A Clinical Consideration of Abdominal Aortic Aneurysm Rupture / 대한혈관외과학회지
Journal of the Korean Society for Vascular Surgery
;
: 103-107, 2011.
Article
Dans Coréen
| WPRIM
| ID: wpr-726658
ABSTRACT
PURPOSE:
With current advances in surgical technique, the prognosis for elective open repair of abdominal aortic aneurysm (AAA) has improved, but the mortality rate for ruptured AAA remains high. The aim of this study was to define the risk factors of AAA rupture.METHODS:
We performed a retrospective analysis of 169 AAA patients who underwent open surgical repair between March 2000 and October 2010. According to the rupture, the patients were divided into 2 groups 'ruptured' (n=41), 'non-ruptured' (n=128). To define the risk factor of ruptured AAA, we compared following variables between the 2 groups clinical co-morbidities (hypertension, diabetes mellitus, ischemic heart disease, malignancies), diameter (maximal diameter of AAA), location of rupture, gender, and previous abdominal surgery history.RESULTS:
Mean patient-age was 68.4+/-4.4 years (range 32 to 86 years); the majority of patients were males, 135 (79.8%). Mean diameter of AAA was 6.67+/-2.0 cm (range 4 to 15 cm); 'non-ruptured' 6.3+/-1.6 cm, 'ruptured' 7.8+/-2.6 cm. The risk of AAA rupture was statistically significantly increased with increased diameter of the AAA (P=0.007). On multivariateanalysis, the only statistically significant risk factor for AAA rupture was diameter of AAA (P=0.004).CONCLUSION:
The only significant risk factor for AAA rupture found in this study is the diameter of AAA. To minimize the rupture rate of the AAA patients, we will have to closely monitor the size of AAA diameter.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Composés organothiophosphorés
/
Pronostic
/
Rupture
/
Études rétrospectives
/
Facteurs de risque
/
Ischémie myocardique
/
Anévrysme de l'aorte abdominale
/
Diabète
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Society for Vascular Surgery
Année:
2011
Type:
Article
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