Treatment Outcome Trends for Non-Ruptured Abdominal Aortic Aneurysms: A Nationwide Prospective Cohort Study

A.J Alberga,E.G Karthaus,J.A Wilschut,J.L De Bruin,G.P Akkersdijk,R.H Geelkerken,J.F Hamming,J.J Wever,H.J.M Verhagen

doi:10.1016/j.jvs.2022.01.015

Abstract

The Dutch Surgical Aneurysm Audit (DSAA) initiative was established in 2013 to monitor and improve nationwide outcomes of aortic aneurysm surgery. The objective of this study was to examine whether outcomes of surgery for intact abdominal aortic aneurysms (iAAA) have improved over time.

Highlights

WHAT IS NEW IN THE 2022 GUIDELINES, COMPARED WITH THE 2015 GUIDELINES?: Compared with the 2015 version of the guidelines on the management of chronic venous disease (CVD),1 the global structure of the document has been modified considerably in an attempt to make it more practical and user friendly
Post-operative non-ischaemic cerebral complications occurred in 12 patients (1.9%; 10 encephalopathies, two haemorrhagic strokes) and were independently associated with large infarcts and median intra-operative mean arterial blood pressure in the upper quartile, i.e., above 120 mmHg
Timing of carotid endarterectomy (CEA) after the ischaemic event, pre-operative antiplatelet regimen, and post-operative blood pressure were not associated with non-ischaemic cerebral complications

Summary

Introduction

Special subsections on management strategy with accompanying flowcharts have been added to the different chapters. D An extensive chapter has been entirely dedicated to superficial venous incompetence. A new subsection on incompetence of perforating veins has been added, as well as a subsection on practical strategies for special anatomical presentations. The management of recurrent varicose veins is discussed at the end of this chapter. D Deep venous pathology is discussed in a separate chapter, with an emphasis on the increasing evidence in the field of managing iliofemoral and iliocaval obstruction. New topics in this chapter are the combination of superficial and deep venous problems, aneurysms of the deep veins and popliteal vein entrapment syndrome. D An entirely new chapter has been dedicated to the management of patients with venous leg ulcers

Methods

Results

Conclusion