Article
Medicine, General & Internal
Abdulhakim Ibrahim, Miroslav Dimitrov Yordanov, Mohammad Hasso, Benjamin Heine, Alexander Oberhuber
Summary: The aim of this study was to analyze the outcomes and complications in patients who underwent open surgical treatment for AAA in the endovascular era. The study found that open aneurysm repair is safe and effective when performed in specialized high-volume centers.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Boonying Siribumrungwong, Jiro Kurita, Tatsuo Ueda, Daisuke Yasui, Ken-ichiro Takahashi, Takashi Sasaki, Yasuo Miyagi, Shun-ichiro Sakamoto, Yosuke Ishii, Tetsuro Morota, Takashi Nitta
Summary: Operative mortality rates did not significantly differ between EVAR and OSR, with EVAR showing less blood loss, shorter operative times, and shorter length of hospital stay but with higher re-intervention rates.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Andrew J. Soo Hoo, James J. Fitzgibbon, Mohamad A. Hussain, Rebecca E. Scully, Andrew B. Servais, Louis L. Nguyen, Edwin C. Gravereaux, Marcus E. Semel, Edward J. Marcaccio, Matthew T. Menard, C. Keith Ozaki, Michael Belkin
Summary: This study aims to define the indications for open aneurysm repair (OAR) and its impact on outcomes in the era of endovascular aneurysm repair (EVAR). The results show that no single anatomical contraindication is a predictor of worse outcomes with OAR in patients who do not meet the criteria for EVAR. Patients who choose OAR based on preference have lower rates of perioperative complications, shorter hospital stays, and superior long-term survival rates compared to those who undergo OAR due to anatomical or systemic contraindications to EVAR.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Nadin Elsayed, Rami Alhakim, Omar Al Nouri, Donald Baril, Fred Weaver, Mahmoud B. Malas
Summary: The results of this study have shown that C-OAR is associated with a significantly higher risk of perioperative morbidity and mortality compared with P-OAR. Follow-up at 5 and 10 years revealed a significant increase in mortality, aneurysmal rupture, and reintervention rates.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Safwan Omran, Ben Raude, Matthias Buerger, Sebastian Kapahnke, Jan Christoph Carstens, Haidar Haidar, Frank Konietschke, Jan Paul Frese, Andreas Greiner
Summary: In this study comparing aortoduodenal fistulas (ADFs) after endovascular abdominal aortic aneurysm repair (EVAR) vs after open aortic repair (OAR), it was found that patients in the OAR group had significantly higher postoperative complication rates compared to the EVAR group. The most common bacteria identified in blood cultures were Escherichia coli, with Candida spp. being the predominant pathogen found on intra-abdominal smears.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Curtis Woodford, Rym El Khoury, Joel L. Ramirez, Iris H. Liu, Elizabeth M. Lancaster, Joyce Nacario, Jade S. Hiramoto, Charles M. Eichler, Linda M. Reilly, James C. Iannuzzi, Michael S. Conte
Summary: This study reviewed open abdominal aortic surgery cases performed at a tertiary care center from 2007 to 2020 and found that complex open aortic aneurysm repair (OAR) comprised the majority, but were not accounted for in the Vascular Quality Initiative (VQI). The study suggests the creation of a VQI module for complex OAR to improve benchmarking for volume and outcomes in aortic surgery.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Livia E. V. M. de Guerre, Kirsten Dansey, Chun Li, Jinny Lu, Priya B. Patel, Joost A. van Herwaarden, Douglas W. Jones, Philip P. Goodney, Marc L. Schermerhorn
Summary: The diameter of aortic abdominal aneurysm (AAA) is associated with late outcomes following repair, with patients with large AAA having higher rates of reintervention, rupture, mortality, and loss to follow-up after EVAR compared to those with smaller AAA or after open repair. Patients with large AAAs who are medically fit should consider undergoing open repair for better long-term outcomes and rigorous follow-up after EVAR is essential.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Vladimir Makaloski, Nikolaos Tsilimparis, Giuseppe Panuccio, Konstantinos Spanos, Thomas Rudolf Wyss, Fiona Rohlffs, Eike Sebastian Debus, Tilo Koelbel
