Ruptured Versus Elective Abdominal Aortic Aneurysm Repair: Outcome and Cost

Ascher, Enrico; Scheinman, Marcel; DePippo, Patrick; Yorkovich, William

doi:10.1007/s100169900308

Cited by 16 publications

(5 citation statements)

References 20 publications

(15 reference statements)

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“…[14][15][16] In a recent retrospective cost analysis of hemodynamically stable patients with acute AAA, Visser et al 13 reported higher hospital costs for open and EVAR patients (J35,470 versus J20,767, respectively) compared with costs reported in our study. The main reason for these differences are related to the definition of patients included (stable versus unstable), the lengths in ICU and hospital stay, and the relatively small sample size, which amplifies random variation.…”

Section: ¤ ¤mentioning

confidence: 40%

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Emergency Abdominal Aortic Aneurysm Repair With a Preferential Endovascular Strategy:Mortality and Cost-Effectiveness Analysis

Kapma¹,

Groen²,

Oranen³

et al. 2007

Journal of Endovascular Therapy

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Section: ¤ ¤mentioning

confidence: 40%

“…12 A cost analysis of patients treated with EVAR for rAAA reported lower hospital costs compared with open repair: J20,767 versus J35,470, respectively (p50.004). 13 Other reports, however, have not confirmed these findings, [14][15][16] so the cost-effectiveness of a management strategy that includes EVAR of acute aneurysms is undocumented.…”

Section: ¤ ¤mentioning

confidence: 99%

Emergency Abdominal Aortic Aneurysm Repair With a Preferential Endovascular Strategy:Mortality and Cost-Effectiveness Analysis

Kapma¹,

Groen²,

Oranen³

et al. 2007

Journal of Endovascular Therapy

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“…Ascher and colleagues reported that the potential average savings obtained from one patients undergoing elective AAA repair rather than ruptured AAA repair was $93 139 in the United States. 7 Smallsized aneurysms were frequently identified in the screening test; therefore, we should take the cost of the follow-up examination for small aneurysms into consideration. A follow-up study of a small aneurysm every 6 months or 7 year is an adequate program because the median annual growth rate for an aneurysm is relatively small; 1 mm under 3.0 cm in diameter, 2 mm between 3.0 and 3.9 cm, and 3 mm between 4.0 and 4.9 cm.…”

Section: Discussionmentioning

confidence: 99%

Screening Cost for Abdominal Aortic Aneurysms: Japan-Based Estimates

et al. 2004

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“…Figure6. Pathophysiology of hypoperfusion state a schematic demonstrating the various microvascular and cellular pathophysiologic consequences which occur during the primary and secondary injury in hypoxic ischemic brain injury (HIBI).…”

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confidence: 99%

Ruptured Abdominal Aortic Aneurysm Associated with Left Colon Gangrene and Neurological Disorders, a Very Rare and Life-Threatening Combination.

Xhepa

Kuçi

Kaci

et al. 2021

AJTES

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Background: We report the management of a very rare combination of two severe surgical emergencies, ruptured aortic aneurysm with gangrene of the left colon. Both events separately present a high mortality rate in ruptured aortic aneurysms with 48.5%. Case report: We present the case of a 59-year-old woman that was admitted to the service of Emergencies at University Hospital Center “Mother Theresa” of Tirana on January 4th of 2013, after being transferred from the Regional Hospital of Durres diagnosed with ruptured aortic aneurysm based on an unclear CT. The patient arrived in a state of profound hypovolemic shock after suffering cardiac arrest and underwent resuscitation at the ICU of Durres Hospital ( no exact information of the anoxic brain time). After a brief volemic compensation in our ICU, the patient was taken to the operating room. Intraoperatively we found an infrarenal r AAA and gangrene of the sigmoid and left colon. Resection and reconstruction by the interposition of a tube graft were performed, followed by a left large hemicolectomy with temporary colostomy realized by the team of general surgeons. Three months later they performed colorectal-anastomosis as a second step operation. Postoperatively the patient had a period of 3 weeks stay in the ICU, mostly due to neurological complications after the ischemic stroke, and on January 29 of 2013, she returned to the Service of Neurology at the Hospital of Durres for further neurological rehabilitation. One year later, in the ambulatory routine check, the patient presented full recovery from surgery and a complete central and peripheral neurological rehabilitation. Conclusions: Ruptured aortic aneurysm with gangrene of the left colon is a very rare and severe combination caused by the hypoperfusion of the inferior mesenteric artery in the presence of hypovolemic shock and insufficient collateral circulation. The strategy of treatment includes fast diagnosis, short hypotensive resuscitation, cell-saving and autotransfusion, and the simplest possible surgical reconstruction for both emergencies.

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Ruptured Versus Elective Abdominal Aortic Aneurysm Repair: Outcome and Cost

Cited by 16 publications

References 20 publications

Emergency Abdominal Aortic Aneurysm Repair With a Preferential Endovascular Strategy:Mortality and Cost-Effectiveness Analysis

Emergency Abdominal Aortic Aneurysm Repair With a Preferential Endovascular Strategy:Mortality and Cost-Effectiveness Analysis

Screening Cost for Abdominal Aortic Aneurysms: Japan-Based Estimates

Ruptured Abdominal Aortic Aneurysm Associated with Left Colon Gangrene and Neurological Disorders, a Very Rare and Life-Threatening Combination.

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