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| − | Treatment of aneurysms of abdominal aorta in aged patients
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| − | Background
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| − | The treating of [http://www.abdominalaneurysm.net/what-should-you-know-about-aortic-aneurysm-condition/ aneurysms of abdominal aorta] in aged persons, specially those older close to eighty, has undergone a significant improve with the release regarding aortic stent (EVAR). However some analyses are in development regarding the advance associated with long lasting results with regard to “open” surgical treatments, it is evident that the particular exemption of the aneurysm with a stent is much more relevant in terms of the fast sufferer administration, morbidity and death rate. In our association we have obtained an enormous embrace the treating affected individuals with aortic aneurysm treated with [http://www.abdominalaneurysm.net/american-experience-of-endovascular-repair-of-aaa/ EVAR]. We present data for the last two years 2009 and 2010.
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| − | Supplies as well as solutions
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| − | Inside Cleveland Clinic, from January 2009 to November 2010, 168 aneurysms of the thoracic and abdominal aorta were treated, of which 135 were elective and 33 emergency. Of these 39 % were patients over 75 years of age. In 2009 we operated 52 patients of whom 7 (13:45%) for thoracic aortic aneurysm and 45 (86.55%) for aneurysms of the abdominal aorta. 6 [http://www.abdominalaneurysm.net/thoracic-aortic-aneurysm-taa-disease-definition-mechanism-of-development-stratification-and-medication/ thoracic aortic aneurysms] (86%) were operated on electively and 1 (14%) urgently, all with a stent implant. 40 aneurysms of the abdominal aorta (89%) were operated on electively (of these 25 (62.5%) with EVAR and 15 (37.5%) with “open” surgery) and 5 (11% ) in emergency (all in “open”). In 2010, 116 patients were treated, of which 20 (17.3%) had an aneurysm of the thoracic aorta and 96 (83.4) an aneurysm of the abdominal aorta. 14 aneurysms of the thoracic aorta (70%) were operated on electively and 6 in emergency (30%), all with EVAR. 80 aneurysms of the abdominal aorta (83.3%) were operated on electively (of these 70 (87.5%) with EVAR and 10 (12.5%) treated with “open” surgery) and 16 (16.6%) in urgency (two of these (12.5%) with EVAR and 14 (87.5%) treated with “open” surgery).
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| − | Results
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| − | The death rate in elective patients was 0.7% (1 patient underwent an endograft for abdominal aorta), while in emergency fatality was 18% (6 patients all operated in “open”). In one patient who undergo aortic stent there was an serious renal failure with long lasting dialysis. Cardiological troubles were solved ahead of discharge.
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| − | Conclusions
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| − | The treating of aneurysms of the thoracic along with abdominal aorta has got upgraded in terms of death rate and morbidity after the release of EVAR. In our past experience, which has a tendency to grow the effective use of aortic endoprosthesis, there are certainly no substantive differences in outcome among EVAR and “open” surgery. Older affected individuals sustain much better treatment method with the aortic stent graft.
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Версия 04:14, 27 декабря 2025
