1. Saccular Abdominal Aortic Aneurysms Patient Characteristics, Clinical Presentation, Treatment, and Outcomes in the Netherlands
- Author
-
Karthaus, E.G., Tong, T.M.L., Vahl, A., Hamming, J.F., Akker, L.H. van den, Akker, P.J. van den, Akkersdijk, G.J., Akkersdijk, G.P., Akkersdijk, W.L., Kempenaer, M.G.V. de, Arts, C.H., Avontuur, J.A., Baal, J.G., Bakker, O.J., Balm, R., Barendregt, W.B., Bender, M.H., Bendermacher, B.L., Berg, M. van den, Berger, P., Beuk, R.J., Blankensteijn, J.D., Bleker, R.J., Bockel, J.H., Bodegom, M.E., Bogt, K.E., Boll, A.P., Booster, M.H., Burg, B.L.B. van der, Borst, G.J. de, Bos-van Rossum, W.T., Bosma, J., Botman, J.M., Bouwman, L.H., Breek, J.C., Brehm, V., Brinckman, M.J., Broek, T.H. van den, Brom, H.L., Bruijn, M.T. de, Bruin, J.L. de, Brummel, P., Brussel, J.P. van, Buijk, S.E., Buimer, M.G., Burger, D.H., Buscher, H.C., Butter, G. den, Cancrinus, E., Castenmiller, P.H., Cazander, G., Coveliers, H.M., Cuypers, P.H., Daemen, J.H., Dawson, I., Derom, A.F., Dijkema, A.R., Diks, J., Dinkelman, M.K., Dirven, M., Dolmans, D.E., Doorn R, C. van, Dortmont, L.M. van, Eb, M.M. van der, Eefting, D., Eijck, G.J. van, Elshof, J.W., Elsman, B.H., Elst, A. van der, Engeland, M.I. van, Eps, R.G. van, Faber, M.J., Fijter, W.M. de, Fioole, B., Fritschy, W.M., Geelkerken, R.H., Gent, W.B. van, Glade, G.J., Govaert, B., Groenendijk, R.P., Groot, H.G. de, Haak, R.F. van den, Haan, E.F. de, Hajer, G.F., Hattum, E.S. van, Hazenberg, C.E., Joosten, P.P.H.M., Helleman, J.N., Hem, L.G. van der, Hendriks, J.M., Herwaarden, J.A. van, Heyligers, J.M., Hinnen, J.W., Hissink, R.J., Ho, G.H., Hoed, P.T. den, Hoedt, M.T., Hoek, F. van, Hoencamp, R., Hoffmann, W.H., Hoksbergen, A.W., Hollander, E.J., Huisman, L.C., Hulsebos, R.G., Hunt-Jens, K.M., Idu, M.M., Jacobs, M.J., Jagt, M.F. van der, Jansbeken, J.R., Janssen, R.J., Jiang, H.H., Jong, S.C. de, Jongkind, V., Kapma, M.R., Keller, B.P., Jahrome, A.K., Kievit, J.K., Klemm, P.L., Klinkert, P., Knippenberg, B., Koedam, N.A., Koelemaij, M.J., Kolkert, J.L., Koning, G.G., Koning, O.H., Krasznai, A.G., Krol, R.M., Kropman, R.H., Kruse, R.R., Laan, L. van der, Laan, M.J. van der, Laanen, J.H. van, Lardenoye, J.H., Lawson, J.A., Legemate, D.A., Leijdekkers, V.J., Lemson, M.S., Lensvelt, M.M., Lijkwan, M.A., Lind, R.C., Linden, F.T. van der, Lung, P.F.L., Loos, M.J., Loubert, M.C., Mahmoud, D.E., Manshanden, C.G., Mattens, E.C., Meerwaldt, R., Mees, B.M., Metz, R., Minnee, R.C., Mol van Otterloo , J.C. de, Moll, F.L., Swijndregt, Y.C.M. van, Morak, M.J., Mortel, R.H. van de, Mulder, W., Nagesser, S.K., Naves, C.C., Nederhoed, J.H., Nevenzel-Putters, A.M., Nie, A.J. de, Nieuwenhuis, D.H., Nieuwen-Huizen, J., Nieuwenhuizen, R.C. van, Nio, D., Oomen, A.P., Oranen, B.I., Oskam, J., Palamba, H.W., Peppelenbosch, A.G., Petersen, A.S. van, Peterson, T.F., Petri, B.J., Pierie, M.E., Ploeg, A.J., Pol, R.A., Ponfoort, E.D., Poyck, P.P., Prent, A., Raa, S. ten, Raymakers, J.T., Reichart, M., Reichmann, B.L., Reijnen, M.M., Rijbroek, A., Rijn, M.J. van, Roo, R.A. de, Rouwet, E.V., Rupert, C.G., Saleem, B.R., Sambeek, M.R. van, Samyn, M.G., Sant, H.P. van 