Epidemiology of aortic aneurysm repair in the United States from 2000 to 2010

Abstract

The overall use of EVAR has risen sharply in the past 10 years (5.2% to 74% of the total number of AAA repairs) even though the total number of AAAs remains stable at 45,000 cases per year. In-hospital mortality rates for both ruptured and unruptured cases have fallen by more than 50% during this time period. Lower mortality rates and shorter LOS despite a 27%-36% higher cost of care continues to justify the use of EVAR over OAR. For patients with suitable anatomy, EVAR should be the preferred management of both ruptured and unruptured AAAs.

Andrographolide Ameliorates Abdominal Aortic Aneurysm Progression by Inhibiting Inflammatory Cell Infiltration through Downregulation of Cytokine and Integrin Expression

“…As the elderly population increases, AAA becomes a more serious health problem, especially in Western nations. In the United States, the total number of AAAs remains stable at 45,000 cases per year (Dua et al, 2014). The majority of these new cases are small AAAs (defined as less than 5.5-and 5-cm aortic diameter in men and women, respectively) and largely asymptomatic.…”

The Natural History of Type 2 Endoleaks after EVAR Justifies Conservative Management

“…Recent studies have documented the incidence of EVAR, which accounted for only 5.2% of AAA repairs in 2000, but by 2010 had increased to 74% of repairs [3,4]. Presently, only a minority of patients will undergo open repair, mostly due to adverse anatomy [3,4].…”

“…Recent studies have documented the incidence of EVAR, which accounted for only 5.2% of AAA repairs in 2000, but by 2010 had increased to 74% of repairs [3,4]. Presently, only a minority of patients will undergo open repair, mostly due to adverse anatomy [3,4]. This shift in approach of AAA repair to endovascular technique has been justified by the lower operative mortality and fewer severe postoperative complications [1,2,5].…”

Tratamento de Aneurisma da Aorta Abdominal por PEVAR Complicado de Pseudo-Aneurisma Femoral

“…Se no início esta técnica constituía uma opção terapêutica de exclusão, as menores taxas de internamento e morbi-mortalidade pós-operatórias constatadas nos múltiplos estudos que desde então decorreram sobre a técnica, levaram a que praticamente se tenha tornado no gold-standard terapêutico, à luz daquilo que são as melhores práticas atuais. 2,3 Classicamente, a realização deste tipo de implantes requeria a total exposição cirúrgica da artéria femoral (por norma, bilateralmente), tendo em vista garantir uma correta manipulação do material a implantar durante o procedimento e hemostase adequada no final do mesmo. 4 Embora acarretem baixo risco cirúrgico para o doente, este tipo de exposições não estão desprovidas de riscos, com complicações locais descritas em 14-22% dos casos, as quais, inevitavelmente, constituem causa de maior morbilidade para o doente e taxa de reinternamento mais elevada neste grupo populacional tipicamente tão frágil.…”