今日の臨床サポート

腹部大動脈瘤

関連論文:
img  7:  Early mortality following endovascular versus open repair of ruptured abdominal aortic aneurysms.
 
著者: Ryaz B Chagpar, Jeremy R Harris, D Kirk Lawlor, Guy DeRose, Thomas L Forbes
雑誌名: Vasc Endovascular Surg. 2010 Nov;44(8):645-9. doi: 10.1177/1538574410376603. Epub 2010 Jul 30.
Abstract/Text PURPOSE: To determine whether endovascular repair (EVAR) offers a survival advantage over open repair (OAR) with ruptured abdominal aortic aneurysms (RAAA).
METHODS: Retrospective analysis of RAAA patients treated between 2003 and 2008. Univariate and multivariate analyses were performed.
RESULTS: 167 patients presented with RAAA (OAR = 135, 80.8%, EVAR = 32, 19.2%). On univariate analysis, EVAR was associated with a decreased mortality relative to OAR, (15.6% vs 43.7%, P = .004). Patients who survived were younger (P < .0005), had a higher blood pressure (P < .0005), level of consciousness (P < .0005), and hemoglobin (P = .018), and a lower urea (P = .005) and international normalized ratio (INR; P = .001). On multivariate analysis, type of repair remained an independent predictor of 30-day mortality (OR: 0.121; 95% CI: 0.021-0.682, P = .017).
CONCLUSION: Controlling for preoperative factors, EVAR is an independent predictor of lower 30 day mortality relative to open repair after RAAA. This supports the wider use of endovascular repair in all patients with RAAA.

PMID 20675315  Vasc Endovascular Surg. 2010 Nov;44(8):645-9. doi: 10.1177/1538574410376603. Epub 2010 Jul 30.
戻る

さらなるご利用にはご登録が必要です。

こちらよりご契約または優待日間無料トライアルお申込みをお願いします。

(※トライアルご登録は1名様につき、一度となります)


ご契約の場合はご招待された方だけのご優待特典があります。

以下の優待コードを入力いただくと、

契約期間が通常12ヵ月のところ、14ヵ月ご利用いただけます。

優待コード: (利用期限:まで)

ご契約はこちらから