| Determinants of postoperative and long-term survival of patients with ruptured abdominal aortic aneurysms. | |
MedLine Citation:
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PMID: 9505314 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To compare the surgical results of patients with ruptured (rAAA) and nonruptured abdominal aortic aneurysms (NrAAA), 267 consecutive patients surgically treated for abdominal aortic aneurysms (AAA) were reviewed. The patients' characteristics, preexistent risk factors, perioperative factors, and postoperative early and long-term survival were compared between the rAAA group (n = 27) and the NrAAA group (n = 240). A multivariate analysis to predict postoperative survival was also conducted in the rAAA group. The hospital mortality rate was 3.3% (8/232) for the NrAAA group and 22.2% (6/27) for the rAAA group (P < 0.001). The maximum size of aneurysms, period of preoperative hypotension, and intraoperative bleeding volume were significantly higher in the rAAA group than in the NrAAA group. The 5- and 10-year cumulative survival rates in the rAAA group were 88.1% and 42.0%, which were comparable to those in the NrAAA group. The incremental risk factors for hospital death in the rAAA group included advanced age, preoperative hypotension (< 80 mmHg), and postoperative renal failure requiring dialysis. These findings showed that the interval from rupture to cross-clamping must be shortened, maintaining hemodynamic stability to avoid prolonged hypotension. Reducing risk factors and minimizing deterioration of organ functions postoperatively would be essential to improve the prognosis of patients with rAAA. |
Authors:
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S Sasaki; K Yasuda; H Yamauchi; N Shiiya; M Sakuma |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgery today Volume: 28 ISSN: 0941-1291 ISO Abbreviation: Surg. Today Publication Date: 1998 |
Date Detail:
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Created Date: 1998-05-08 Completed Date: 1998-05-08 Revised Date: 2006-08-03 |
Medline Journal Info:
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Nlm Unique ID: 9204360 Medline TA: Surg Today Country: JAPAN |
Other Details:
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Languages: eng Pagination: 30-5 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aortic Aneurysm, Abdominal / mortality*, surgery Aortic Rupture / mortality*, surgery Case-Control Studies Cause of Death Female Hospital Mortality Humans Male Multivariate Analysis Postoperative Period Risk Factors Survival Analysis Survival Rate Survivors Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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