FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2092525519> ?p ?o ?g. }

• W2092525519 endingPage "880" @default.
• W2092525519 startingPage "873" @default.
• W2092525519 abstract "With the increasing use of endovascular aneurysm repair, a greater proportion of open aneurysm repairs in the future are expected to be more complex and require suprarenal cross-clamping. We sought to evaluate the effects of suprarenal (SR) vs infrarenal (IR) aortic cross-clamp position in abdominal aortic aneurysm (AAA) repair in an updated single center series.All elective open AAA repairs performed at our institution between 1990 and 2006 were entered into a prospective database and reviewed retrospectively. Our main stratification variable was SR vs IR. The SR group was further subdivided into those requiring an adjunctive renal revascularization procedure (SR+RRP; n = 54) and those who did not (SR-RRP; n = 117). Univariate and multivariate models were used to analyze the effect of baseline variables and operative variables on our primary endpoint 30-day mortality as well as secondary endpoints such as major adverse events, postoperative decline in renal function (defined as doubling of baseline creatinine to level >2 mg/dL, or new-onset dialysis) and long-term survival. A propensity score model was developed to control for confounding variables associated with the use of an SR cross-clamp.A total of 1020 patients underwent elective AAA repair, of which 849 (83.2%) were IR and 171 (16.8%) were SR. Diabetes (14.6% vs 9.1%, P = .027), hypertension (70.2% vs 61.4%, P = .03), and chronic renal failure (14.0% vs 4.7%, P = .001) were more prevalent in the SR group, and mean aneurysm size was larger (6.0 cm vs 5.6 cm, P = .001). Estimated blood loss was higher (1919 mL vs 1257 mL, P = .001) in the SR group, as was mean length of stay (12.6 days vs 10.7 days, P = .047). Perioperative (30-day) mortality rate was 1.8% for the SR group and 1.2% for the IR group (P = .44). Postoperative decline in renal function was 17.0% in SR vs 9.5% in IR (P = .003), however, new-onset dialysis was rare (0.6% SR, 0.8% IR, P = NS). The combination of SR+RRP was associated with an increased risk for postoperative decline in renal function (14.8% SR+RRP, 4.3% SR-RRP, P = .016). Preoperative renal failure was strongly associated with postoperative renal decline (odds ratio [OR] 8.15, 2.92-22.8, P < .0001). Propensity score analysis demonstrated that the use of an SR cross-clamp was associated with an increased risk for postoperative renal decline (OR 2.66, 1.28-5.50, P = .009). Major adverse events were more prevalent in the SR group compared to the IR group (17.0% vs 9.5%, P = .003). Five-year survival was 69.1% + 1.9% for the IR group and 67.7% + 4.3% for the SR group (P = 0.38) by life table analysis.Suprarenal cross-clamping is associated with low mortality and significant but acceptable morbidity, including postoperative decline in renal function. The results from this series may serve as relevant background data when evaluating emerging branched and fenestrated endograft technologies." @default.
• W2092525519 created "2016-06-24" @default.
• W2092525519 creator A5014406612 @default.
• W2092525519 creator A5016520112 @default.
• W2092525519 creator A5041748388 @default.
• W2092525519 creator A5042742058 @default.
• W2092525519 creator A5058936075 @default.
• W2092525519 date "2009-04-01" @default.
• W2092525519 modified "2023-10-18" @default.
• W2092525519 title "Suprarenal aortic cross-clamp position: A reappraisal of its effects on outcomes for open abdominal aortic aneurysm repair" @default.
• W2092525519 cites W1964686185 @default.
• W2092525519 cites W1971304058 @default.
• W2092525519 cites W1971578554 @default.
• W2092525519 cites W1989186663 @default.
• W2092525519 cites W2000894457 @default.
• W2092525519 cites W2005152650 @default.
• W2092525519 cites W2019753293 @default.
• W2092525519 cites W2039012973 @default.
• W2092525519 cites W2046077510 @default.
• W2092525519 cites W2048520205 @default.
• W2092525519 cites W2055864845 @default.
• W2092525519 cites W2097492879 @default.
• W2092525519 cites W2121536103 @default.
• W2092525519 cites W2122579857 @default.
• W2092525519 cites W2136309091 @default.
• W2092525519 cites W2141769793 @default.
• W2092525519 cites W2156771391 @default.
