A study of outcomes in conservatively managed patients with large abdominal aortic aneurysms deemed unfit for surgical repair

被引：3

作者：

Elmallah, Ahmed ^{[1
,2
]}

Elnagar, Mohamed ^{[1
,3
]}

Bambury, Niamh ^{[1
]}

Ahmed, Zeeshan ^{[1
]}

Dowdall, Joseph ^{[1
]}

Mehigan, Denis ^{[1
]}

Sheehan, Stephen ^{[1
]}

Barry, Mary ^{[1
]}

机构：

[1] St Vincents Univ Hosp, Dept Vasc Surg, Dublin 4, Ireland

[2] Menofia Fac Med, Shibin Al Kawm, Egypt

[3] Ain Shams Univ, Gen Surg, Cairo, Egypt

来源：

VASCULAR | 2019年 / 27卷 / 02期

关键词：

Abdominal aortic aneurysm; unfit large abdominal aortic aneurysm; RUPTURE RATE; SURGERY;

D O I：

10.1177/1708538118807075

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Background The current advancement and increasing use of diagnostic imaging has led to increased detection of abdominal aortic aneurysms (AAA). Many of these patients are unfit for elective AAA surgery. Aim To investigate the outcome of conservative management of unfit patients with large AAA (>5.5 cm) who are turned down for elective surgical intervention. Patients and methods Between January 2006 and April 2017, 457 patients presented with AAA >5.5 cm. Seventy-six patients (M: F 54:22) were deemed unfit for elective repair. Mean age was 79.8 years (range 64-96). Mean AAA size was 60.22 mm (55-83). Results Forty-nine of the 76 patients (64%) had died by April 2017. Fifteen (19.7%) patients died directly because of their aneurysm rupture. A further 34 (44.7%) patients died from non-aneurysm-related causes. Conclusion Patients with large AAA deemed unfit for elective surgery have an overall poor prognosis and die mainly from other causes than AAA. Surgical intervention when rupture occurs results in poor survival.

引用

页码：161 / 167

页数：7

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