Abstract:
BACKGROUND:The aim of the present study was to investigate the blood transfusion practice in patients operated for abdominal aortic aneurysm (AAA) with special emphasis on massive transfusion in cases with rupture. MATERIAL AND METHODS:From a database, 504 patients operated for AAA were stratified into 2 groups; an early transfusion period (1992-1999) and a late transfusion period (2000-2008) to evaluate the changes in transfusion practices over the course of time. RESULTS:Patients operated for nonruptured AAA (n = 330) showed a decreased mortality rate from 4% (early transfusion period) to 1% (late transfusion period) without significant changes in the transfusion practices. In patients operated for ruptured AAA (n = 174) an unexpected low mortality rate was found compared to the 30-day mortality reported in earlier studies. The transfusion practices in ruptured AAA surgery showed a significant increase in platelet use and change of fresh frozen plasma: red blood cell ratio from 0.8 to 0.9 between the early and the late transfusion period. CONCLUSION:The present database study shows that the operating mortality for AAA surgery has declined during the past decades. The cause of the decline in mortality in patients with ruptured AAA was interpreted as partly due to a modern blood component therapy.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Henriksson AEdoi
10.1177/1538574412467860subject
Has Abstractpub_date
2013-01-01 00:00:00pages
38-41issue
1eissn
1538-5744issn
1938-9116pii
1538574412467860journal_volume
47pub_type
杂志文章abstract::Acute renal artery occlusion is a rare but threatening problem; optimal therapeutic treatment remains a challenge, and ultimate outcomes are still to be defined. In the last decades, several reports or short-case experiences have been reported describing the use of selective infusion of lytic agents into renal artery ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408314445
更新日期:2008-08-01 00:00:00
abstract::Traumatic nonanastomtic disruption of an axillofemoral bypass graft (AFBG) is a relatively rare entity. However, we are reporting on an 82-year-old female who presented with a pulsating mass on her left side, which was noticed about 2 weeks after she fell on her side. The patient had undergone an ABFG about 15 years e...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574412463972
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Open repair (OR) for popliteal artery aneurysm (PAA) has recently been challenged by endovascular repair (ER) as the primary choice of treatment. The aim of the present study was to evaluate time trends in treatment modality and compare outcomes between OR and ER among electively operated patients after star...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574417742762
更新日期:2018-02-01 00:00:00
abstract::Patients with central venous occlusion who are ''tunneled catheter dependent'' are a challenge for hemodialysis access. A relatively new option for them is the hemodialysis reliable outflow (HeRO) device that can be totally implanted subcutaneously. However, patients still require a tunneled hemodialysis catheter that...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574410377122
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:The optimal antithrombotic regimen in peripheral arterial disease (PAD) is not known, leading to significant variations in antithrombotic treatment protocols in randomized trials and clinical practice. In device trials, antithrombotic regimens in patients receiving peripheral vascular interventions have not b...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574419836316
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:This retrospective case series aims to evaluate the efficacy of the Perclose ProGlide system for postoperative hemostasis following aortic stent-graft insertion. MATERIAL AND METHODS:A prospectively maintained database of patients with a minimum follow-up of 12 months following percutaneous aortic procedure...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574419858829
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abstract::Patients with chronic occlusion of iliac veins may present with symptoms ranging from mild discomfort to severe disability, including limb swelling, venous claudication, and ulceration. Endovascular treatment has emerged as first line of interventional therapy. Surgical venous-venous bypasses for the management of the...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412454584
更新日期:2012-10-01 00:00:00
abstract::Matrix metalloproteinases (MMPs) are overexpressed in venous leg ulcers, determining a breakdown of the main extracellular matrix (ECM) components owing mainly to collagenase activities, and so playing a crucial role in ulcer pathogenesis. The authors studied the effects of coagulation factor XIII (FXIII), which cross...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440403800506
更新日期:2004-09-01 00:00:00
abstract::First-bite syndrome (FBS) is an infrequently encountered complication of parapharyngeal space surgery. Patients experience excruciating pain in the ipsiltateral parotid gland region at the first bite of each meal, which improves with subsequent mastication. This is thought to be due to parotid gland sympathetic denerv...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574411407084
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:To assess the first results of hybrid operations in chronic venous obstructions of iliofemoral segments in patients with postthrombotic syndrome (PTS). METHODS:Hybrid operations (open endovenectomy from the common femoral vein with arteriovenous fistula creation and iliac vein stenting) were performed in 12 ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574417717609
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:The aim of this study was to evaluate the incidence, risk factors, and outcome of endoleaks related to endovascular aneurysm repair (EVAR) procedure at a single center with up to 10 years' surveillance. MATERIALS AND METHODS:All patients treated with EVAR for an abdominal aorta or iliac aneurysm in a 10-year p...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
abstract::Common iliac artery injury (CIAI), commonly associated with pelvic fractures may present with a potentially fatal combination of haemorrhage and limb ischaemia. We report a case of isolated CIAI from blunt trauma without bony injury treated successfully using endovascular repair. ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411431343
更新日期:2012-02-01 00:00:00
abstract::We report the clinical details, imaging findings, and management for a 39-year-old female presenting with recurrent episodes of pain in abdomen due to systemic lupus erythematous vasculitis associated with spontaneous isolated inferior mesenteric dissection. Spontaneous mesenteric artery dissection is an uncommon caus...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574418773472
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES::To evaluate the effects on aortoiliac fluid dynamics after the implantation of an endograft based on endovascular aneurysm sealing (EVAS) versus endovascular aneurysm repair (EVAR) strategy. METHODS::An adaptive geometrical deformable model was used for aortic lumen segmentation in 8 patients before and af...
