当前位置： SCI文献检索 > JOURNAL OF VASCULAR SURGERY期刊下所有文献 > A modern experience with saccular aortic aneurysms.

A modern experience with saccular aortic aneurysms.

Abstract：

OBJECTIVE:Repair of saccular aortic aneurysms (SAAs) is frequently recommended based on a perceived predisposition to rupture, despite little evidence that these aneurysms have a more malignant natural history than fusiform aortic aneurysms. METHODS:The radiology database at a single university hospital was searched for the computed tomographic (CT) diagnosis of SAA between 2003 and 2011. Patient characteristics and clinical course, including the need for surgical intervention, were recorded. SAA evolution was assessed by follow-up CT, where available. Multivariate analysis was used to examine potential predictors of aneurysm growth rate. RESULTS:Three hundred twenty-two saccular aortic aneurysms were identified in 284 patients. There were 153 (53.7%) men and 131 women with a mean age of 73.5±10.0 years. SAAs were located in the ascending aorta in two (0.6%) cases, the aortic arch in 23 (7.1%), the descending thoracic aorta in 219 (68.1%), and the abdominal aorta in 78 (24.2%). One hundred thirteen (39.8%) patients underwent surgical repair of SAA. Sixty-two patients (54.9%) underwent thoracic endovascular aortic repair, 22 underwent endovascular aneurysm repair (19.5%), and 29 (25.6%) required open surgery. The average maximum diameter of SAA was 5.0±1.6 cm. In repaired aneurysms, the mean diameter was 5.4±1.4 cm; in unrepaired aneurysms, it was 4.4±1.1 cm (P<.001). Eleven patients (3.9%) had ruptured SAAs on initial scan. Of the initial 284 patients, 50 patients (with 54 SAA) had CT follow-up after at least 3 months (23.2±19.0 months). Fifteen patients (30.0%) ultimately underwent surgical intervention. Aneurysm growth rate was 2.8±2.9 mm/yr, and was only weakly related to initial aortic diameter (R2=.19 by linear regression, P=.09 by multivariate regression). Decreased calcium burden (P=.03) and increased patient age (P=.05) predicted increased aneurysm growth by multivariate analysis. CONCLUSIONS:While SAA were not found to have a higher growth rate than their fusiform counterparts, both clinical and radiologic follow-up is necessary, as a significant number ultimately require surgical intervention. Further clinical research is necessary to determine the optimal management of SAA.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Shang EK,Nathan DP,Boonn WW,Lys-Dobradin IA,Fairman RM,Woo EY,Wang GJ,Jackson BM

doi

10.1016/j.jvs.2012.07.002

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

84-8

issue

1

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(12)01534-0

journal_volume

57

pub_type

杂志文章

相关文献

JOURNAL OF VASCULAR SURGERY文献大全
  • Ultrasound velocity criteria for renal in-stent restenosis.

    abstract：BACKGROUND:Renal artery stent placement is a recognized treatment for patients with hemodynamically significant renal artery stenosis when medical therapy fails. Duplex ultrasound (DUS) is the primary method used for noninvasive assessment of renal artery patency. Arterial stents alter the compliance of the artery, whi...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2008.12.066

    authors： Chi YW,White CJ,Thornton S,Milani RV

    更新日期：2009-07-01 00:00:00

  • Results of the endovascular abdominal aortic aneurysm repair using the Anaconda aortic endograft.

    abstract：OBJECTIVE:The objective of this study was to evaluate early and late results of the Anaconda aortic endograft (Vascutek, Terumo, Inchinnan, Scotland) in a single-center experience. METHODS:From September 2005 to March 2012, patients underwent endovascular aortic repair for abdominal aortic aneurysm (AAA) with Anaconda...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2014.04.073

    authors： Freyrie A,Gallitto E,Gargiulo M,Faggioli G,Massoni CB,Mascoli C,Pini R,Stella A

    更新日期：2014-11-01 00:00:00

  • In vitro endothelialization of a mesosystemic shunt: a clinical case report.

