The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Vascular Brasileiro (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100328 |
Resumo: | Abstract Background Internal iliac artery (IIA) preservation continues to be a challenge during open surgery or endovascular repair of abdominal aortoiliac aneurysm (AAIA). Objectives To determine the results in terms of survival and clinical outcomes in patients with aortoiliac aneurysms (AAIA) treated with endovascular (EV) or open surgical (OS) repair. Methods This was a retrospective consecutive cohort study of patients with AAIA who underwent EV or OS repair. Results Post-procedure hospitalization time and intensive care unit stay were both longer in the OS group than in the EV group (7.08 ± 3.5 days vs. 3.32 ± 2.3 days; p = 0.03; 3.35 ± 2.2 days vs. 1.2 ± 0.8 days; p = 0.02, respectively). There were two cases of bowel ischemia (4.7%; OS 8.3% and EV 3.2%; p = 0.48), two cases of buttock claudication (4.7%; OS 8.3% and EV 3.2%; p = 0.48), and one case of sexual dysfunction (2.3% OS), all of them in patients with bilateral occlusion of the internal iliac artery (five patients, 11.6%; p = 0.035). Overall survival at 720 days was 80.6% in the EV group and 66.7% in the OS group (p = 0.58). Conclusions In the present study, OS and EV repair of aortoiliac aneurysms had similar overall survival and outcomes. Preservation of at least one internal iliac artery is associated with good results and no further complications. |
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Jornal Vascular Brasileiro (Online) |
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The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysmsendovascular surgeryaortic aneurysmiliac aneurysmaortoiliac open surgeryAbstract Background Internal iliac artery (IIA) preservation continues to be a challenge during open surgery or endovascular repair of abdominal aortoiliac aneurysm (AAIA). Objectives To determine the results in terms of survival and clinical outcomes in patients with aortoiliac aneurysms (AAIA) treated with endovascular (EV) or open surgical (OS) repair. Methods This was a retrospective consecutive cohort study of patients with AAIA who underwent EV or OS repair. Results Post-procedure hospitalization time and intensive care unit stay were both longer in the OS group than in the EV group (7.08 ± 3.5 days vs. 3.32 ± 2.3 days; p = 0.03; 3.35 ± 2.2 days vs. 1.2 ± 0.8 days; p = 0.02, respectively). There were two cases of bowel ischemia (4.7%; OS 8.3% and EV 3.2%; p = 0.48), two cases of buttock claudication (4.7%; OS 8.3% and EV 3.2%; p = 0.48), and one case of sexual dysfunction (2.3% OS), all of them in patients with bilateral occlusion of the internal iliac artery (five patients, 11.6%; p = 0.035). Overall survival at 720 days was 80.6% in the EV group and 66.7% in the OS group (p = 0.58). Conclusions In the present study, OS and EV repair of aortoiliac aneurysms had similar overall survival and outcomes. Preservation of at least one internal iliac artery is associated with good results and no further complications.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100328Jornal Vascular Brasileiro v.19 2020reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/1677-5449.200087info:eu-repo/semantics/openAccessSoares,Rafael de AthaydeMatielo,Marcelo FernandoBrochado Neto,Francisco CardosoPalomo,Amanda ThurlerLourenço,Rodrigo AndradeTanaka,CarolineSacilotto,Robertoeng2020-12-07T00:00:00Zoai:scielo:S1677-54492020000100328Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2020-12-07T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false |
dc.title.none.fl_str_mv |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms |
title |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms |
spellingShingle |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms Soares,Rafael de Athayde endovascular surgery aortic aneurysm iliac aneurysm aortoiliac open surgery |
title_short |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms |
title_full |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms |
title_fullStr |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms |
title_full_unstemmed |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms |
title_sort |
The outcomes of internal iliac artery preservation during endovascular or open surgery treatment for aortoiliac aneurysms |
author |
Soares,Rafael de Athayde |
author_facet |
Soares,Rafael de Athayde Matielo,Marcelo Fernando Brochado Neto,Francisco Cardoso Palomo,Amanda Thurler Lourenço,Rodrigo Andrade Tanaka,Caroline Sacilotto,Roberto |
author_role |
author |
author2 |
Matielo,Marcelo Fernando Brochado Neto,Francisco Cardoso Palomo,Amanda Thurler Lourenço,Rodrigo Andrade Tanaka,Caroline Sacilotto,Roberto |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Soares,Rafael de Athayde Matielo,Marcelo Fernando Brochado Neto,Francisco Cardoso Palomo,Amanda Thurler Lourenço,Rodrigo Andrade Tanaka,Caroline Sacilotto,Roberto |
dc.subject.por.fl_str_mv |
endovascular surgery aortic aneurysm iliac aneurysm aortoiliac open surgery |
topic |
endovascular surgery aortic aneurysm iliac aneurysm aortoiliac open surgery |
description |
Abstract Background Internal iliac artery (IIA) preservation continues to be a challenge during open surgery or endovascular repair of abdominal aortoiliac aneurysm (AAIA). Objectives To determine the results in terms of survival and clinical outcomes in patients with aortoiliac aneurysms (AAIA) treated with endovascular (EV) or open surgical (OS) repair. Methods This was a retrospective consecutive cohort study of patients with AAIA who underwent EV or OS repair. Results Post-procedure hospitalization time and intensive care unit stay were both longer in the OS group than in the EV group (7.08 ± 3.5 days vs. 3.32 ± 2.3 days; p = 0.03; 3.35 ± 2.2 days vs. 1.2 ± 0.8 days; p = 0.02, respectively). There were two cases of bowel ischemia (4.7%; OS 8.3% and EV 3.2%; p = 0.48), two cases of buttock claudication (4.7%; OS 8.3% and EV 3.2%; p = 0.48), and one case of sexual dysfunction (2.3% OS), all of them in patients with bilateral occlusion of the internal iliac artery (five patients, 11.6%; p = 0.035). Overall survival at 720 days was 80.6% in the EV group and 66.7% in the OS group (p = 0.58). Conclusions In the present study, OS and EV repair of aortoiliac aneurysms had similar overall survival and outcomes. Preservation of at least one internal iliac artery is associated with good results and no further complications. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100328 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492020000100328 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1677-5449.200087 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
dc.source.none.fl_str_mv |
Jornal Vascular Brasileiro v.19 2020 reponame:Jornal Vascular Brasileiro (Online) instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) instacron:SBACV |
instname_str |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
instacron_str |
SBACV |
institution |
SBACV |
reponame_str |
Jornal Vascular Brasileiro (Online) |
collection |
Jornal Vascular Brasileiro (Online) |
repository.name.fl_str_mv |
Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
repository.mail.fl_str_mv |
||secretaria@sbacv.org.br |
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1752126648529977344 |