A study of outcomes in conservatively managed patients with large abdominal aortic aneurysms deemed unfit for surgical repair.
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal
/ complications
Aortic Rupture
/ etiology
Aortography
/ methods
Cause of Death
Computed Tomography Angiography
Conservative Treatment
/ adverse effects
Contraindications, Procedure
Databases, Factual
Elective Surgical Procedures
Female
Humans
Male
Middle Aged
Risk Factors
Time Factors
Treatment Outcome
Vascular Surgical Procedures
/ adverse effects
Abdominal aortic aneurysm
unfit large abdominal aortic aneurysm
Journal
Vascular
ISSN: 1708-539X
Titre abrégé: Vascular
Pays: England
ID NLM: 101196722
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
pubmed:
16
10
2018
medline:
23
4
2019
entrez:
16
10
2018
Statut:
ppublish
Résumé
The current advancement and increasing use of diagnostic imaging has led to increased detection of abdominal aortic aneurysms (AAA). Many of these patients are unfit for elective AAA surgery. To investigate the outcome of conservative management of unfit patients with large AAA (>5.5 cm) who are turned down for elective surgical intervention. Between January 2006 and April 2017, 457 patients presented with AAA >5.5 cm. Seventy-six patients (M: F 54:22) were deemed unfit for elective repair. Mean age was 79.8 years (range 64-96). Mean AAA size was 60.22 mm (55-83). Forty-nine of the 76 patients (64%) had died by April 2017. Fifteen (19.7%) patients died directly because of their aneurysm rupture. A further 34 (44.7%) patients died from non-aneurysm-related causes. Patients with large AAA deemed unfit for elective surgery have an overall poor prognosis and die mainly from other causes than AAA. Surgical intervention when rupture occurs results in poor survival.
Sections du résumé
BACKGROUND
BACKGROUND
The current advancement and increasing use of diagnostic imaging has led to increased detection of abdominal aortic aneurysms (AAA). Many of these patients are unfit for elective AAA surgery.
AIM
OBJECTIVE
To investigate the outcome of conservative management of unfit patients with large AAA (>5.5 cm) who are turned down for elective surgical intervention.
PATIENTS AND METHODS
METHODS
Between January 2006 and April 2017, 457 patients presented with AAA >5.5 cm. Seventy-six patients (M: F 54:22) were deemed unfit for elective repair. Mean age was 79.8 years (range 64-96). Mean AAA size was 60.22 mm (55-83).
RESULTS
RESULTS
Forty-nine of the 76 patients (64%) had died by April 2017. Fifteen (19.7%) patients died directly because of their aneurysm rupture. A further 34 (44.7%) patients died from non-aneurysm-related causes.
CONCLUSION
CONCLUSIONS
Patients with large AAA deemed unfit for elective surgery have an overall poor prognosis and die mainly from other causes than AAA. Surgical intervention when rupture occurs results in poor survival.
Identifiants
pubmed: 30319068
doi: 10.1177/1708538118807075
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM