FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3024003041> ?p ?o ?g. }

• W3024003041 endingPage "189" @default.
• W3024003041 startingPage "181" @default.
• W3024003041 abstract "Background There are limited data on access type when treating ruptured abdominal aortic aneurysms (AAAs) with endovascular aneurysm repair (EVAR). Our study's objective was to evaluate if the type of access in ruptured AAAs affected outcomes. Methods The Vascular Quality Initiative was queried from 2009 to 2018 for all ruptured AAAs treated with an index EVAR. Procedures were grouped by access type: percutaneous, open, and failed percutaneous that converted to open access. Patients with iliac access, both percutaneous and open access, and concurrent bypass were excluded. Baseline characteristics, procedure details, and outcomes were collected. Univariable and multivariable analyses were performed. Results There were 1,206 ruptured AAAs identified—739 (61.3%) was performed by percutaneous access, 416 (34.5%) by open access, and 51 (4.2%) by failed percutaneous that converted to open access. Percutaneous access, compared with open access and failed percutaneous access, respectively, had the shortest operative time (min, median) (111 vs. 138 vs. 180, P < 0.001) and was most often performed under local anesthesia (16.7% vs. 5% vs. 9.8%, P < 0.001). The amount of contrast used was similar between the approaches. Univariable analysis comparing percutaneous access, open access, and failed percutaneous access showed differences in 30-day mortality (19.9% vs. 24.8% vs. 39.2%, P = 0.002), postoperative complications (33.7% vs. 40.2% vs. 54%, P = 0.003), and cardiac complications (18.2% vs. 19.8% vs. 34.7%, P = 0.018). However, multivariable analysis did not show access type to have a significant effect on cardiac complications, pulmonary complications, any complications, return to the operating room, or perioperative mortality. Open access was independently associated with a prolonged length of stay (means ratio 1.17, 95% confidence interval (CI) 1.04–1.33, P = 0.012). Factors independently associated with failed percutaneous were prior bypass (odds ratio (OR) 9.77, 95% CI 2.44–39.16, P = 0.001) and altered mental status (OR 2.45, 95% CI 1.17–5.15, P = 0.018). Conclusions Access type for ruptured AAAs was not independently associated with major morbidity or mortality but did have a differential effect on length of stay. Access during these emergent procedures should be based on surgeon preference and experience. There are limited data on access type when treating ruptured abdominal aortic aneurysms (AAAs) with endovascular aneurysm repair (EVAR). Our study's objective was to evaluate if the type of access in ruptured AAAs affected outcomes. The Vascular Quality Initiative was queried from 2009 to 2018 for all ruptured AAAs treated with an index EVAR. Procedures were grouped by access type: percutaneous, open, and failed percutaneous that converted to open access. Patients with iliac access, both percutaneous and open access, and concurrent bypass were excluded. Baseline characteristics, procedure details, and outcomes were collected. Univariable and multivariable analyses were performed. There were 1,206 ruptured AAAs identified—739 (61.3%) was performed by percutaneous access, 416 (34.5%) by open access, and 51 (4.2%) by failed percutaneous that converted to open access. Percutaneous access, compared with open access and failed percutaneous access, respectively, had the shortest operative time (min, median) (111 vs. 138 vs. 180, P < 0.001) and was most often performed under local anesthesia (16.7% vs. 5% vs. 9.8%, P < 0.001). The amount of contrast used was similar between the approaches. Univariable analysis comparing percutaneous access, open access, and failed percutaneous access showed differences in 30-day mortality (19.9% vs. 24.8% vs. 39.2%, P = 0.002), postoperative complications (33.7% vs. 40.2% vs. 54%, P = 0.003), and cardiac complications (18.2% vs. 19.8% vs. 34.7%, P = 0.018). However, multivariable analysis did not show access type to have a significant effect on cardiac complications, pulmonary complications, any complications, return to the operating room, or perioperative mortality. Open access was independently associated with a prolonged length of stay (means ratio 1.17, 95% confidence interval (CI) 1.04–1.33, P = 0.012). Factors independently associated with failed percutaneous were prior bypass (odds ratio (OR) 9.77, 95% CI 2.44–39.16, P = 0.001) and altered mental status (OR 2.45, 95% CI 1.17–5.15, P = 0.018). Access type for ruptured AAAs was not independently associated with major morbidity or mortality but did have a differential effect on length of stay. Access during these emergent procedures should be based on surgeon preference and experience." @default.
• W3024003041 created "2020-05-21" @default.
• W3024003041 creator A5004385077 @default.
• W3024003041 creator A5007249552 @default.
• W3024003041 creator A5015016192 @default.
• W3024003041 creator A5015549590 @default.
