Treatment of abdominal aortic aneurysms (AAA) 2018 Registry report from the German Institute of Vascular Healthcare Research (DIGG) of the German Society for Vascular Surgery and Vascular Medicine (DGG)

被引:12
作者
Schmitz-Rixen, T. [1 ,2 ]
Steffen, M. [3 ]
Boeckler, D. [4 ]
Grundmann, R. T. [5 ]
机构
[1] Klinikum Goethe Univ, Klin Gefass & Endovasc Chirurg, Theodor Stern Kai 7, D-60596 Frankfurt, Germany
[2] Klinikum Goethe Univ, Univ Wundzentrum, Theodor Stern Kai 7, D-60596 Frankfurt, Germany
[3] Klinikum Saarbrucken, Saarbrucken, Germany
[4] Univ Klinikum Heidelberg, Klin Gefasschirurg & Endovaskulare Chirurg, Heidelberg, Germany
[5] Deutsch Gesell Gefasschirurg & Gefassmed, DIGG, Berlin, Germany
来源
GEFASSCHIRURGIE | 2020年 / 25卷 / 02期
关键词
Abdominal aortic aneurysm; Registry; Endovascular repair; Open repair; Treatment outcome;
D O I
10.1007/s00772-020-00619-2
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Objective Data from the abdominal aortic aneurysm (AAA) register for 2018, collected by the German Institute of Vascular Healthcare Research (DIGG) of the German Society for Vascular Surgery and Vascular Medicine are presented. Method In 2018 a total of 135 hospitals participated in the registry. For intact aneurysms (iAAA) 118 (87.4%) hospitals entered data for open repair (OR) and 133 (98.5%) hospitals for endovascular repair (EVAR) of iAAA. For ruptured AAA (rAAA) 80 hospitals (59.3%) entered data for EVAR and 65 hospitals (48.1%) for OR. Data from a total of 4051 patients treated in hospital were analyzed. Results A total of 2800 iAAA (75.8%) were treated by EVAR and 895 (24.2%) by OR. In 86.4% of endovascular interventions for iAAA no complications occurred and a total of 32 patients (1.1%) died during hospitalization. In 73.4% of the patients receiving OR for iAAA no complications occurred and 42 (4.7%) patients died. Out of the 356 patients with rAAA 192 (53.9%) were treated by EVAR and 164 (46.1%) by OR. Only 11.0% of the patients treated by OR but 23.4% of those treated by EVAR had free blood in the abdominal cavity. For patients treated for rAAA the hospital mortality ranged from 20.1% with OR to 30.7% with EVAR. Conclusion The results from 2018 for hospital mortality and morbidity in EVAR and OR of iAAA largely confirm the published results for the years 2013-2017. For rAAA, in 2018 for the first time more EVAR than OR were reported, with results diametrically opposed to those of previous years. Patients with EVAR had a higher comorbidity than patients with OR and hospital mortality was higher. It remains to wait for the results of the following years in order to be able to evaluate this trend more accurately.
引用
收藏
页码:117 / 123
页数:7
相关论文
共 3 条
  • [1] [Anonymous], 2018, LEITL SCREEN DIAGN T
  • [2] Deutsche Gesellschaft fur Allgemein- und Viszeralchirurgie, 2016, DAT PUBL
  • [3] Treatment of abdominal aortic aneurysms (AAA) 2017. Registry report from the German Institute of Vascular Healthcare Research (DIGG) of the German Society for Vascular Surgery and Vascular Medicine (DGG)
    Schmitz-Rixen, T.
    Steffen, M.
    Boeckler, D.
    Grundmann, R. T.
    [J]. GEFASSCHIRURGIE, 2019, 24 (02): : 162 - 172