    abstract：:The existence of a confluently covering endothelium that is free of any thrombotic appositions can be proved 30 days after clinical implantation of an in vitro endothelialized expanded polytetrafluoroethylene graft. The recipient of the mesosystemic H-graft was a 69-year-old man who had a thrombosed portal vein follow...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(94)70084-2

    authors： Fischlein T,Zilla P,Meinhart J,Puschmann R,Vesely M,Eberl T,Balon R,Deutsch M

    更新日期：1994-03-01 00:00:00

  • Correlation of intraoperative blood flow measurement with autogenous arteriovenous fistula outcome.

    abstract：BACKGROUND:Autogenous arteriovenous fistula (AVF) has proven to be the optimal vascular access for the majority of hemodialysis patients due to its durability and low complication rates. The purpose of this study is to determine the value of intraoperative blood flow measurement with respect to AVF short-term outcome. ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2008.02.069

    authors： Lin CH,Chua CH,Chiang SS,Liou JY,Hung HF,Chang CH

    更新日期：2008-07-01 00:00:00

  • Femoropopliteal percutaneous transluminal angioplasty for limb salvage.

    abstract：:The role of balloon catheter femoropopliteal percutaneous transluminal angioplasty (FP PTA) continues to be controversial 14 years after its initial description. In high-risk patients with limb-threatening ischemia, the role of FP PTA is unknown. We reviewed the cases of 27 patients in whom high operative risk and adv...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：

    authors： Milford MA,Weaver FA,Lundell CJ,Yellin AE

    更新日期：1988-09-01 00:00:00

  • Two decades of abdominal aortic aneurysm repair: have we made any progress?

    abstract：PURPOSE:Over the past 20 years, there have been numerous advances in our ability to detect and to treat abdominal aortic aneurysms (AAAs). We hypothesized that these advances would lead to (1) an increase in the rate of elective repair and a decrease in the incidence of ruptured AAA (rAAA) and (2) a decrease in operati...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.2000.111691

    authors： Heller JA,Weinberg A,Arons R,Krishnasastry KV,Lyon RT,Deitch JS,Schulick AH,Bush HL Jr,Kent KC

    更新日期：2000-12-01 00:00:00

  • Results of PREVENT III: a multicenter, randomized trial of edifoligide for the prevention of vein graft failure in lower extremity bypass surgery.

    abstract：OBJECTIVE:The PREVENT III study was a prospective, randomized, double-blinded, multicenter phase III trial of a novel molecular therapy (edifoligide; E2F decoy) for the prevention of vein graft failure in patients undergoing infrainguinal revascularization for critical limb ischemia (CLI). METHODS:From November 2001 t...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jvs.2005.12.058

    authors： Conte MS,Bandyk DF,Clowes AW,Moneta GL,Seely L,Lorenz TJ,Namini H,Hamdan AD,Roddy SP,Belkin M,Berceli SA,DeMasi RJ,Samson RH,Berman SS,PREVENT III Investigators.

    更新日期：2006-04-01 00:00:00

  • Neurologic sequelae of unilateral carotid artery occlusion: immediate and late.

    abstract：:Over a 7-year period (1980 to 1987) 24 patients (18 men: mean age 67 years; range, 52 to 78 years, and six women: mean age 67 years; range, 46 to 82 years) undergoing serial carotid artery duplex scans were observed to progress to unilateral carotid artery occlusion. The occlusions were associated with ipsilateral str...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1989.15723

    authors： Nicholls SC,Bergelin R,Strandness DE

    更新日期：1989-11-01 00:00:00

  • Development of a risk prediction model for transfusion in carotid endarterectomy and demonstration of cost-saving potential by avoidance of "type and screen".

    abstract：OBJECTIVE:Preoperative testing for carotid endarterectomy (CEA) often includes blood typing and antibody screen (T&S). In our institutional experience, however, transfusion for CEA is rare. We assessed transfusion rate and risk factors in a national clinical database to identify a cohort of patients in whom T&S can saf...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2016.04.059

    authors： Stangenberg L,Curran T,Shuja F,Rosenberg R,Mahmood F,Schermerhorn ML

    更新日期：2016-12-01 00:00:00

  • Carotid artery entrapment by the hyoid bone.

