Document Detail


Management of thoracoabdominal aneurysm type IV.
MedLine Citation:
PMID:  15649716     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Thoracoabdominal aneurysm type IV (TAA IV) represents only a minority of aortic aneurysms, but as it is an entirely abdominally located aneurysm, vascular surgeons are likely to see such aneurysms in their practice. The current surgical management of TAA IV is reviewed. METHODS: A PubMed/Medline-literature search for TAA IV. RESULTS AND CONCLUSIONS: A detailed preoperative evaluation to determine the rupture and operative risk is required. A threshold size of 5.5-6 cm is recommended for elective repair of TAA IV, which then is adjusted for age and other risk factors. Operative simplicity with the clamp and sew approach to obtain a short aortic cross-clamp time seems to have most support in the literature. The necessity of adjunct treatment to prevent visceral and spinal cord ischemia seems to be needed rarely. Uncomplicated repair has a minimal risk of neurological injury and a low risk of renal failure requiring dialysis in patients without preoperative renal dysfunction or renal artery stenosis. The role of endovascular repair of these aneurysms remains to be established.
Authors:
C-M Wahlgren; E Wahlberg
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  29     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-01-14     Completed Date:  2005-03-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  116-23     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Karolinska University Hospital, Stockholm, 171 76 Stockholm, Sweden. carl.wahlgren@kus.se
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / classification,  diagnosis,  surgery*
Aortic Aneurysm, Thoracic / classification,  diagnosis,  surgery*
Humans
Ischemia / physiopathology,  prevention & control
Kidney Failure / prevention & control
Postoperative Complications / prevention & control
Preoperative Care
Spinal Cord Injuries / prevention & control
Vascular Surgical Procedures
Viscera / physiopathology

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


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