The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm Elliot L. Chaikof, MD, PhD, Ronald L.

Slides:

Advertisements

Similar presentations

Duplex ultrasound imaging alone is sufficient for midterm endovascular aneurysm repair surveillance: A cost analysis study and prospective comparison.

Advertisements

James M. Prentis, MBBS, Michael I. Trenell, PhD, Dave J

The Agency for Healthcare Research and Quality Inpatient Quality Indicator #11 overall mortality rate does not accurately assess mortality risk after.

Louise C. Brown, PhD, B'Eng, MSc, Simon G. Thompson, DSc, MA, Roger M

Victor J. Davila, MD, William Stone, MD, Audra A

Patients with chronic obstructive pulmonary disease have shorter survival but superior endovascular outcomes after endovascular aneurysm repair Moqueet.

Age-related trends in utilization and outcome of open and endovascular repair for abdominal aortic aneurysm in the United States, Margaret.

Comparative effectiveness of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Medicare population Samuel T. Edwards, MD,

Rupture rates of untreated large abdominal aortic aneurysms in patients unfit for elective repair Fran Parkinson, MB BCh, Stuart Ferguson, MB BChir,

A further meta-analysis of population-based screening for abdominal aortic aneurysm Hisato Takagi, MD, PhD, Shin-nosuke Goto, MD, Masafumi Matsui, MD,

Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair Kristina A. Giles, MD, Frank Pomposelli, MD, Allen Hamdan, MD, Mark.

The impact of body mass index on perioperative outcomes of open and endovascular abdominal aortic aneurysm repair from the National Surgical Quality Improvement.

Robert A. Meguid, MD, MPH, Benjamin S. Brooke, MD, Bruce A

Mohammad Hassan Murad, MD, MPH, Anas Shahrour, Nilay D

Screening for abdominal aortic aneurysm in Canada: Review and position statement of the Canadian Society for Vascular Surgery Tara M. Mastracci, MD,

Relative importance of aneurysm diameter and body size for predicting abdominal aortic aneurysm rupture in men and women Ruby C. Lo, MD, Bing Lu, MD,

Prior endovascular abdominal aortic aneurysm repair provides no survival benefits when the aneurysm ruptures Jae-Sung Cho, MD, Taeyoung Park, PhD, Jang.

A decade of change in abdominal aortic aneurysm repair in the United States: Have we improved outcomes equally between men and women? Ellen D. Dillavou,

The influence of gender and aortic aneurysm size on eligibility for endovascular abdominal aortic aneurysm repair Matthew P. Sweet, MD, Mark F. Fillinger,

Results of the United States multicenter prospective study evaluating the Zenith fenestrated endovascular graft for treatment of juxtarenal abdominal.

The effect of left subclavian artery coverage on morbidity and mortality in patients undergoing endovascular thoracic aortic interventions: A systematic.

Louis L. Nguyen, MD, MBA, MPH Journal of Vascular Surgery

Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals K. Craig Kent, MD, Robert M. Zwolak, MD, Natalia.

Anahita Dua, MD, MS, MBA, Gilbert R. Upchurch, MD, Jason T

Clinical presentation, comorbidities, and age but not female gender predict survival after endovascular repair of abdominal aortic aneurysm Peter Gloviczki,

Factors affecting radiation injury

Endovascular repair of traumatic thoracic aortic injury: Clinical practice guidelines of the Society for Vascular Surgery W. Anthony Lee, MD, Jon S.

Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery Gregorio A. Sicard, MD, Robert M.

One-year pivotal trial outcomes of the Nellix system for endovascular aneurysm sealing Jeffrey P. Carpenter, MD, Robert Cuff, MD, Clifford Buckley, MD,

Jonathan Misskey, MD, Meric Osman, MSc, David Kopriva, MDCM, FRCS(C)

Questions remain about quality of life after abdominal aortic aneurysm repair George Peach, MRCS, Peter Holt, PhD, FRCS, Ian Loftus, MD, FRCS, Matt M.