    abstract：:We report a patient with a transient ischemic attack presumably caused by an entrapment of the internal carotid artery by the hyoid bone and without a significant carotid artery stenosis. The patient was operated on, with a release of the right internal and external carotid artery and resection of the right greater co...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2008.04.062

    authors： Kölbel T,Holst J,Lindh M,Mätzsch T

    更新日期：2008-10-01 00:00:00

  • Correlation of pre-existing radial artery macrocalcifications with late patency of primary radiocephalic fistulas in diabetic hemodialysis patients.

    abstract：OBJECTIVE:The aim of this study was to evaluate the impact of pre-existing radial artery macrocalcification (Mönckeberg type of arteriosclerosis) on patency rates of radiocephalic fistulas (RCFs) in diabetic end-stage renal disease (ESRD) patients undergoing hemodialysis. METHODS:In this observational prospective stud...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2014.02.042

    authors： Georgiadis GS,Georgakarakos EI,Antoniou GA,Panagoutsos S,Argyriou C,Mourvati E,Passadakis P,Lazarides MK

    更新日期：2014-08-01 00:00:00

  • Short-term and midterm results of an all-autogenous tissue policy for infrainguinal reconstruction.

    abstract：:Saphenous vein is the optimal conduit for infrainguinal vascular reconstruction. In instances in which this vein is unavailable or of "poor quality," reliance has been placed on a variety of prosthetic materials for bypass grafting. However, long-term patency with these prosthetic grafts has been disappointing. In Jan...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1989.vs0090107

    authors： Kent KC,Whittemore AD,Mannick JA

    更新日期：1989-01-01 00:00:00

  • Multiple organ dysfunction after mesenteric artery revascularization.

    abstract：PURPOSE:Mesenteric arterial reconstruction in patients with acute or chronic intestinal ischemia is associated with significant morbidity and mortality rates. Reperfusion of ischemic bowel in animals leads to release of multiple factors that cause organ dysfunction. Similar phenomena potentially occur in human beings a...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1993.48586

    authors： Harward TR,Brooks DL,Flynn TC,Seeger JM

    更新日期：1993-09-01 00:00:00

  • Activity and transport of antithrombin during acute limb ischemia.

    abstract：:Antithrombin (AT III), a major circulating anticoagulant, may be influenced by ischemia-induced changes in microvascular integrity and contribute to localized hypercoagulability. In a nonheparinized intact canine hindlimb model we determined AT III activity by chromogenic substrate assay (S-2238); coagulation changes ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1989.vs0090740

    authors： Burke PE,Harvey CF,Phythian CL,Gervin CA,Greenfield LJ

    更新日期：1989-05-01 00:00:00

  • Peripheral vascular surgery with magnetic resonance angiography as the sole preoperative imaging modality.

    abstract：PURPOSE:Magnetic resonance angiography (MRA) is a developing technique that provides arteriograms without the risks associated with iodinated contrast and arterial puncture or the expense of hospitalization. Prior reports have demonstrated the accuracy of peripheral vessel MRA for evaluation of the aorta through pedal ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/0741-5214(94)90222-4

    authors： Carpenter JP,Baum RA,Holland GA,Barker CF

    更新日期：1994-12-01 00:00:00

  • Management and prognosis of nonpulmonary large arterial disease in patients with Behçet disease.

    abstract：OBJECTIVE:The purpose of this study was to evaluate and report our treatment policies in the management of nonpulmonary arterial aneurysms in Behçet disease and to assess the prognosis in a cohort of 25 patients diagnosed between 1996 and 2007 by formally reassessing their outcome at the present time. METHODS:We ident...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2011.07.049

    authors： Tuzun H,Seyahi E,Arslan C,Hamuryudan V,Besirli K,Yazici H

    更新日期：2012-01-01 00:00:00

  • Ruptured mycotic abdominal aortic aneurysm secondary to Mycobacterium bovis after intravesical treatment with bacillus Calmette-Guérin.

