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Expert Review of Cardiovascular Therapy Volume 13, 2015 - Issue 12

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Emerging strategies to treat ruptured abdominal aortic aneurysms

Janet T PowellSt George’s Vascular Institute, St George’s Hospital, London, UKCorrespondence[email protected]

Robert J HinchliffeSt George’s Vascular Institute, St George’s Hospital, London, UK

Pages 1411-1418 | Published online: 21 Oct 2015

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https://doi.org/10.1586/14779072.2015.1104247
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An attempt at quantifying how the incidence of rupture has been reduced by public health measures to limit smoking and using endovascular technology for the elective repair of large aneurysms in those more than 75 years of age.

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Highlighting the increased risk of colonic and mesenteric ischaemia following open repair and the that endovascular repair has only a small, non-significant effect on operative mortality.

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State of art information 2015 and the first report showing the health economic advantages of a strategy of preferential endovascular repair, as well as stressing thatg patient-preferred outcomes are better with an endovascular strategy.

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Highlighing the possibility of real survival gains if repair can be conducted under local rather than general anaesthesia and questionning the value of permissive hypotension in this elderly cohort of patients.

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Noting the increased risk of colonic and mesenteric ischaemia following open repair and the that endovascular repair has only a small, non-significant effect on operative mortality.

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A recent paper emphasising that outcomes and selection bias are increased in women.

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Indicating the high risks of elective endovascular repair outside the anatomical parameters recommended by the manufacturer’s instructions for use.

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As vascular surgery services become re-organised into larger units, this type of approach is likely to be pivotal in reducing the operative mortality in those patients considered for aneurysm repair.

CRASH trial collaborators, Shakur H, Roberts I, Bautista R, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. Lancet. 2010;376:23–32.
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Emerging strategies to treat ruptured abdominal aortic aneurysms

References

An attempt at quantifying how the incidence of rupture has been reduced by public health measures to limit smoking and using endovascular technology for the elective repair of large aneurysms in those more than 75 years of age.

Just one example of the changing national trends in abdominal aortic aneurysm from a country which offers population screening to men.

Highlighting the increased risk of colonic and mesenteric ischaemia following open repair and the that endovascular repair has only a small, non-significant effect on operative mortality.

State of art information 2015 and the first report showing the health economic advantages of a strategy of preferential endovascular repair, as well as stressing thatg patient-preferred outcomes are better with an endovascular strategy.

Highlighing the possibility of real survival gains if repair can be conducted under local rather than general anaesthesia and questionning the value of permissive hypotension in this elderly cohort of patients.

Important best practice guidelines that are all too often disregarded.

Noting the increased risk of colonic and mesenteric ischaemia following open repair and the that endovascular repair has only a small, non-significant effect on operative mortality.

A recent paper emphasising that outcomes and selection bias are increased in women.

Indicating the high risks of elective endovascular repair outside the anatomical parameters recommended by the manufacturer’s instructions for use.

As vascular surgery services become re-organised into larger units, this type of approach is likely to be pivotal in reducing the operative mortality in those patients considered for aneurysm repair.

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Emerging strategies to treat ruptured abdominal aortic aneurysms

References

An attempt at quantifying how the incidence of rupture has been reduced by public health measures to limit smoking and using endovascular technology for the elective repair of large aneurysms in those more than 75 years of age.

Just one example of the changing national trends in abdominal aortic aneurysm from a country which offers population screening to men.

Highlighting the increased risk of colonic and mesenteric ischaemia following open repair and the that endovascular repair has only a small, non-significant effect on operative mortality.

State of art information 2015 and the first report showing the health economic advantages of a strategy of preferential endovascular repair, as well as stressing thatg patient-preferred outcomes are better with an endovascular strategy.

Highlighing the possibility of real survival gains if repair can be conducted under local rather than general anaesthesia and questionning the value of permissive hypotension in this elderly cohort of patients.

Important best practice guidelines that are all too often disregarded.

Noting the increased risk of colonic and mesenteric ischaemia following open repair and the that endovascular repair has only a small, non-significant effect on operative mortality.

A recent paper emphasising that outcomes and selection bias are increased in women.

Indicating the high risks of elective endovascular repair outside the anatomical parameters recommended by the manufacturer’s instructions for use.

As vascular surgery services become re-organised into larger units, this type of approach is likely to be pivotal in reducing the operative mortality in those patients considered for aneurysm repair.

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