In spite of modern advances in medical care, the operative mortality of ruptured abdominal aortic aneurysm remains high at 40%-50%. Multiple organ failure is one of the reasons for the high mortality rates. An acute increase in intra-abdominal pressure and abdominal compartment syndrome are common causes of multiple organ failure.It is important to prevent abdominal compartment syndrome to impr...

BACKGROUND Abdominal aortic aneurysm (AAA) screening and surveillance programmes use ultrasound imaging to measure the anteroposterior (AP) diameter of the infrarenal aorta. The aim of this study was to examine potential observer bias and variability in ultrasound measurements. METHODS Studies were identified for review via a MEDLINE database search (1966-2009). References supplied in accesse...

The aim of this study was to determine the role of P-selectin, an adhesion molecule found on the surface of activated platelets and endothelial cells during experimental aortic aneurysm formation. Infrarenal abdominal aortas of C57 black wild-type (WT) mice and P-selectin knockout (PKO) mice were measured in situ and then perfused with porcine pancreatic elastase (0.332 U/mL). Whole blood was d...

Although the standard treatment of abdominal aortic aneurysm has shifted from open surgery to endovascular repair, open surgery has remained the standard of care for complex aneurysms involving the visceral arteries and in patients unsuitable for endovascular aneurysm repair. Postoperative renal insufficiency may occur after open surgical repair of suprarenal abdominal aortic aneurysm. Methods ...

Since the introduction of endovascular repair of abdominal aortic aneurysm, an increasing proportion ofelective asymptomatic patients have been found to be suitable for endovascular repair despite uncertainties over long-term durability and cost benefit. However, one group of patients whose recovery would most likely be improved and in whom postoperative hospital stay would be reduced by this t...

OBJECTIVE Percutaneous treatment of an abdominal aortic aneurysm (AAA) is feasible, but is associated with a unique set of risks. A comparison of Excluder endograft deployment with femoral artery cutdown (FAC) versus percutaneous femoral access (PFA) for treatment of infrarenal AAA was undertaken. METHODS A single-institution, controlled, retrospective review was carried out in patients who u...

INTRODUCTION Several studies have found an increased incidence of peripheral aneurysms in patients with an abdominal aortic aneurysm (AAA). The aim of this study was to determine whether screening for popliteal aneurysms should be part of an AAA screening programme. SETTING A community-based AAA screening programme. METHODS The diameters of the internal abdominal aorta and both popliteal ar...

The less invasive endovascular aneurysm repair (EVAR) is regarded as a less effective procedure for the treatment of abdominal aortic aneurysm (AAA) since it is associated with frequent re-interventions and failures in the midterm mainly related to aneurysm neck problems. Open surgical conversion is often required after EVAR failure. Open repair of AAA is associated with fewer aortic-related re...