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Zur Behandlung des abdominellen Aortenaneurysmas in Deutschland
- 作者:Prof. Dr. E.S. Debus (1)
H. Nüllen (2) G. Torsello (3) W. Lang (4) I. Flessenk?mper (5) T. Hupp (6) A. Oberhuber (7) T. Noppeney (8) H. Wenk (9) M. Storck (10) T. Schmitz-Rixen (11) R.T. Grundmann (12)
- 关键词:Abdominelles Aortenaneurysma ; Register ; endovaskul?re Behandlung ; Offene Versorgung ; Ergebnisse ; Abdominal aortic aneurysm ; Registry endovascular repair ; Open repair ; Results
- 刊名:Gef?sschirurgie
- 出版年:2014
- 出版时间:August 2014
- 年:2014
- 卷:19
- 期:5
- 页码:412-421
- 全文大小:587 KB
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Grant SW, Grayson AD, Mitchell DC, McCollum CN (2012) Evaluation of five risk prediction models for elective abdominal aortic aneurysm repair using the UK National Vascular Database. Br J Surg 99:673-79 ternal" href="http://dx.doi.org/10.1002/bjs.8731" target="_blank" title="It opens in new window">CrossRef 9. Mani K, Lees T, Beiles B et al (2011) Treatment of abdominal aortic aneurysm in nine countries 2005-009: a vascunet report. Eur J Vasc Endovasc Surg 42:598-07 ternal" href="http://dx.doi.org/10.1016/j.ejvs.2011.06.043" target="_blank" title="It opens in new window">CrossRef 10. Lachat ML, Pecoraro F, Mayer D et al (2013) Outpatient endovascular aortic aneurysm repair: experience in 100 consecutive patients. Ann Surg 258:754-58 ternal" href="http://dx.doi.org/10.1097/SLA.0b013e3182a617f1" target="_blank" title="It opens in new window">CrossRef 11. Paravastu SC, Jayarajasingam R, Cottam R et al (2014) Endovascular repair of abdominal aortic aneurysm. Cochrane Database Syst Rev CD004178 12. Sidloff DA, Gokani VJ, Stather PW et al (2014) National Vascular Registry Report on surgical outcomes and implications for vascular centres. Br J Surg 101:637-42 ternal" href="http://dx.doi.org/10.1002/bjs.9462" target="_blank" title="It opens in new window">CrossRef 13. Henebiens M, Vahl A, Koelemay MJ (2008) Elective surgery of abdominal aortic aneurysms in octogenarians: a systematic review. J Vasc Surg 47:676-81 ternal" href="http://dx.doi.org/10.1016/j.jvs.2007.09.004" target="_blank" title="It opens in new window">CrossRef 14. Biancari F, Catania A, D’Andrea V (2011) Elective endovascular vs. open repair for abdominal aortic aneurysm in patients aged 80 years and older: systematic review and meta-analysis. Eur J Vasc Endovasc Surg 42:571-76 ternal" href="http://dx.doi.org/10.1016/j.ejvs.2011.07.011" target="_blank" title="It opens in new window">CrossRef 15. Lo RC, Bensley RP, Hamdan AD et al (2013) Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England. J Vasc Surg 57:1261-268 ternal" href="http://dx.doi.org/10.1016/j.jvs.2012.11.039" target="_blank" title="It opens in new window">CrossRef 16. Dubois L, Novick TV, Harris JR et al (2013) Outcomes after endovascular abdominal aortic aneurysm repair are equivalent between genders despite anatomic differences in women. J Vasc Surg 57:382-89 ternal" href="http://dx.doi.org/10.1016/j.jvs.2012.09.075" target="_blank" title="It opens in new window">CrossRef 17. Grootenboer N, Hunink MG, Hendriks JM et al (2013) Sex differences in 30-day and 5-year outcomes after endovascular repair of abdominal aortic aneurysms in the EUROSTAR study. J Vasc Surg 58:42-9 ternal" href="http://dx.doi.org/10.1016/j.jvs.2013.01.028" target="_blank" title="It opens in new window">CrossRef 18. Reimerink JJ, Hoornweg LL, Vahl AC et al (2013) Endovascular repair versus open repair of ruptured abdominal aortic aneurysms: a multicenter randomized controlled trial. Ann Surg 258:248-56 ternal" href="http://dx.doi.org/10.1097/SLA.0b013e31828d4b76" target="_blank" title="It opens in new window">CrossRef 19. IMPROVE Trial Investigators, Powell JT, Sweeting MJ, Thompson MM et al (2014) Endovascular or open repair strategy for ruptured abdominal aortic aneurysm: 30 day outcomes from IMPROVE randomised trial. BMJ 348:f7661 ternal" href="http://dx.doi.org/10.1136/bmj.f7661" target="_blank" title="It opens in new window">CrossRef 20. Edwards ST, Schermerhorn ML, O’Malley AJ et al (2014) Comparative effectiveness of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Medicare population. J Vasc Surg 59:575-82 ternal" href="http://dx.doi.org/10.1016/j.jvs.2013.08.093" target="_blank" title="It opens in new window">CrossRef 21. Mohan PP, Hamblin MH (2014) Comparison of endovascular and open repair of ruptured abdominal aortic aneurysm in the United States in the past decade. Cardiovasc Intervent Radiol 37:337-42 ternal" href="http://dx.doi.org/10.1007/s00270-013-0665-4" target="_blank" title="It opens in new window">CrossRef 22. Mehta M, Byrne J, Darling RC III et al (2013) Endovascular