scholarly journals Patient-reported quality of life after abdominal aortic aneurysm surgery: A prospective comparison of endovascular and open repair

2006 ◽  
Vol 44 (6) ◽  
pp. 1182-1187.e2 ◽  
Author(s):  
Badr Aljabri ◽  
Khalifa Al Wahaibi ◽  
Deborah Abner ◽  
Kent S. Mackenzie ◽  
Marc-Michel Corriveau ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Open Repair ◽  
Aneurysm Surgery ◽  
Prospective Comparison ◽  
Abdominal Aortic ◽  
Patient Reported ◽  
Aortic Aneurysm Surgery

Abdominal Aortic Aneurysm Surgery: Survival and Quality of Life in Patients Requiring Prolonged Postoperative Intensive Therapy

1994 ◽  
Vol 8 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Kaj Gefke ◽  
Torben V. Schroeder ◽  
Birgit Thisted ◽  
Peter S. Olsen ◽  
Mario J. Perko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Intensive Therapy ◽  
Aneurysm Surgery ◽  
Abdominal Aortic ◽  
Aortic Aneurysm Surgery

Endovascular Aneurysm Repair and Outcomes in Patients Unfit for Open Repair of Abdominal Aortic Aneurysm

2017 ◽  
Author(s):  
Lloyd M. Jones ◽  
Wayne W. Zhang ◽  
SreyRam Kuy ◽  
Tze-Woei Tan
Keyword(s):  
Quality Of Life ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Statistical Difference ◽  
Open Repair ◽  
Abdominal Aortic ◽  
All Cause Mortality ◽  
Aneurysm Repair ◽  
Related Mortality

This randomized controlled trial, the endovascular aortic aneurysm repair (EVAR) trial 2, compared outcomes of EVAR and medical management of abdominal aortic aneurysm in patients who were deemed high risk and unfit for open repair. Three hundred thirty-eight patients were enrolled and randomized to undergo either EVAR or medical therapy alone. Endpoints were all-cause mortality, aneurysm-related mortality, quality of life, postoperative complications, and hospital costs. Although there was some cross-over between groups and this has been cited as a limitation of this study, there was no statistical difference in all-cause mortality between the two groups. With longer follow-up (median 3.1 years), there was a reduction in aneurysm-related mortality with endovascular repairs. There was no statistical difference in health-related quality of life; however, there was a higher cost associated with EVAR.

Long-term outcome and quality of life after ruptured abdominal aortic aneurysm repair

Vascular ◽  
2017 ◽  
Vol 26 (3) ◽  
pp. 231-238 ◽  
Author(s):  
Hilin Yildirim ◽  
Guus W van Lammeren ◽  
Çagdas Ünlü ◽  
Eric P van Dongen ◽  
Rob HW van de Mortel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Open Repair ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Long Term Outcome ◽  
Abdominal Aortic

Objectives To evaluate long-term outcome and quality of life after open and endovascular repair of ruptured abdominal aortic aneurysms. Methods All consecutive ruptured abdominal aortic aneurysm patients at the St. Antonius Hospital treated for ruptured abdominal aortic aneurysm between January 2005 and January 2015 were included. Mortality, morbidity, and re-interventions within 30 days and during follow-up were registered. Quality of life was measured with Short Form-36 questionnaire among survivors. Additional subgroup analysis between open repair and endovascular repair was performed. Results A total of 192 patients with ruptured abdominal aortic aneurysm were included: 76.6% (147/192) underwent open repair and 23.4% (45/192) endovascular repair. All-cause 30-day mortality rate was 31.3% (60/192), and 30-day morbidity rate was 70.3% (135/192). Median stay at the intensive care unit was two days for endovascular repair and four days for open repair ( p = 0.002). No other statistically significant differences between endovascular repair and open repair were observed. After a mean follow-up period of 62 months (range 9–126), 72.4% (76/105) of the responders had equivalent Short Form-36 scores as compared to the age-matched general Dutch population, and 84.2% (64/76) of the responders would choose surgery again if they would have a ruptured abdominal aortic aneurysm. Conclusions Survivors of ruptured abdominal aortic aneurysm have similar long-term quality of life scores compared to the age-matched general population. The majority of all survivors would choose to undergo acute abdominal aortic aneurysm repair again.

The retroperitoneal approach for contemporary open abdominal aortic aneurysm surgery: The anatomical reasoning

2021 ◽  
Vol 29 (7) ◽  
pp. 654-660
Author(s):  
Mohamad Bashir ◽  
Wahaj Munir ◽  
Huw Davies ◽  
Damian M Bailey ◽  
Ian M Williams
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Open Repair ◽  
Aortic Disease ◽  
Retroperitoneal Approach ◽  
Aneurysm Surgery ◽  
Endovascular Techniques ◽  
Iliac Arteries ◽  
Abdominal Aortic ◽  
Aortic Aneurysm Surgery

In current practice, the place of open surgery in managing abdominal aortic aneurysm is a contentious issue. The principal reason being greater applications of endovascular techniques treating increasingly complicated aortic disease. Development of branched and fenestrated devices enabled this, with numbers increasing annually. This meant a good risk patient with a long infrarenal aortic neck and normal diameter non-tortuous iliac arteries may be suitable for both endovascular and open techniques. However, indications for open surgery are becoming increasingly unclear nowadays due to short-term gains in morbidity and mortality. Exact aortic anatomical morphologies optimum for open or endovascular techniques remains unclear. As graft technology evolves, possibilities for endovascular options are expanding. Currently, establishing optimum treatment plans for complicated abdominal aortic aneurysm (little or no infrarenal neck) is difficult without considering general fitness of the patient. Hence, two sets of possible postoperative complications and follow-up protocols must be explained to patients before either approach. Complicating matters is the optimum surgical approach used for any open repair. The standard approach for open abdominal aortic aneurysm surgery has been transperitoneal as this provides excellent access to the infrarenal aorta and iliac arteries. However, although less commonly used, the retroperitoneal approach has advantages particularly when location of proximal aortic disease indicates suprarenal clamp might be optimum. This paper scrutinises benefits of the retroperitoneal approach performed purely for anatomical reasons where stent graft may be considered complicated. Also, long-term outcomes are examined in terms of endo-leak and subsequent development of true and false aneurysm following both endovascular and open repair.

Sign in / Sign up

Export Citation Format

Share Document