Navigation Links
Minimally invasive surgery works well for abdominal aortic aneurysms, Mayo finds
Date:9/5/2012

ROCHESTER, Minn. -- A minimally invasive procedure known as endovascular repair used for abdominal aortic aneurysms has a low rate of complications, even in high-risk patients such as those with kidney, heart or lung problems, a Mayo Clinic study shows. Researchers found that even when aneurysms ruptured, endovascular repair had lower mortality rates than open-abdominal surgery, the other treatment option. The findings are being presented at the Midwestern Vascular Surgical Society Annual Meeting, Sept. 6-8, in Milwaukee, Wis.

An abdominal aortic aneurysm is a weakened and bulging area in the lower part of the aorta, the major blood vessel that supplies blood to the body. A ruptured abdominal aortic aneurysm can cause life-threatening bleeding. In endovascular surgery, physicians attach a synthetic graft to the end of a thin tube, or catheter, inserted through a groin artery and threaded up into the aorta. The graft is placed at the site of the aneurysm and fastened in place, reinforcing the aorta to prevent rupture. Recovery time typically includes a day in the hospital and one or two weeks of rest at home, compared with five to seven days in the hospital and four to six weeks at home after open-abdominal surgery.

"During the last decade or so we have performed over 1,000 endovascular repairs of abdominal aortic aneurysms that included patients with no symptoms at all and patients who presented with a life-threatening rupture. We found that endovascular repair results in a low mortality and a low rate of complications, and that was very rewarding," says lead author Peter Gloviczki, M.D., a Mayo Clinic vascular and endovascular surgeon.

Using a Mayo Clinic aortic registry, researchers analyzed data from 1,008 consecutive patients receiving endovascular repair between 1997 and 2011.

Abdominal aortic aneurysms are more common in men than in women, and that was reflected in the cases studied: 133 were women and 875 were men. They ranged in age from 49 to 99, with a mean age of 76. Thirty-day mortality after repair of non-ruptured aneurysms was 0.2 percent in good-risk and 2.2 percent in high-risk patients. The five-year survival rate was 72 percent for good-risk patients and 51 percent for those at high risk; three-fourths of those in either group were free from early and late complications, which can include post-procedure bleeding, blood clots or problems with the repair.

Age and high surgical risk were associated with complications and early and all-cause death. Women were likelier than men to have complications, but weren't at higher risk of death.

Abdominal aortic aneurysms often develop without symptoms. Men with a family history of aneurysms should be screened at age 55 with abdominal ultrasounds. Smokers, people with high cholesterol or high blood pressure, and women with a family history of aneurysms should be screened at 65, says Dr. Gloviczki, the Joe M. and Ruth Roberts Professor of Surgery at Mayo Clinic and president of the Society for Vascular Surgery.


'/>"/>

Contact: Sharon Theimer
newsbureau@mayo.edu
507-284-5005
Mayo Clinic
Source:Eurekalert

Related medicine news :

1. Obese appendectomy patients have fewer complications with minimally invasive operations
2. Non-invasive diagnostic imaging costs to Medicare Part B down significantly since 2006
3. Diagnostic test shows potential to noninvasively identify significant coronary artery disease
4. Non-invasive treatment for children with obstructive sleep apnea suggested by Ben-Gurion University study
5. Invasive insects cause staggering impact on native tree
6. Less Invasive Surgery Safe for Harvesting Bypass Veins: Study
7. Scientists looking for noninvasive ways to detect lung cancer early
8. Noninvasive imaging technique may help kids with heart transplants
9. Accelerated radiation treatment effective for noninvasive breast cancer
10. EVINCI results could lead to 75 percent reduction of invasive procedures for patients with suspected CAD
11. Patients Prefer More Invasive Form of Colon Scan: Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association of Eating ... excellence for the field of eating disorders, announces the opening of early registration ... Orlando, Florida at the Omni Resort at ChampionsGate. , The annual ...
(Date:10/13/2017)... ... 2017 , ... Lori R. Somekh, founder of the Law Office of ... elder law and special needs planning attorneys. “Membership in ElderCounsel helps our office remain ... to network with elder law attorneys nationwide,” said Somekh. , ElderCounsel ...
(Date:10/13/2017)... ... October 13, 2017 , ... The Visiting Nurse Association (VNA) of ... collection of specialty vendors and unique items from across the nation, this holiday-themed event ... wellness services offered by the VNA. The boutique will be open Saturday, November ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The ... the most popular and least understood books in the Holy Scriptures, Revelation. The Book ... have baffled scholars for centuries. Many have tossed it off as mere rubbish, but ...
(Date:10/13/2017)... ... , ... “The Journey: From the Mountains to the Mission Field”: the story ... the Philippines. “The Journey: From the Mountains to the Mission Field” is the creation ... has taught all ages and currently teaches a class of ladies at her church, ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... , Oct. 11, 2017  True Health, a ... amplified its effort during National Breast Cancer Awareness ... cancer risks. ... Oncology calculated that more than 10 million American ... mutations in BRCA1 or BRCA2 and have not had ...
(Date:10/5/2017)... , Oct. 5, 2017  In response to ... Oral and Maxillofacial Surgeons (AAOMS) released prescribing recommendations ... to be used as a first-line therapy to ... Recognizing the value ... White Paper "Opioid Prescribing: Acute and Postoperative Pain ...
(Date:10/2/2017)... INDIANAPOLIS , Oct. 2, 2017  Eli Lilly ... its financial results for the third quarter of 2017 ... a conference call on that day with the investment ... performance. The conference call will begin at ... public can access a live webcast of the conference ...
Breaking Medicine Technology: