Endovascular Abdominal Aortic Aneurysm Repair: A Community Hospital's Experience

被引：4

作者：

Madden, Nicholas

Baril, Donald T.

Wertz, Richard ^{[2
]}

DeMarsico, Arthur ^{[2
]}

Rhee, Robert Y.

Chaer, Rabih A. ^{[1
]}

机构：

[1] Univ Pittsburgh, Sch Med, Div Vasc Surg, Med Ctr,Dept Surg, Pittsburgh, PA 15213 USA

[2] Altoona Reg Hlth Syst, Altoona, PA USA

来源：

VASCULAR AND ENDOVASCULAR SURGERY | 2009年 / 43卷 / 01期

关键词：

aneurysm; aortic; endovascular; community; RANDOMIZED CONTROLLED-TRIAL; OPEN SURGERY; 1ST DECADE; OUTCOMES; TERM; ENDOGRAFTS; PREDICTORS; MIGRATION; DEVICE; COSTS;

D O I：

10.1177/1538574408322754

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Endovascular abdominal aortic aneurysm repair (EVAR) has become the first-line approach for the treatment of abdominal aortic aneurysms. Outcomes outside of tertiary care settings remain unknown. The purpose of this study is to report the midterm outcomes of EVAR in a community hospital. A retrospective review of 75 elective, consecutive EVARs performed at a single nonacademic community hospital was performed. There were no conversions to open repair during or after endovascular repair. The mean follow-up was 18 months. There were no postoperative ruptures or aneurysm-related deaths. At 24 months, freedom from aneurysm-related death was 100%, freedom from secondary interventions was 91%, and freedom from endoleak was 69%. EVAR in the community setting is a safe and durable procedure, even in a medically high-risk population. Comparable outcomes can be achieved to tertiary care centers, in carefully selected patients with favorable anatomy.

引用

页码：25 / 29

页数：5

共 30 条

[1] Open versus endovascular repair of abdominal aortic aneurysms:: What does each really cost?
Angle, N
Dorafshar, AH
Moore, WS
Quiñones-Baldrich, WJ
Gelabert, HA
Ahn, SS
Baker, JD
[J]. ANNALS OF VASCULAR SURGERY, 2004, 18 (05) : 612 - 618
[2] Arko FR, 2002, J ENDOVASC THER, V9, P711, DOI 10.1583/1545-1550(2002)009<0711:ERREAL>2.0.CO
[3] 2
[4] Aortic neck attachment failure and the AneuRx graft: Incidence, treatment options, and early results
Azizzadeh, A
Sanchez, LA
Rubin, BG
Parodi, JC
Godshall, CJ
Geraghty, PJ
Choi, ET
Flye, MW
Curci, JA
Sicard, GA
[J]. ANNALS OF VASCULAR SURGERY, 2005, 19 (04) : 516 - 521
[5] Biebl M, 2005, MT SINAI J MED, V72, P127
[6] Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms
Blankensteijn, JD
de Jong, SECA
Prinssen, M
van der Ham, AC
Buth, J
van Sterkenburg, SMM
Verhagen, HJM
Buskens, E
Grobbee, DE
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (23) : 2398 - 2405
[7] Predictors of success following endovascular aneurysm repair: Mid-term results
Boult, M
Babidge, W
Maddern, G
Barnes, M
Fitridge, R
[J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2006, 31 (02) : 123 - 129
[8] Long-term outcomes after endovascular abdominal aortic aneurysm repair - The first decade
Brewster, David C.
Jones, John E.
Chung, Thomas K.
Lamuraglia, Glenn M.
Kwolek, Christopher J.
Watkins, Michael T.
Hodgman, Thomas M.
Cambria, Richard P.
[J]. ANNALS OF SURGERY, 2006, 244 (03) : 426 - 438
[9] Open versus endovascular abdominal aortic aneurysm repair in VA hospitals
Bush, RL
Johnson, ML
Collins, TC
Henderson, WG
Khuri, SF
Yu, HJ
Lin, PH
Lumsden, AB
Ashton, CM
[J]. JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2006, 202 (04) : 577 - 587
[10] Clinical effect of abdominal aortic aneurysm endografting: 7-year concurrent comparison with open repair
Cao, P
Verzini, F
Parlani, G
Romano, L
De Rango, P
Pagliuca, V
Iacono, G
[J]. JOURNAL OF VASCULAR SURGERY, 2004, 40 (05) : 841 - 848

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