdominal aortic aneurysms on the public health system in the largest city in Brazil: a descriptive analysis of in-hospital data on 2693 procedures over 10 years

Endovascular Repair of Symptomatic (Non-ruptured) Abdominal Aortic Aneurysm in the University Hospital Centre Split

Brazilian Society for Angiology and Vascular Surgery guidelines on abdominal aortic aneurysm

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