journal_title:Vascular and endovascular surgery
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doi:10.1177/1538574418791059
更新日期:2018-11-01 00:00:00
abstract::Visceral artery pseudoaneurysms are common complications of pancreatitis that carry a high mortality rate. Early detection and treatment of the pseudoaneurysms should be done as they carry high mortality following rupture. The splenic artery is the commonest artery involved followed by gastroduodenal and pancreaticodu...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
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更新日期:2021-01-01 00:00:00
abstract::Mycotic aneurysm secondary to vertebral spondylitis is a rare but life-threatening pathology with high mortality and morbidity. The authors describe a successfully treated case of mycotic aneurysm of the common iliac artery complicated with vertebral spondylitis in a 74-year-old man. Under midline laparotomy, complete...
journal_title:Vascular and endovascular surgery
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doi:10.1177/153857440303700609
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
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更新日期:2014-01-01 00:00:00
abstract::Overlooked in most legislative remedies to address the medical malpractice (MMP) crisis is stringent prohibition against the use of "junk science'' in the courtroom and defining the qualifications of an expert witness. Expert witnesses should be required to: (1) to disclose information materially related to the reliab...
journal_title:Vascular and endovascular surgery
pub_type: 社论,评审
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更新日期:2006-05-01 00:00:00
abstract::Symptomatic visceral aneurysms usually present with abdominal pain and shock, gastrointestinal bleeding, or hemobilia when the aneurysm ruptures. Less frequently, visceral aneurysms are found incidentally during abdominal computed tomography or angiography. Thrombosis is a frequent complication of popliteal and femora...
journal_title:Vascular and endovascular surgery
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journal_title:Vascular and endovascular surgery
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abstract::Aneurysms of the superior mesenteric artery (SMA) are an uncommon but lethal entity, which must be treated expeditiously to avoid mortality and high incidence of ischemic small bowel complications. In the past 7 years the authors have treated 4 patients with a variety of types of aneurysms involving the SMA and its br...
journal_title:Vascular and endovascular surgery
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journal_title:Vascular and endovascular surgery
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更新日期:2002-09-01 00:00:00
abstract::Ovarian vein thrombosis is a rare but serious condition that may cause sepsis in the postpartum patient or may be associated with thrombosis of the inferior vena cava or renal vein. A 30-year-old woman presented 2 weeks postpartum with sudden onset of dyspnea and rightsided pleuritic chest pain. She was diagnosed with...
journal_title:Vascular and endovascular surgery
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更新日期:2006-12-01 00:00:00
abstract::Although uncommon, hoarseness can be a presenting symptom of a thoracic aneurysm. We present a case of a 67-year-old man with hoarseness, subsequently found to have left vocal paralysis. On workup, a computed tomography scan demonstrated a saccular thoracic aneurysm compressing the recurrent laryngeal nerve at the aor...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
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更新日期:2009-04-01 00:00:00
abstract:UNLABELLED:Revascularization of patients with intermittent claudication (IC) is recommended only for selected patients who have chronic pain or disabling disease. However, improvement in the quality of life (QoL) could justify more widespread use. OBJECTIVES:To determine the effect of conservative treatment and revasc...
journal_title:Vascular and endovascular surgery
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更新日期:2011-02-01 00:00:00
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440403800404
更新日期:2004-07-01 00:00:00
abstract::The increasing number of patients requiring hemodialysis and the limited number of access sites have resulted in an increase in multiple graft revisions to maintain access for hemodialysis. Venous outflow or anastomotic stenoses in vascular grafts tend to recur and contribute to the difficulty in maintaining a functio...
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journal_title:Vascular and endovascular surgery
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doi:10.1177/1538574410369387
更新日期:2010-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2012-01-01 00:00:00
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journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574407299800
更新日期:2007-06-01 00:00:00