Early outcomes of patients transferred with ruptured suprarenal aneurysm or dissection

Annals of the Royal College of Surgeons of England
N RudarakanchanaMichael Jenkins

Abstract

Objective Despite centralisation of the provision of vascular care, not all areas in England and Wales are able to offer emergency treatment for patients with acute conditions affecting the aorta proximal to the renal arteries. While cardiothoracic centres have made network arrangements to coordinate care for the repair of type A dissections, a similar plan for vascular care is lacking. This study investigates early outcomes in patients with ruptured suprarenal aortic aneurysm or dissection (rSRAD) transferred to a specialist centre. Methods Retrospective observational study over a five-year period (2009-2014) assessing outcomes of patients with ruptured sRAD diagnosed at their local hospital and then transferred to a tertiary centre capable of offering such treatment. Results Fifty-two patients (median age 73 years, 32 male) with rSRAD were transferred and a further four died during transit. The mean distance of patient transfer was 35 miles (range 4-211 miles). One patient did not undergo intervention due to frailty and two died before reaching the operating theatre. A total of 23 patients underwent endovascular repair, 9 hybrid repair and 17 open surgery. Median follow-up was 12 months (range 1-43 months). Complications incl...Continue Reading

References

Mar 4, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A W BradburyJ H Wolfe
Jun 5, 2007·Minimally Invasive Neurosurgery : MIN·D J AnschelF A Dilmanian
Mar 30, 2010·Journal of Vascular Surgery·Frederik H W JonkerBart E Muhs
Dec 27, 2011·The Annals of Thoracic Surgery·Ashkan KarimiThomas M Beaver
Sep 3, 2013·The Journal of Thoracic and Cardiovascular Surgery·Arman KilicJohn V Conte
Jan 21, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E L G VerhoevenI F J Tielliu

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Citations

Feb 6, 2020·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Min-Ah NahTae-Yoon Hwang

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