Sökning: WFRF:(Djavani Khatereh) > Editor's Choice - A...
Fältnamn | Indikatorer | Metadata |
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000 | 04411naa a2200433 4500 | |
001 | oai:DiVA.org:uu-307899 | |
003 | SwePub | |
008 | 161122s2016 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3078992 URI |
024 | 7 | a https://doi.org/10.1016/j.ejvs.2016.03.0112 DOI |
040 | a (SwePub)uu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Ersryd, Samuelu Uppsala universitet,Kärlkirurgi,Centrum för klinisk forskning, Gävleborg4 aut0 (Swepub:uu)samer255 |
245 | 1 0 | a Editor's Choice - Abdominal Compartment Syndrome After Surgery for Abdominal Aortic Aneurysm :b A Nationwide Population Based Study |
264 | 1 | b Elsevier BV,c 2016 |
338 | a electronic2 rdacarrier | |
520 | a Objective/Background: The understanding of abdominal compartment syndrome (ACS), and its importance for outcome, has increased over time. The aim was to investigate the incidence and clinical consequences of ACS after open (OR) and endovascular repair (EVAR) for ruptured and intact infrarenal abdominal aortic aneurysm (rAAA and iAAA, respectively). Methods: In 2008, ACS and decompression laparotomy (DL) were introduced as variables in the Swedish vascular registry (Swedvasc), offering an opportunity to study this complication in a prospective, population based design. Operations carried out in the period 2008-13 were analysed. Of 6,612 operations, 1,341 (20.3%) were for rAAA (72.0% OR) and 5,271 (79.7%) for iAAA (41.9% OR). In all, 3,171 (48.0%) were operated on by OR and 3,441 by EVAR. Prophylactic open abdomen (OA) treatment was validated through case records. Cross-matching with the national population registry secured valid mortality data. Results: After rAAA repair, ACS developed in 6.8% after OR versus 6.9% after EVAR (p = 1.0). All major complications were more common after ACS (p<.001). Prophylactic OA was performed in 10.7% of patients after OR. For ACS, DL was performed in 77.3% after OR and 84.6% after EVAR (p=.433). The 30 day mortality rate was 42.4% with ACS and 23.5% without ACS (p <.001); at 1 year it was 50.7% versus 31.8% (p <.001). After iAAA repair, ACS developed in 1.6% of patients after OR versus 0.5% after EVAR (p <.001). Among those with ACS, DL was performed in 68.6% after OR and in 25.0% after EVAR (p=.006). Thirty day mortality was 11.5% with ACS versus 1.8% without it (p <.001); at 1 year it was 27.5% versus 6.3% (p <.001). When ACS developed, renal failure, multiple organ failure, intestinal ischaemia, and prolonged intensive care were much more frequent (p <.001). Morbidity and mortality were similar, regardless of primary surgical technique (OR/EVAR/iAAA/rAAA). Conclusion: ACS and OA were common after treatment for rAAA. ACS is a devastating complication after surgery for rAAA and iAAA, irrespective of operative technique, emphasizing the importance of prevention. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
653 | a Abdominal compartment syndrome | |
653 | a Open abdomen treatment | |
653 | a Aortic aneurysm-abdominal | |
653 | a Rupture | |
653 | a Population-based design | |
653 | a Registry | |
700 | 1 | a Djavani-Gidlund, Khaterehu Uppsala universitet,Kärlkirurgi,Centrum för klinisk forskning, Gävleborg4 aut0 (Swepub:uu)khadj328 |
700 | 1 | a Wanhainen, Andersu Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)anwan103 |
700 | 1 | a Björck, Martinu Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)mabjo425 |
710 | 2 | a Uppsala universitetb Kärlkirurgi4 org |
773 | 0 | t European Journal of Vascular and Endovascular Surgeryd : Elsevier BVg 52:2, s. 158-165q 52:2<158-165x 1078-5884x 1532-2165 |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1048787/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u http://www.ejves.com/article/S1078588416001684/pdf |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-307899 |
856 | 4 8 | u https://doi.org/10.1016/j.ejvs.2016.03.011 |
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