The Impact of Initial Misdiagnosis of Ruptured Abdominal Aortic Aneurysms on Lead Times, Complication Rate, and Survival

Abstract

Misdiagnosis is common in patients with rAAA, and treatment is significantly delayed in misdiagnosed patients. The study did not show any survival disadvantage or increased frequency of post-operative complications in misdiagnosed patients despite the delayed treatment. However, only patients who reached surgical intervention were included in the analysis.

Frequency and causes of delayed diagnosis of visceral artery pseudoaneurysms with CT: Lessons learned

“…There have been some studies analyzing the impact of initially misdiagnosed true aneurysms [17,18], but none so farto our knowledgeanalyzed the frequency and reasons for missed or delayed diagnosis of VAPA. We found that more than half (58 %) of our patients had been initially misdiagnosed.…”

The emergency medical team's role in initial treatment and transport of patients with abdominal aortic aneurysm rupture

“…Tipični simptomi i znaci za RAAA su naglonastali bol u leđima ili trbuhu, hipotenzija i palpabilno pulsirajuća masa u epi i/ili mezogastrijumu [13,14]. Kod izrazito gojaznih [15] ili hipotenzivnih bolesnika, palpiranje pulsirajuće mase može biti otežano ili neizvodljivo.…”

“…Presudan faktor za poboljšanje rezultata lečenja RAAA je vreme, iz čega proizilazi da bi u inicijalnom tretmanu ovakvih bolesnika trebalo da postoji jasno definisana vremenska linija što zahteva uvođenje posebnih protokola za ovakve slučajeve [34][35][36]. Prema Vodiču udruženja za vaskularnu hirurgiju, preporučeno ciljno vreme od prvog kontakta sa bolesnikom do uspostavljanja hemostaze iznosi 90 minuta [40].…”

The Swedish vascular registry Swedvasc 1987–2018

“…Comprehensive clinical data from the registry can be combined with data from governmental registries and thereby provide an important source for research and quality improvement [6][7][8][9][10][11]. Another advantage is the feasibility of collecting data on rare diseases, which for example, has been done for ruptured popliteal artery aneurysms, mycotic aneurysms and vascular injuries [12][13][14][15][16].…”