Summary: The study compared the perioperative outcomes of patients treated with fbEVAR after previous open or endovascular abdominal aortic repair, finding no difference in the technical success and in-hospital all-cause mortality rates between the two groups.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Surgery
Takuro Shirasu, Toshiki Kuno, Jun Yasuhara, Yujiro Yokoyama, Hisato Takagi, Michael J. Cullen, K. Craig Kent, W. Darrin Clouse
Summary: This study compared the outcomes of endovascular aneurysm repair (EVAR) and open aneurysm repair (OAR) for infected abdominal aortic aneurysms (AAAs). The results indicated that EVAR has become more prevalent in treating infected AAAs, but recurrent infection was more frequent after EVAR compared to OAR.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Andrea Vacirca, Joshua Wong, Aidin Baghbani-Oskouei, Emanuel R. Tenorio, Ying Huang, Aleem Mirza, Naveed Saqib, Titia Sulzer, Thomas Mesnard, Bernardo C. Mendes, Gustavo S. Oderich
Summary: This study compares the outcomes of fenestrated-branched endovascular aortic repair (FB-EVAR) in patients with complex abdominal or thoracoabdominal aortic aneurysms, with or without prior history of abdominal open surgical or endovascular aortic repair. The results show that FB-EVAR is effective regardless of prior aortic repair history, with high technical success, low mortality, and similar risk of major adverse events. However, patients with previous abdominal open surgical repair had lower patient survival rates, while those with previous endovascular aortic repair had lower risk of type II endoleak and sac enlargement.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Kirby R. Qin, Marlon Perera, Nathan Papa, David Mitchell, Jason Chuen
Summary: The landscape of AAA repair in the Australian private sector has drastically changed over the past two decades, with a clear preference towards endovascular AAA repair (EVAR). Despite stable rates of AAA surgery, EVAR saw increased use across all genders, age groups, and states.
JOURNAL OF ENDOVASCULAR THERAPY
(2021)
Article
Medicine, General & Internal
Pablo Marques de Marino, Melad Abu Jiries, Pavel Tesinsky, Anas Ibraheem, Athanasios Katsargyris, Eric L. Verhoeven
Summary: This study aims to evaluate the mid-term outcomes of fenestrated endovascular aneurysm repair (FEVAR) for proximal aortic pathology after previous open surgical repair (OSR). The study found that FEVAR is a safe and effective alternative for the endovascular treatment of para-anastomotic aneurysms/pseudoaneurysms after OSR, with high technical success, low mortality and morbidity, and good mid-term outcomes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Polymer Science
Gianmarco de Donato, Edoardo Pasqui, Claudia Panzano, Brenda Brancaccio, Gaia Grottola, Giuseppe Galzerano, Domenico Benevento, Giancarlo Palasciano
Summary: Abdominal aortic aneurysm (AAA) is a condition where the abdominal aorta dilates and grows until it ruptures. EVAR is a minimally invasive procedure using stent grafts to treat this condition. Recent advancements have introduced polymer-based technology as a safe and effective alternative to seal AAA.
Article
Surgery
Laura T. Boitano, Emily Y. Fan, Allison S. Crawford, Adam Tanious, Douglas Jones, Jessica P. Simons, Andres Schanzer
Summary: PAD is associated with worse survival following open infrarenal AAA repair. This study found that PAD and sex have an impact on outcomes following the repair. Female PAD patients had nearly four times the odds of perioperative mortality compared with men without PAD.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Robin Chastant, Ludovic Canaud, Baris Ata Ozdemir, Pierre Aubas, Nicolas Molinari, Eric Picard, Pascal Branchereau, Charles-Henri Marty-Ane, Pierre Alric
Summary: Late open surgical conversions after EVAR in high-volume centers can provide acceptable perioperative risks and promising outcomes. Elective open conversions are associated with excellent early and late results, while strategies involving complete endograft preservation can decrease perioperative morbidity.
JOURNAL OF VASCULAR SURGERY
(2021)