Document Detail

Outcomes following endovascular or open repair for ruptured abdominal aortic aneurysm in a Chinese population.
MedLine Citation:
PMID:  23306827     Owner:  NLM     Status:  Publisher    
To determine whether emergent endovascular repair (eEVAR) can be an alternative for anatomically suitable ruptured abdominal aortic aneurysms (RAAA) in a Chinese population compared to open aneurysm repair (OAR), 36 patients with RAAA undergoing either OAR or eEVAR in National Taiwan University Hospital from 2005 to 2012 were analyzed retrospectively. Thirty-five (97.2 %) patients were treated. Among them, 20 (57.1 %) were treated by OAR and 15 (42.9 %) by eEVAR. The overall 30-day survival rate was 77.1 %. There was no significant difference in 30-day mortality rate (OAR 15.0 % vs. eEVAR 33.3 %, p = 0.201) and midterm mortality rate (OAR 20.0 % vs. eEVAR 46.7 %, p = 0.093) between these two groups. On univariate analysis, free peritoneal rupture (p < 0.001), pre-operative shock (p = 0.001) and female gender (p = 0.016) are related to a higher 30-day mortality rate, while free peritoneal rupture (p = 0.012) and pre-operative shock (p = 0.030) are associated with a higher midterm mortality rate in both repair techniques. On multivariate analysis, free peritoneal rupture was associated with higher 30-day (OR 26.0, 95 % CI 2.2-295.6, p = 0.009) and midterm (OR 13.1, 95 % CI 1.2-37.6, p = 0.032) mortality rates. In patients with RAAA, there is no significant difference in 30-day mortality and midterm mortality between eEVAR and OAR groups in our study. eEVAR could be an alternative therapy for anatomically suitable RAAA in a Chinese population.
Chao-Ying Wu; Chih-Yang Chan; Shu-Chien Huang; Nai-Shin Chi; Shoei-Shen Wang; I-Hui Wu
Related Documents :
8674567 - Treatment of bartholin's cyst and abscess: excision versus silver nitrate insertion.
23751187 - Vegetarian low-protein diets supplemented with keto analogues: a niche for the few or a...
24274987 - Amniotic fluid infection, inflammation, and colonization in preterm labor with intact m...
15963057 - Long-term remission following withdrawal of dopamine agonist therapy in subjects with m...
15381617 - Obesity is an independent risk factor of mortality in severely injured blunt trauma pat...
20648087 - Combination therapy in exudative age-related macular degeneration: visual outcomes foll...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-11
Journal Detail:
Title:  Heart and vessels     Volume:  -     ISSN:  1615-2573     ISO Abbreviation:  Heart Vessels     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Cardiovascular Section, Department of Surgery, National Taiwan University Hospital, No. 7, Chung-Shan S. Road, Taipei, Taiwan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Ocular microtremor measurement using laser-speckle metrology.
Next Document:  Agreement between frequency-doubling technology perimetry and Heidelberg retinal tomography 3.