't, Schaik, J. van, Schaik, P.M. van, Scharn, D.M., Scheltinga, M.R., Schepers, A., Schlejen, P.M., Schlosser, F.J., Schol, F.P., Schouten, O., Schreinemacher, M.H., Schreve, M.A., Schurink, G.W., Sikkink, C.J., Siroen, M.P., Slaa, A. te, Smeets, H.J., Smeets, L., Smet, A.A. de, Smit, P. de, Smit, P.C., Smits, T.M., Snoeijs, M.G., Sondakh, A.O., Steenhoven, T.J. van der, Sterkenburg, S.M. van, Stigter, D.A., Stigter, H., Strating, R.P., Stultiens, G.N., Sybrandy, J.E., Teijink, J.A., Telgenkamp, B.J., Testroote, M.J., The, R.M., Thijsse, W.J., Tielliu, I.F., Tongeren, R.B. van, Toorop, R.J., Tordoir, J.H., Tournoij, E., Truijers, M., Turkean, K., Nolthenius, R.P.T., Unlu, C., Vafi, A.A., Vahl, A.C., Veen, E.J., Veger, H.T., Veldman, M.G., Verhagen, H.J., Verhoeven, B.A., Vermeulen, C.F., Vermeulen, E.G., Vierhout, B.P., Visser, M.J., Vliet, J.A. van der, Vlijmen-van Kuelen, C.J., Voesten, H.G., Voorhoeve, R., and Vos
- Subjects
Male ,medicine.medical_specialty ,Aortic Rupture ,Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] ,Treatment outcome ,Patient characteristics ,Hospital mortality ,030204 cardiovascular system & hematology ,Dutch Surgical Aneurysm Audit (DSAA) ,Risk Assessment ,Blood Vessel Prosthesis Implantation ,03 medical and health sciences ,Aortic aneurysm ,0302 clinical medicine ,Intervention (counseling) ,medicine ,Humans ,Hospital Mortality ,Registries ,030212 general & internal medicine ,cardiovascular diseases ,threshold for elective surgery ,Aged ,Netherlands ,Retrospective Studies ,business.industry ,General surgery ,Follow up studies ,Retrospective cohort study ,Middle Aged ,Saccular abdominal aortic aneurysm ,medicine.disease ,Survival Analysis ,Surgery ,Treatment Outcome ,Elective Surgical Procedures ,030220 oncology & carcinogenesis ,cardiovascular system ,Female ,030211 gastroenterology & hepatology ,Emergencies ,Presentation (obstetrics) ,Tomography, X-Ray Computed ,Cardiology and Cardiovascular Medicine ,business ,Aortic Aneurysm, Abdominal ,Follow-Up Studies ,Abdominal surgery - Abstract
Objective: The aim of this was to analyze differences between saccularshaped abdominal aortic aneurysms (SaAAAs) and fusiform abdominal aortic aneurysms (FuAAAs) regarding patient characteristics, treatment, and outcome, to advise a threshold for intervention for SaAAAs.Background: Based on the assumption that SaAAAs are more prone to rupture, guidelines suggest early elective treatment. However, little is known about the natural history of SaAAAs and the threshold for intervention is not substantiated.Methods: Observational study including primary repairs of degenerative AAAs in the Netherlands between 2016 and 2018 in which the shape was registered, registered in the Dutch Surgical Aneurysm Audit (DSAA). Patients were stratified by urgency of surgery; elective versus acute (symptomatic/ruptured). Patient characteristics, treatment, and outcome were compared between SaAAAs and FuAAAs.Results: A total of 7659 primary AAA-patients were included, 6.1% (n = 471) SaAAAs and 93.9% (n = 7188) FuAAAs. There were 5945 elective patients (6.5% SaAAA) and 1714 acute (4.8% SaAAA). Acute SaAAApatients were more often female (28.9% vs 17.2%, P = 0.007) compared with acute FuAAA-patients. SaAAAs had smaller diameters than FuAAAs, in elective (53.0mm vs 61 mm, P = 0.000) and acute (68mm vs 75 mm, P = 0.002) patients, even after adjusting for sex. In addition, 25.2% of acute SaAAA-patients presented with diameters
- Published
- 2019