• W3024003041 creator A5024384519 @default.
• W3024003041 creator A5024900179 @default.
• W3024003041 creator A5025681609 @default.
• W3024003041 creator A5030077235 @default.
• W3024003041 creator A5052089050 @default.
• W3024003041 creator A5059489804 @default.
• W3024003041 creator A5062214118 @default.
• W3024003041 date "2021-01-01" @default.
• W3024003041 modified "2023-09-30" @default.
• W3024003041 title "Access Type for Endovascular Repair in Ruptured Abdominal Aortic Aneurysms Does Not Affect Major Morbidity or Mortality" @default.
• W3024003041 cites W1970144614 @default.
• W3024003041 cites W2026369385 @default.
• W3024003041 cites W2030330160 @default.
• W3024003041 cites W2045080269 @default.
• W3024003041 cites W2045660389 @default.
• W3024003041 cites W2050359592 @default.
• W3024003041 cites W2093023960 @default.
• W3024003041 cites W2127330433 @default.
• W3024003041 cites W2140579637 @default.
• W3024003041 cites W2144012977 @default.
• W3024003041 cites W2172130400 @default.
• W3024003041 cites W2201797086 @default.
• W3024003041 cites W2303412565 @default.
• W3024003041 cites W2340487927 @default.
• W3024003041 cites W2561449060 @default.
• W3024003041 cites W2587594483 @default.
• W3024003041 cites W2765203338 @default.
• W3024003041 cites W2796094687 @default.
• W3024003041 cites W2902851845 @default.
• W3024003041 cites W2934597413 @default.
• W3024003041 doi "https://doi.org/10.1016/j.avsg.2020.07.004" @default.
• W3024003041 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32659419" @default.
• W3024003041 hasPublicationYear "2021" @default.
• W3024003041 type Work @default.
• W3024003041 sameAs 3024003041 @default.
• W3024003041 citedByCount "2" @default.
• W3024003041 countsByYear W30240030412021 @default.
• W3024003041 countsByYear W30240030412022 @default.
• W3024003041 crossrefType "journal-article" @default.
• W3024003041 hasAuthorship W3024003041A5004385077 @default.
• W3024003041 hasAuthorship W3024003041A5007249552 @default.
• W3024003041 hasAuthorship W3024003041A5015016192 @default.
• W3024003041 hasAuthorship W3024003041A5015549590 @default.
• W3024003041 hasAuthorship W3024003041A5024384519 @default.
• W3024003041 hasAuthorship W3024003041A5024900179 @default.
• W3024003041 hasAuthorship W3024003041A5025681609 @default.
• W3024003041 hasAuthorship W3024003041A5030077235 @default.
• W3024003041 hasAuthorship W3024003041A5052089050 @default.
• W3024003041 hasAuthorship W3024003041A5059489804 @default.
• W3024003041 hasAuthorship W3024003041A5062214118 @default.
• W3024003041 hasConcept C141071460 @default.
• W3024003041 hasConcept C2776098176 @default.
• W3024003041 hasConcept C2776543907 @default.
• W3024003041 hasConcept C2779993416 @default.
• W3024003041 hasConcept C2780813298 @default.
• W3024003041 hasConcept C71924100 @default.
• W3024003041 hasConceptScore W3024003041C141071460 @default.
• W3024003041 hasConceptScore W3024003041C2776098176 @default.
• W3024003041 hasConceptScore W3024003041C2776543907 @default.
• W3024003041 hasConceptScore W3024003041C2779993416 @default.
• W3024003041 hasConceptScore W3024003041C2780813298 @default.
• W3024003041 hasConceptScore W3024003041C71924100 @default.
• W3024003041 hasLocation W30240030411 @default.
• W3024003041 hasOpenAccess W3024003041 @default.
• W3024003041 hasPrimaryLocation W30240030411 @default.
• W3024003041 hasRelatedWork W2017103660 @default.
• W3024003041 hasRelatedWork W2017136727 @default.
• W3024003041 hasRelatedWork W2095151276 @default.
• W3024003041 hasRelatedWork W2137190715 @default.
• W3024003041 hasRelatedWork W2154353091 @default.
• W3024003041 hasRelatedWork W2462269062 @default.
• W3024003041 hasRelatedWork W2757358183 @default.
• W3024003041 hasRelatedWork W2977919527 @default.
• W3024003041 hasRelatedWork W3032124713 @default.
• W3024003041 hasRelatedWork W3014013020 @default.
• W3024003041 hasVolume "70" @default.
• W3024003041 isParatext "false" @default.
• W3024003041 isRetracted "false" @default.
• W3024003041 magId "3024003041" @default.
• W3024003041 workType "article" @default.