Literature Review of Surgical Management of Abdominal Aortic Aneurysm

Abstract

The results can be used as the basis of quality assurance or in decision trees or other models. Better reporting standards are needed.

Clinical Results of Endovascular Abdominal Aortic Aneurysm Repair in Patients with Renal Insufficiency without Hemodialysis

“…17) Acute renal failure requiring hemodialysis has been reported to complicate the course of 0.5% to 2% of patients undergoing elective AAA repair, with associated in-hospital mortality ranging from 25% to 66%. 15,[18][19][20][21][22][23][24][25][26] Contrary to that report, our findings demonstrated that at 7 day after the operation, the incidence of a 10% or greater increase in serum Cr over the preoperative level was 10.9%, which was significantly lower in comparison to the previous report. Anatomical suitability for EVAR aortic neck diameter of 18-28 mm, neck length ≥15 mm, neck angulation <60, iliac diameter of 7.5-20 mm, length of iliac sealing zone ≥10 mm Fig.…”

Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness

“…This is the first systematic review of small aneurysm growth rates since their inclusion in the earlier surgical management of aneurysms review of Hallin et al, 76 which covered the literature from 1990 to 1997. Unlike this earlier study, which included only 816 patients from 13 different studies, we did not have to relax the eligibility criteria for studies (50 or more patients) and this allowed the identification of 15 suitable studies with 7630 persons for inclusion in a meta-analysis (see Table 2).…”

Biomechanical Determinants of Abdominal Aortic Aneurysm Rupture

“…The mean postoperative mortality for elective repair is Ϸ5% and for emergency operations 47% (range 27% to 69%). 4 The major drawback of open repair is the compromised quality of life after surgery because of postoperative pain, the prolonged recovery period, and the high costs associated with both the surgery and the recovery.An alternative approach that avoids the extensive tissue dissection associated with open repair is the minimally invasive endovascular repair procedure. The potential advantages of endovascular AAA repair include reductions in mortality, morbidity, blood loss, hospital stay, intensive care…”

“…The mean postoperative mortality for elective repair is Ϸ5% and for emergency operations 47% (range 27% to 69%). 4 The major drawback of open repair is the compromised quality of life after surgery because of postoperative pain, the prolonged recovery period, and the high costs associated with both the surgery and the recovery.…”