Ítem
Acceso Abierto
Results of surgical treatment of infrarenal abdominal aortic aneurysms
Título de la revista
Autores
Tarazona, Marcos M.
Camacho, Jaime
Peláez, Mauricio
Carreño, Marisol
Sandoval, Néstor
Umaña, Juan P.
Archivos
Fecha
2015
Directores
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Editor
Elsevier B.V.
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Resumen
Abstract
Introduction: Surgical treatment outcomes for infrarenal abdominal aortic aneurysm repair depend on patient factors and attending vascular team expertise. Objetives: To describe the outcomes of surgical treatment of abdominal aortic aneurysm performed by an interdisciplinary team and to evaluate the effects of annual caseload and acquired expertise. Methods: Historic cohort of patients with abdominal aortic aneurysm diagnosis surgically trea-ted from January 1994 to June 2013. Three groups were established: Group 1 was for openruptured abdominal aortic aneurysm repair, Group 2 was for open elective repair and Group 3 was for elective endovascular aneurysm repairs. Primary outcome was in-hospital mortality, andsecondary outcomes were peri-procedural morbidity. For analysis the cohort was divided in two: cases repaired from 1994 to 2002 and from 2002 to 2013. This was based in the implementation of endovascular therapy from 2002 at the institution.Results: 573 patients were treated; Group 1: 65 patients; Group 2: 433 patients; Group 3: 75 patients. Mortality was 28.6%, 2.8% and 1.3% respectively. A significant rise in annual case-load (233%) was demonstrated and a trend toward lowering in surgical mortality (4.8 vs. 2.0%,p = 0.19) after 2002. Conclusions: Implementation of endovascular repair has contributed to rising annual caseloadof patients with abdominal aortic aneurysm at our institution. This rising in volume correlateswith effective lowering in mortality. © 2015 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular.
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Keywords
Abdominal aorta aneurysm , Article , Cohort analysis , Controlled study , Endovascular aneurysm repair , Human , Major clinical study , Surgical mortality , Aneurysm , Aorta , Endovascular , Surgery , Treatment
