Document Detail


Abdominal aortic aneurysm repair in obese patients: improved outcome after endovascular treatment compared with open surgery.
MedLine Citation:
PMID:  20034936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To investigate outcomes in obese patients with abdominal aortic aneurysm (AAA) treated with elective open or endovascular repair (EVAR).STUDY DESIGN: We compared the outcomes of obese patients with AAA treated with elective open repair and EVAR. Obesity was defined as a body mass index (BMI) > or =30 kg/m( 2).RESULTS: A total of 56 patients with a BMI > or =30 kg/m(2) were identified for analysis (mean age 70 +/- 8 years; mean BMI 34 +/- 4 kg/m(2), and 95% [n = 53] were male). Open surgery was performed in 55% (n = 31). The in-hospital complication rate (including nonsurvivors) was significantly increased after open repair compared with EVAR (26% vs 4%, P = .033). Mortality did not differ significantly during 3 years of follow-up (P = .816). Length of stay, intensive care unit (ICU) stay, and need for ventilation were significantly increased after open surgery compared with EVAR.CONCLUSIONS: We observed improved short-term outcomes among obese AAA patients after EVAR compared to open repair. Endovascular repair may be preferable in obese patients with AAA.
Authors:
Frederik H W Jonker; Felix J V Schl?sser; Michael Dewan; Matthew Huddle; Michael Sergi; Jeffrey E Indes; Alan Dardik; Bart E Muhs
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-12-23
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-01     Revised Date:  2010-04-20    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  105-9     Citation Subset:  IM    
Affiliation:
Department of Surgery and Radiology, Sections of Vascular Surgery and Interventional Radiology, Yale University School of Medicine, New Haven, Connecticut, VA Connecticut Healthcare System, West Haven, CT, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal / complications,  mortality,  surgery*
Blood Vessel Prosthesis Implantation* / adverse effects,  mortality
Body Mass Index
Female
Humans
Intensive Care
Kaplan-Meiers Estimate
Length of Stay
Male
Middle Aged
Obesity / complications*,  mortality
Respiration, Artificial
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Comments/Corrections
Comment In:
Vasc Endovascular Surg. 2010 May;44(4):319-20   [PMID:  20181613 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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