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 […]
Read MoreAbstract Endovascular aneurysm repair (EVAR) offers lower early morbidity and mortality at the expense of increased long-term re-intervention. Dilatation of distal landing zones is increasingly managed with iliac branch procedures. Re-intervention for endoleak from the internal iliac artery (IIA) bridging stent component is usually approached from arm access due to concerns regarding inducement of displacement […]
Read MoreIntroduction Abdominal aortic aneurysm (AAA) repair may be associated with significant perioperative respiratory, cardiac, distal arterial or renal complications, which might necessitate a prolonged intensive care or hospital stay.1–3 In addition, patients with AAA are frequently elderly with widespread atherosclerosis, cardiovascular risk factors and comorbidities.4-8 This, in combination with the fact that AAA repair is […]
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