abdominal aortic aneurysm
Understanding variation in the management of AAA in the UK: composition and function of multidisciplinary team meetings and information resources provided to patients
Introduction There is marked national1,2 and international3 variation in abdominal aortic aneurysm (AAA) repair practice and, more specifically, in the proportion of patients undergoing open surgical repair (OSR), endovascular aneurysm repair (EVAR) or no repair (conservative management). In 2022, the UK National Vascular Registry (NVR) reported that 59% of 2,744 patients undergoing repair of infrarenal…
Read MoreA deformed Lunderquist wire in a percutaneous endovascular aortic aneurysm repair procedure
Abstract Introduction: An endovascular aortic aneurysm repair (EVAR) is a minimally invasive procedure for repairing an abdominal aneurysm. The advantage of this procedure is that EVAR does not require a laparotomy, hence reducing the physical insult to the body with a quicker recovery time for the patient. Percutaneous EVAR (PEVAR) involves accessing the femoral arteries…
Read MoreEndovascular aneurysm repair using the Gore Excluder Conformable Abdominal Aortic Aneurysm Endoprosthesis with active control system in octogenarians with highly angulated aneurysm neck: a UK single-centre experience
Introduction In March 2020 the National Institute for Health and Care Excellence (NICE) guidelines recommended open repair as the primary treatment option for unruptured abdominal aortic aneurysms (AAAs), while suggesting endovascular aneurysm repair (EVAR) as a viable alternative for individuals with a high anaesthetic risk. Octogenarians constitute a subset of the high-risk population. They exhibit…
Read MoreChanges in functional health status following open abdominal aortic aneurysm repair and the role of exercise-based rehabilitation: a systematic review
Introduction Patients with abdominal aortic aneurysms (AAA) are usually older adults with widespread atherosclerosis and considerable cardiovascular risk factors.1–3 As a result, open surgical repair is associated with significant perioperative morbidity which may require a prolonged inpatient or intensive care stay.4,5 The associated metabolic and cardiopulmonary challenges may have substantial resultant consequences on functional status…
Read MoreTransfusion requirements in elective open abdominal aortic aneurysm repair: a network review of practice
Background During a recent NHS blood transfusion (NHSBT) Amber Alert1 for a shortage of Group O red cells available for transfusion, a recommendation to review higher risk surgeries which may require transfusion was implemented. Vascular surgery, and particularly open abdominal aortic aneurysm (AAA) repair, is often cited as being a particularly high-risk group (>15% transfusion…
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