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Titolo:
Mortality rates following endovascular repair of abdominal aortic aneurysms
Autore:
Walker, SR; Macierewicz, J; MacSweeney, ST; Gregson, RHS; Whitaker, SC; Wenham, PW; Hopkinson, BR;
Indirizzi:
Queens Med Ctr, Dept Vasc & Endovasc Surg, Nottingham NG7 2UH, England Queens Med Ctr Nottingham England NG7 2UH g, Nottingham NG7 2UH, England Queens Med Ctr, Dept Radiol, Nottingham NG7 2UH, England Queens Med Ctr Nottingham England NG7 2UH l, Nottingham NG7 2UH, England
Titolo Testata:
JOURNAL OF ENDOVASCULAR SURGERY
fascicolo: 3, volume: 6, anno: 1999,
pagine: 233 - 238
SICI:
1074-6218(199908)6:3<233:MRFERO>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPERATIVE MORTALITY; 3-YEAR EXPERIENCE; SURGERY; GRAFT;
Keywords:
endovascular grafts; risk factors; aortic aneurysm rupture;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Walker, SR Queens Med Ctr, Dept Vasc & Endovasc Surg, E Floor,West Bock, Nottingham NG7 2UH, England Queens Med Ctr E Floor,West Bock Nottingham England NG7 2UH nd
Citazione:
S.R. Walker et al., "Mortality rates following endovascular repair of abdominal aortic aneurysms", J ENDOVAS S, 6(3), 1999, pp. 233-238

Abstract

Purpose:To present the perioperative and late mortality following endovascular repair (EVR) of abdominal aortic aneurysms (AAAs). Methods: Data were collected prospectively on 221 patients undergoing AAA EVR over a 4-year period (median 5-month follow-up). Patients were classified preoperatively as high risk with at least 1 of these features: serum creatinine > 150 mu mol/L, ischemic heart disease or poor left ventricular function, respiratory function < 50% of predicted normal, ruptured or symptomatic AAA, contraindication to or failed open repair, and age > 80 years. Results: One hundred forty (63.3%) patients were classified as high risk, the most common criterion being cardiac disease (n = 96, 68.6%). There were25 (11.3%) deaths in the 30-day perioperative period, 22 (15.7%) in the high-risk group compared to 3 (3.7%) in the acceptable-risk group (p = 0.02). The most common causes of perioperative death were multisystem organ failure and myocardial infarction. A further 21 (9.5%) late deaths occurred, 16 (11.4%) in the high-risk group and 5 (6.2%) in the acceptable-risk group (p> 0.1). Conclusions: The mortality of patients at acceptable risk undergoing EVR compares with the best published series for conventional open AAA repair. The perioperative and late mortality in the high-risk patients are substantially higher.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/10/20 alle ore 09:43:04