دورية أكاديمية
أعرض في EDS

The effect of endovascular treatment on isolated iliac artery aneurysm treatment and mortality.

التفاصيل البيبلوغرافية
العنوان: The effect of endovascular treatment on isolated iliac artery aneurysm treatment and mortality.
المؤلفون: Buck DB; Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass; Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands., Bensley RP; Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass., Darling J; Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass., Curran T; Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass., McCallum JC; Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass., Moll FL; Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands., van Herwaarden JA; Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands., Schermerhorn ML; Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass. Electronic address: mscherme@bidmc.harvard.edu.
المصدر: Journal of vascular surgery [J Vasc Surg] 2015 Aug; Vol. 62 (2), pp. 331-5. Date of Electronic Publication: 2015 May 02.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 8407742 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6809 (Electronic) Linking ISSN: 07415214 NLM ISO Abbreviation: J Vasc Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: <2008-> : New York, NY : Elsevier
Original Publication: St. Louis, Mo. : Mosby, [c1984-
مواضيع طبية MeSH: Iliac Aneurysm/*surgery, Blood Vessel Prosthesis Implantation/mortality ; Blood Vessel Prosthesis Implantation/statistics & numerical data ; Endovascular Procedures/mortality ; Endovascular Procedures/statistics & numerical data ; Hospital Mortality ; Humans ; Iliac Aneurysm/epidemiology ; Iliac Aneurysm/mortality ; Iliac Artery ; Stents ; United States
مستخلص: Objective: Isolated iliac artery aneurysms are rare, but potentially fatal. The effect of recent trends in the use of endovascular iliac aneurysm repair (EVIR) on isolated iliac artery aneurysm-associated mortality is unknown.
Methods: We identified all patients with a primary diagnosis of iliac artery aneurysm in the National Inpatient Sample from 1988 to 2011. We examined trends in management (open vs EVIR, elective and urgent) and overall isolated iliac artery aneurysm-related deaths (with or without repair). We compared in-hospital mortality and complications for the subgroup of patients undergoing elective open and EVIR from 2000 to 2011.
Results: We identified 33,161 patients undergoing isolated iliac artery aneurysm repair from 1988 to 2011, of which there were 9016 EVIR and 4933 open elective repairs from 2000 to 2011. Total repairs increased after the introduction of EVIR, from 28 to 71 per 10 million United States (U.S.) population (P < .001). EVIR surpassed open repair in 2003. Total isolated iliac artery aneurysm-related deaths, due to rupture or elective repair, decreased after the introduction of EVIR from 4.4 to 2.3 per 10 million U.S. population (P < .001). However, urgent admissions did not decrease during this time period (15 to 15 procedures per 10 million U.S. population; P = .30). Among elective repairs after 2000, EVIR patients were older (72.4 vs 69.4 years; P = .002) and were more likely to have a history of prior myocardial infarction (14.0% vs 11.3%; P < .001) and renal failure (7.2% vs 3.6%; P < .001). Open repair had significantly higher rate of in-hospital mortality (1.8% vs 0.5%; P < .001) and complications (17.9% vs 6.7%; P < .001) and a longer length of stay (6.7 vs 2.3 days; P < .001).
Conclusions: Treatment of isolated iliac artery aneurysms has increased since the introduction of EVIR and is associated with lower perioperative mortality, despite a higher burden of comorbid illness. Decreasing iliac artery aneurysm-attributable in-hospital deaths are likely related primarily to lower elective mortality with EVIR rather than rupture prevention.
(Copyright © 2015 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: R01 HL105453 United States HL NHLBI NIH HHS; T32 HL007734 United States HL NHLBI NIH HHS; 5R01-HL-105453-03 United States HL NHLBI NIH HHS; HL-007734 United States HL NHLBI NIH HHS
تواريخ الأحداث: Date Created: 20150507 Date Completed: 20151006 Latest Revision: 20220409
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4516629
DOI: 10.1016/j.jvs.2015.03.027
PMID: 25943454
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-6809
DOI:10.1016/j.jvs.2015.03.027