    abstract：:Bacillus Calmette-Guérin (BCG) is a live attenuated strain of Mycobacterium bovis that has proven effective in the treatment of early-stage bladder cancer. Although intravesical therapy with BCG is generally considered safe, serious complications including hematuria, granulomatous pneumonitis, hepatitis, and life-thre...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2007.01.054

    authors： Harding GE,Lawlor DK

    更新日期：2007-07-01 00:00:00

  • Systematic review and meta-analysis of published studies on endovascular repair of thoracoabdominal aortic aneurysms with the t-Branch off-the-shelf multibranched endograft.

    abstract：BACKGROUND:Endovascular treatment of thoracoabdominal aortic aneurysms is becoming increasingly popular in clinical practice, mainly because of its reduced perioperative mortality and morbidity. However, the custom-made stent graft platform that companies offer requires detailed preoperative planning and production tim...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.jvs.2020.01.049

    authors： Konstantinou N,Antonopoulos CN,Jerkku T,Banafsche R,Kölbel T,Fiorucci B,Tsilimparis N

    更新日期：2020-08-01 00:00:00

  • Four-year randomized prospective comparison of percutaneous ePTFE/nitinol self-expanding stent graft versus prosthetic femoral-popliteal bypass in the treatment of superficial femoral artery occlusive disease.

    abstract：BACKGROUND:This is a randomized prospective study comparing the treatment of superficial femoral artery occlusive disease percutaneously with an expanded polytetrafluoroethylene (ePTFE)/nitinol self-expanding stent graft (stent graft) versus surgical femoral to above-knee popliteal artery bypass with synthetic graft ma...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jvs.2010.03.071

    authors： McQuade K,Gable D,Pearl G,Theune B,Black S

    更新日期：2010-09-01 00:00:00

  • Early report from an investigator-initiated investigational device exemption clinical trial on physician-modified endovascular grafts.

    abstract：OBJECTIVE:To determine whether a physician-modified endovascular graft (PMEG) is a safe and effective method for treating patients with juxtarenal aortic aneurysms who are deemed unsuitable for open repair. METHODS:A nonrandomized, prospective, consecutively enrolling investigational device exemption clinical trial wa...

    journal_title：Journal of vascular surgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jvs.2013.01.029

    authors： Starnes BW,Tatum B

    更新日期：2013-08-01 00:00:00

  • Celiac dissection after blunt abdominal trauma complicated by acute hepatic failure: case report and review of literature.

    abstract：:Injuries of the abdominal visceral vessels are uncommon but devastating entities resulting in extremely high rates of mortality. The most common cause of abdominal vascular injuries is penetrating trauma, accounting for 90% to 95% of these injuries. In contrast, blunt trauma accounts for 5% to 10% of all abdominal vas...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2007.04.041

    authors： Kirchhoff C,Stegmaier J,Krotz M,Muetzel Rauch E,Mutschler W,Kanz KG,Heindl B

    更新日期：2007-09-01 00:00:00

  • Popliteal-crural bypass through the posterior approach with lesser saphenous vein for limb salvage.

    abstract：PURPOSE:A review of popliteal-crural bypasses via the posterior approach was done to evaluate the results of this technique. METHODS:During a period of 36 months, 21 patients with limb-threatening ischemia underwent 21 popliteal-crural bypasses via the posterior approach in the prone position with reversed lesser saph...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：

    authors： Goyal A,Shah PM,Babu SC,Mateo RB

    更新日期：2002-10-01 00:00:00

  • Staging the neoaortoiliac system: feasibility and short-term outcomes.

    abstract：BACKGROUND:The neoaortoiliac system (NAIS) has gained popularity as a durable procedure for treating aortic graft infections. However, one of the disadvantages has been a long operation that can take up to 10 hours. The goal of this study was to assess the feasibility of staging the NAIS procedure with deep vein harves...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2008.06.067

    authors： Ali AT,McLeod N,Kalapatapu VR,Moursi MM,Eidt JF

    更新日期：2008-11-01 00:00:00

  • Femoral vein transposition for arteriovenous hemodialysis access: improved patient selection and intraoperative measures reduce postoperative ischemia.