James M. Prentis, MBBS, Michael I. Trenell, PhD, Dave J

The impact of endovascular aneurysm repair on mortality for elective abdominal aortic aneurysm repair in England and the United States Alan Karthikesalingam,

Patients with chronic obstructive pulmonary disease have shorter survival but superior endovascular outcomes after endovascular aneurysm repair Moqueet.

The Agency for Healthcare Research and Quality Inpatient Quality Indicator #11 overall mortality rate does not accurately assess mortality risk after.

Nicholas H. Osborne, MD, Gilbert R. Upchurch, MD, Amit K

Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter Rodney P. Bensley, MD, Rob Hurks, MD, Zhen.

National trends in the repair of ruptured abdominal aortic aneurysms

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Mohammad Hassan Murad, MD, MPH, Adnan Z

Tara M. Mastracci, MD, Luis Garrido-Olivares, MD, Claudio S

Zenith abdominal aortic aneurysm endovascular graft

Early extubation reduces respiratory complications and hospital length of stay following repair of abdominal aortic aneurysms Sara L. Zettervall, MD,

Kenneth Ouriel, MD, Daniel G. Clair, MD, K

Reporting standards for thoracic endovascular aortic repair (TEVAR)

Comparison of outcomes following endovascular repair of abdominal aortic aneurysms based on size threshold Charles J. Keith, BA, Marc A. Passman, MD,

Patric Liang, BA, Rob Hurks, MD, PhD, Rodney P

Robert M. Zwolak, MD, PhD, Anton N. Sidawy, MD, MPH, Roy K

Population-based analysis of inpatient vascular procedures and predicting future workload and implications for training Jeffrey Jim, MD, Pamela L. Owens,

Joshua I. Greenberg, MD, Chelsea Dorsey, MD, Ronald L

Paul E. Norman, MD, Katrina Spilsbury, PhD, James B. Semmens, PhD

Redefining postoperative surveillance after endovascular aneurysm repair: Recommendations based on 5-year follow-up in the US Zenith multicenter trial

Simple renal cyst and abdominal aortic aneurysm

Trends in abdominal aortic aneurysm repair in the era of endovascular technology in Ontario Abdulmajeed Altoijry, MD, Muhammad Mamdani, PharmD, MA, MPH,

Andres Schanzer, MD, Louis M

Regarding “Endovascular repair of ruptured abdominal aortic aneurysms”

Adam W. Beck, MD, Philip P. Goodney, MD, Brian W. Nolan, MD, Donald S

Effect of gender on long-term survival after abdominal aortic aneurysm repair based on results from the Medicare national database Natalia N. Egorova,

Endovascular treatment of ruptured abdominal aortic aneurysms in the United States ( ): A significant survival benefit over open repair is independently.

Regarding “Lunar cycles and abdominal aortic aneurysm rupture”

Journal of Vascular Surgery

The Impact of Statins on Abdominal Aortic Aneurysm Growth, Rupture, and Perioperative Outcomes: A Systematic Review and Meta-Analysis Konrad Salata,

Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report Roel Hobo, MSc, Jacob Buth,

Emily A. Wood, MD, Manju Kalra, MD, Peter Gloviczki, MD, Audra A

Robert J. Hinchliffe, MD, MRCS, Janet T

The Propranolol Aneurysm Trial Investigators

Expanding use of emergency endovascular repair for ruptured abdominal aortic aneurysms: Disparities in outcomes from a nationwide perspective Kelly Lesperance,

Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England Ruby C. Lo, MD, Rodney.