• W2092525519 cites W2157294638 @default.
• W2092525519 doi "https://doi.org/10.1016/j.jvs.2008.10.057" @default.
• W2092525519 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19233593" @default.
• W2092525519 hasPublicationYear "2009" @default.
• W2092525519 type Work @default.
• W2092525519 sameAs 2092525519 @default.
• W2092525519 citedByCount "87" @default.
• W2092525519 countsByYear W20925255192012 @default.
• W2092525519 countsByYear W20925255192013 @default.
• W2092525519 countsByYear W20925255192014 @default.
• W2092525519 countsByYear W20925255192015 @default.
• W2092525519 countsByYear W20925255192016 @default.
• W2092525519 countsByYear W20925255192017 @default.
• W2092525519 countsByYear W20925255192018 @default.
• W2092525519 countsByYear W20925255192019 @default.
• W2092525519 countsByYear W20925255192020 @default.
• W2092525519 countsByYear W20925255192021 @default.
• W2092525519 countsByYear W20925255192022 @default.
• W2092525519 countsByYear W20925255192023 @default.
• W2092525519 crossrefType "journal-article" @default.
• W2092525519 hasAuthorship W2092525519A5014406612 @default.
• W2092525519 hasAuthorship W2092525519A5016520112 @default.
• W2092525519 hasAuthorship W2092525519A5041748388 @default.
• W2092525519 hasAuthorship W2092525519A5042742058 @default.
• W2092525519 hasAuthorship W2092525519A5058936075 @default.
• W2092525519 hasBestOaLocation W20925255191 @default.
• W2092525519 hasConcept C126322002 @default.
• W2092525519 hasConcept C141071460 @default.
• W2092525519 hasConcept C144301174 @default.
• W2092525519 hasConcept C159641895 @default.
• W2092525519 hasConcept C168563851 @default.
• W2092525519 hasConcept C17923572 @default.
• W2092525519 hasConcept C203092338 @default.
• W2092525519 hasConcept C2776098176 @default.
• W2092525519 hasConcept C2776543907 @default.
• W2092525519 hasConcept C2777323849 @default.
• W2092525519 hasConcept C2779464278 @default.
• W2092525519 hasConcept C2779978075 @default.
• W2092525519 hasConcept C2779993416 @default.
• W2092525519 hasConcept C38180746 @default.
• W2092525519 hasConcept C500558357 @default.
• W2092525519 hasConcept C71924100 @default.
• W2092525519 hasConceptScore W2092525519C126322002 @default.
• W2092525519 hasConceptScore W2092525519C141071460 @default.
• W2092525519 hasConceptScore W2092525519C144301174 @default.
• W2092525519 hasConceptScore W2092525519C159641895 @default.
• W2092525519 hasConceptScore W2092525519C168563851 @default.
• W2092525519 hasConceptScore W2092525519C17923572 @default.
• W2092525519 hasConceptScore W2092525519C203092338 @default.
• W2092525519 hasConceptScore W2092525519C2776098176 @default.
• W2092525519 hasConceptScore W2092525519C2776543907 @default.
• W2092525519 hasConceptScore W2092525519C2777323849 @default.
• W2092525519 hasConceptScore W2092525519C2779464278 @default.
• W2092525519 hasConceptScore W2092525519C2779978075 @default.
• W2092525519 hasConceptScore W2092525519C2779993416 @default.
• W2092525519 hasConceptScore W2092525519C38180746 @default.
• W2092525519 hasConceptScore W2092525519C500558357 @default.
• W2092525519 hasConceptScore W2092525519C71924100 @default.
• W2092525519 hasIssue "4" @default.
• W2092525519 hasLocation W20925255191 @default.
• W2092525519 hasLocation W20925255192 @default.
• W2092525519 hasOpenAccess W2092525519 @default.
• W2092525519 hasPrimaryLocation W20925255191 @default.
• W2092525519 hasRelatedWork W1967099627 @default.
• W2092525519 hasRelatedWork W1982490315 @default.
• W2092525519 hasRelatedWork W1982778236 @default.
• W2092525519 hasRelatedWork W2047186865 @default.
• W2092525519 hasRelatedWork W2137085669 @default.
• W2092525519 hasRelatedWork W2462269062 @default.
• W2092525519 hasRelatedWork W2614883666 @default.
• W2092525519 hasRelatedWork W2737400275 @default.

• next