    abstract：PURPOSE:Construction of prosthetic arteriovenous access for hemodialysis in the thigh results in a high incidence of graft failure and infection. Autogenous femoral artery-common femoral thigh transposition (transposed femoral vein [tFV]) arteriovenous accesses have superior patency, but our previous report documented ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2004.10.039

    authors： Gradman WS,Laub J,Cohen W

    更新日期：2005-02-01 00:00:00

  • Endovascular repair of bleeding aortoenteric fistulas: a 5-year experience.

    abstract：PURPOSE:Aortoenteric fistula (AEF) is an uncommon but catastrophic complication that can occur either primarily or after aortic reconstruction. Untreated, it is uniformly fatal. Conventional surgical management is associated with a perioperative mortality rate of 25% to 90% and frequent major complications. We reviewed...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.2001.119752

    authors： Burks JA Jr,Faries PL,Gravereaux EC,Hollier LH,Marin ML

    更新日期：2001-12-01 00:00:00

  • The effect of eversion and conventional-patch technique in carotid surgery on postoperative hypertension.

    abstract：OBJECTIVE:Postcarotid endarterectomy hypertension (HTN) is associated with neurological and cardiac complications. The purpose of this study was to assess the influence of eversion carotid endarterectomy (E-CEA) and conventional carotid endarterectomy (C-CEA) on postoperative blood pressure in the first 4 days after su...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2010.11.106

    authors： Demirel S,Bruijnen H,Attigah N,Hakimi M,Böckler D

    更新日期：2011-07-01 00:00:00

  • Impact of acute kidney injury on long-term outcomes after fenestrated and branched endovascular aortic aneurysm repair.

    abstract：OBJECTIVE:Acute kidney injury (AKI) has been identified as a common complication after fenestrated and branched endovascular aneurysm repair (F/BEVAR), occurring in 5% to 29% of patients. Predictors of AKI and its impact on long-term outcomes remain unknown. We sought to identify independent predictors of AKI and its e...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2019.09.034

    authors： Dossabhoy SS,Simons JP,Crawford AS,Aiello FA,Judelson DR,Arous EJ,Messina LM,Schanzer A

    更新日期：2020-07-01 00:00:00

  • Management of recurrent carotid stenosis: should asymptomatic lesions be treated surgically?

    abstract：PURPOSE:The purpose of this study was to determine factors that may influence patient selection for surgery in recurrent carotid stenosis (RCS) and to contrast the results of primary and secondary carotid endarterectomy (CENDX) with regard to operative morbidity and stroke prevention. METHODS:Forty-eight patients who ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(96)70095-2

    authors： O'Donnell TF Jr,Rodriguez AA,Fortunato JE,Welch HJ,Mackey WC

    更新日期：1996-08-01 00:00:00

  • The influence of gender on patency rates after iliac artery stenting.

    abstract：OBJECTIVE:The purpose of this study was to investigate the influence of gender on the long-term outcome after iliac artery stenting and to assess gender-specific differences of the influence of risk factors on treatment success and patency rates. METHODS:Between January 2000 and December 2006, 404 percutaneous translu...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2014.01.010

    authors： Bechter-Hugl B,Falkensammer J,Gorny O,Greiner A,Chemelli A,Fraedrich G

    更新日期：2014-06-01 00:00:00

  • Natural history and management of iliac aneurysms.

    abstract：:Fifty-five patients with 72 aneurysms of the iliac vessels were evaluated retrospectively during a 12-year period (1972 to 1985). Atherosclerotic vascular disease was found in all aneurysms. Marked male predominance (5:1) and advanced age (mean 74.6 years) characterized this population group. Two thirds of them harbor...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：

    authors： Richardson JW,Greenfield LJ

    更新日期：1988-08-01 00:00:00