repair of ruptured infrarenal abdominal aortic aneurysm is associated with lower 30-day mortality and better 5-year survival rates than open surgical repair. J Vasc Surg 57:368-75 ternal" href="http://dx.doi.org/10.1016/j.jvs.2012.09.003" target="_blank" title="It opens in new window">CrossRef 23. Bj?rck M (2014) Surgery for ruptured abdominal aortic aneurysm. BMJ 348:g95 ternal" href="http://dx.doi.org/10.1136/bmj.g95" target="_blank" title="It opens in new window">CrossRef 24. Beek SC van, Conijn AP, Koelemay MJ, Balm R (2014) Editor’s choice -endovascular aneurysm repair versus open repair for patients with a ruptured abdominal aortic aneurysm: a systematic review and meta-analysis of short-term survival. Eur J Vasc Endovasc Surg 47:593-02 ternal" href="http://dx.doi.org/10.1016/j.ejvs.2014.03.003" target="_blank" title="It opens in new window">CrossRef 25. Karthikesalingam A, Holt PJ, Vidal-Diez A et al (2014) Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA. Lancet 383(9921):963-69 ternal" href="http://dx.doi.org/10.1016/S0140-6736(14)60109-4" target="_blank" title="It opens in new window">CrossRef 26. De Rango P, Lenti M, Cieri E et al (2013) Association between sex and perioperative mortality following endovascular repair for ruptured abdominal aortic aneurysms. 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- 作者单位:Prof. Dr. E.S. Debus (1)
H. Nüllen (2) G. Torsello (3) W. Lang (4) I. Flessenk?mper (5) T. Hupp (6) A. Oberhuber (7) T. Noppeney (8) H. Wenk (9) M. Storck (10) T. Schmitz-Rixen (11) R.T. Grundmann (12)
1. Klinik und Poliklinik für Gef??medizin, Universit?res Herzzentrum, Hamburg, Martinistr. 52, 20246, Hamburg, Deutschland 2. Praxis für Gef??chirurgie & Gef??medizin, M?nchengladbach, Deutschland 3. Gef??chirurgie, St. Frankiskus-Hospital Münster, Münster, Deutschland 4. Gef??chirurgische Abteilung, Universit?tsklinikum Erlangen, Erlangen, Deutschland 5. Klinik für Gef??medizin, HELIOS Klinikum Emil von Behring, Berlin, Deutschland 6. Klinik für Gef??chirurgie, Katharinenhospital, Stuttgart, Deutschland 7. Klinik für Gef??- und Endovaskularchirurgie, Universit?tsklinikum Düsseldorf, Düsseldorf, Deutschland 8. Abteilung für Gef??chirurgie, Klinik für Allgemein-, Visceral- und Gef??chirurgie, Krankenhaus Nürnberg, Nürnberg, Deutschland 9. Allgemein-, Gef??- und Visceralchirurgie, Klinikum Bremen-Nord, Bremen-Nord, Deutschland 10. Klinik für Gef??- und Thoraxchirurgie, Klinikum Karlsruhe, Karlsruhe, Deutschland 11. Klinik für Gef??- und Endovascularchirurgie, Klinikum der Goethe-Universit?t, Frankfurt a. M., Deutschland 12. Deutsches Institut für Gef??medizinische Gesundheitsforschung, Burghausen, Deutschland
- ISSN:1434-3932
文摘
Objective The data for the year 2013 of the registry of abdominal aortic aneurysms (AAA) of the German Society for Vascular Surgery and Vascular Medicine are presented and the results are compared with those of other registries. Methods In 2013 a total of 76 centers participated in the registry. For ruptured aneurysms (rAAA), 49 centers entered data for open repair (OR) and 32 centers for endovascular repair (EVAR). In total 2257 patients were included, 2041 patients (90.4-) had an intact aneurysm (iAAA), 216 patients (9.6-) a rAAA, 1924 patients (85.2-) were male and 333 (14.8-) were female. Men had an average age of 73 years, 2 years younger than women (average age 75 years) and 21.4- of patients were older than 80 years. The aneurysm diameter in computed tomography (CT) measured in median 55?mm and mean 66.8?±-5.9?mm. Results Of the patients with iAAA 73- were treated by EVAR and 27- by OR, 0.9- of patients with iAAA died after EVAR compared to 5.3- after OR. The complication rate after EVAR was about half (12.4-) of that after OR (27.9-) and the intensive care unit (ICU) and hospital stays were shorter. Overall post-interventional hospital mortality (OR and EVAR combined) was 2.1- for iAAA. Of the patients with rAAA 34.7- underwent EVAR and 65.3- OR. Patients with rAAA and EVAR were older (median 79 years) compared with 75 years for OR. No complications occurred in 42.7- of cases with EVAR for rAAA and 23 patients (30.7-) died. Of the rAAA patients treated with OR 18.4- showed no complications and 69 patients (48.9-) died. The combined hospital mortality for rAAA was 42.6- in the register and rAAA showed on average a diameter greater by at least 2?cm than for iAAA. Conclusion It must be emphasized that these results do not reflect the entire quality of care in Germany for AAA. The main task for the future is, therefore, to include in this registry more centers than in the past in order to make population-based statements in the long run.
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