Contemporary outcomes of intact and ruptured visceral artery aneurysms

Journal of Vascular Surgery
Ankur J ShuklaRabih A Chaer

Abstract

The treatment outcomes of ruptured visceral artery aneurysms (rVAAs) have been sparsely characterized, with no clear comparison between different treatment modalities. The purpose of this paper was to review the perioperative and long-term outcomes of open and endovascular interventions for intact visceral artery aneurysms (iVAAs) and rVAAs. This was a retrospective review of all treated VAAs at one institution from 2003 to 2013. Patient demographics, aneurysm characteristics, management, and subsequent outcomes (technical success, mortality, reintervention) and complications were recorded. The study identified 261 patients; 181 patients were repaired (77 ruptured, 104 intact). Pseudoaneurysms were more common in rVAAs (81.8% vs 35.3% for iVAAs; P < .001). The rVAAs were smaller than the iVAAs (20.7 mm vs 27.5 mm; P = .018), and their most common presentation was abdominal pain; 29.7% were hemodynamically unstable. Endovascular intervention was the initial treatment modality for 67.4% (75.3% for rVAAs, 61.5% for iVAAs). The perioperative complication rate was higher for rVAAs (13.7% vs 1% for iVAAs; P = .003), as was mortality at 30 days (13% vs 0% for iVAAs; P = .001), 1 year (32.5% for rVAAs vs 4.1% for iVAAs; P < .001), and ...Continue Reading

References

Jul 1, 1997·Annals of Vascular Surgery·W H WagnerD V Cossman
Apr 11, 2001·Journal of Vascular Surgery·S C CarrW D Turnipseed
Jun 7, 2002·Archives of Surgery·William M StoneKenneth J Cherry
Aug 7, 2004·Journal of Vascular Surgery·Erin MooreEric D Endean
Feb 1, 2007·Journal of Vascular Surgery·Nirman TulsyanKenneth Ouriel
Apr 10, 2007·Mayo Clinic Proceedings·Shabana F PashaPatrick S Kamath
Jun 30, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Morihiro KatsuraHidemitsu Mototake
Jul 22, 2010·The British Journal of Radiology·H TakaoK Ohtomo
Sep 22, 2010·Cardiovascular and Interventional Radiology·Osamu IkedaYasuyuki Yamashita
Jan 11, 2011·Journal of Vascular Surgery·Grant T FankhauserUNKNOWN Mayo Vascular Research Center Consortium
May 31, 2011·Annals of Vascular Surgery·Enrico Maria MaroneRoberto Chiesa
Jun 2, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F CochennecR G J Gibbs
Jan 5, 2014·Annals of Vascular Diseases·Alfredo C Cordova, Bauer E Sumpio

❮ Previous
Next ❯

Citations

Jan 23, 2016·Journal of Vascular Surgery·Michael R CoreyMark F Conrad
Sep 19, 2015·Annals of Vascular Surgery·Walter DorigoCarlo Pratesi
Feb 29, 2016·Journal of Vascular and Interventional Radiology : JVIR·Wei ZhangJian Xu
Jul 15, 2015·The American Journal of Emergency Medicine·Mami YamadaTetsuya Matsuoka
Oct 30, 2016·Journal of Visceral Surgery·S Regus, W Lang
Jul 17, 2016·Annals of Vascular Surgery·Kristine C OrionChristopher J Abularrage
Sep 7, 2016·Asian Journal of Endoscopic Surgery·Yoshitaka ToyodaShingo Kuze
May 10, 2017·Vascular and Endovascular Surgery·Feras F AbdallahGanapathy Ananthakrishnan
Sep 12, 2018·ANZ Journal of Surgery·Judy WangJason Chuen
Nov 27, 2019·Medicine·Feng-Fei XiaYuan-Shun Xu
Feb 11, 2020·International Journal of Colorectal Disease·Nelson SmithStephanie Chetrit
Dec 20, 2018·Surgical Innovation·Xuedong XuSteve Eubanks
Jul 19, 2017·Der Internist·M BauderK Caca
Nov 26, 2020·Medicine·Fu-Kang YuanFei Lu
Jan 14, 2021·Scientific Reports·Marcello Andrea TipaldiMichele Rossi
Oct 27, 2020·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Supriya SharmaRajanikant R Yadav
Mar 24, 2021·Langenbeck's Archives of Surgery·Steffen WolkStefan Ludwig
Apr 7, 2021·Annals of Vascular Surgery·Monika JohalAmer Harky

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.