Open repair of abdominal aortic aneurysm in a centenarian

Endovascular vs open repair for ruptured abdominal aortic aneurysm

Presentation transcript:

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm Elliot L. Chaikof, MD, PhD, Ronald L. Dalman, MD, Mark K. Eskandari, MD, Benjamin M. Jackson, MD, W. Anthony Lee, MD, M. Ashraf Mansour, MD, Tara M. Mastracci, MD, Matthew Mell, MD, M. Hassan Murad, MD, MPH, Louis L. Nguyen, MD, MBA, MPH, Gustavo S. Oderich, MD, Madhukar S. Patel, MD, MBA, ScM, Marc L. Schermerhorn, MD, MPH, Benjamin W. Starnes, MD Journal of Vascular Surgery Volume 67, Issue 1, Pages 2-77.e2 (January 2018) DOI: 10.1016/j.jvs.2017.10.044 Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 1 The annual adult per capita cigarette consumption and age-adjusted abdominal aortic aneurysm (AAA) deaths per 100,000 white men by year in the United States. From Lederle FA. The rise and fall of abdominal aortic aneurysm. Circulation 2011;124:1097-9. Journal of Vascular Surgery 2018 67, 2-77.e2DOI: (10.1016/j.jvs.2017.10.044) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Influence of smoking (current vs ex/never) on aneurysm enlargement in individual studies and meta-analysis (see primary source for individual study citations). B, Influence of diabetes on aneurysm enlargement in individual studies and meta-analysis (see primary source for individual study citations). MASS, Multicenter Aneurysm Screening Study; PIVOTAL, Positive Impact of Endovascular Options for Treating Aneurysm Early; UKSAT, UK Small Aneurysm Trial. From Sweeting MJ, Thompson SG, Brown LC, Powell JT. Meta-analysis of individual patient data to examine factors affecting growth and rupture of small abdominal aortic aneurysms. Br J Surg 2012;99:655-65. Journal of Vascular Surgery 2018 67, 2-77.e2DOI: (10.1016/j.jvs.2017.10.044) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 3 Meta-regression of abdominal aortic aneurysm (AAA) growth rate estimates by aneurysm diameter (see primary source for individual study citations). The solid line represents the overall regression, the dotted line connects estimates from the same study, and circles have diameters that represent amount of information. Adapted from Thompson SG, Brown LC, Sweeting MJ, Bown MJ, Kim LG, Glover MJ, et al. Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness. Health Technol Assess 2013;17:1-118. Journal of Vascular Surgery 2018 67, 2-77.e2DOI: (10.1016/j.jvs.2017.10.044) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 4 Estimated time to have a 10% probability of attaining an aortic diameter of 5.5 cm in male patients (see primary source for individual study citations). The black diamonds represent 95% confidence intervals and error bars represent 95% prediction intervals. MASS, Multicenter Aneurysm Screening Study; PIVOTAL, Positive Impact of Endovascular Options for Treating Aneurysm Early; UKSAT, UK Small Aneurysm Trial. Adapted from Thompson SG, Brown LC, Sweeting MJ, Bown MJ, Kim LG, Glover MJ, et al. Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness. Health Technol Assess 2013;17:1-118. Journal of Vascular Surgery 2018 67, 2-77.e2DOI: (10.1016/j.jvs.2017.10.044) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 5 Algorithm for management of the patient with a suspected or confirmed ruptured abdominal aortic aneurysm (AAA). CT, Computed tomography; IVs, intravenous lines. Journal of Vascular Surgery 2018 67, 2-77.e2DOI: (10.1016/j.jvs.2017.10.044) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 6 Referring hospital checklist for the patient with a suspected or confirmed ruptured aneurysm. Journal of Vascular Surgery 2018 67, 2-77.e2DOI: (10.1016/j.jvs.2017.10.044) Copyright © 2017 Society for Vascular Surgery Terms and Conditions

Fig 7 Receiving hospital personnel alert checklist for management of the patient with a suspected or confirmed ruptured aneurysm. Journal of Vascular Surgery 2018 67, 2-77.e2DOI: (10.1016/j.jvs.2017.10.044) Copyright © 2017 Society for Vascular Surgery Terms and Conditions