What question did this study set out to answer?

To assess operative survival and clinical outcomes of surgical repair for thoracoabdominal and upper abdominal aortic aneurysms involving major visceral arteries using the graft inclusion technique.

September 1, 1978Annals of SurgeryOpen Access

Progress in Treatment of Thoracoabdominal and Abdominal Aortic Aneurysms Involving Celiac, Superior Mesenteric, and Renal Arteries

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Authors

ECE. Stanley CrawfordHouston Methodist DSDonald M. SnyderEastern Michigan University GCGWEN C. CHOCynosure (United States)

Discussion

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Implication

Clinical series reports 94% operative survival following graft inclusion repair of thoracoabdominal aneurysms, indicating outcomes comparable to standard infrarenal resection.

Key Points

To assess operative survival and clinical outcomes of surgical repair for thoracoabdominal and upper abdominal aortic aneurysms involving major visceral arteries using the graft inclusion technique.
Retrospective single-center review of 82 consecutive patients operated on between April 1960 and April 1978, categorized across five anatomic extent groups (Groups I–V).
Surgical intervention utilized synthetic graft inclusion with direct visceral orifice suture reimplantation and selective revascularization of intercostal and lumbar arteries, with aortic and renal occlusion times spanning 15 to 155 minutes.
Operative survival was 94% (77 of 82 patients), with 95% follow-up completeness; immediate and 6-year actuarial survival rates were equivalent to those observed after simple infrarenal abdominal aortic aneurysm resection.
Postoperative paraplegia developed in 5 patients with extensive aneurysms, with risk reduced to one-third and severity lessened when intercostal and lumbar arteries were reattached.
Postoperative renal dysfunction was noted in 7 patients (4 mild and 3 severe), with 1 fatality occurring during recovery from renal failure following secondary revascularization.

Cite This Study

Crawford et al. (1978) studied this question.

synapsesocial.com/papers/6a70df3e8031ec7bb1dca436 https://doi.org/10.1097/00000658-197809000-00016

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September 1, 1978Annals of SurgeryOpen Access

Progress in Treatment of Thoracoabdominal and Abdominal Aortic Aneurysms Involving Celiac, Superior Mesenteric, and Renal Arteries

View Full Paper

Ask AI

Bookmark

Authors

ECE. Stanley CrawfordHouston Methodist DSDonald M. SnyderEastern Michigan University GCGWEN C. CHOCynosure (United States)

Discussion

Member takes

Implication

Clinical series reports 94% operative survival following graft inclusion repair of thoracoabdominal aneurysms, indicating outcomes comparable to standard infrarenal resection.

Key Points

To assess operative survival and clinical outcomes of surgical repair for thoracoabdominal and upper abdominal aortic aneurysms involving major visceral arteries using the graft inclusion technique.
Retrospective single-center review of 82 consecutive patients operated on between April 1960 and April 1978, categorized across five anatomic extent groups (Groups I–V).
Surgical intervention utilized synthetic graft inclusion with direct visceral orifice suture reimplantation and selective revascularization of intercostal and lumbar arteries, with aortic and renal occlusion times spanning 15 to 155 minutes.
Operative survival was 94% (77 of 82 patients), with 95% follow-up completeness; immediate and 6-year actuarial survival rates were equivalent to those observed after simple infrarenal abdominal aortic aneurysm resection.
Postoperative paraplegia developed in 5 patients with extensive aneurysms, with risk reduced to one-third and severity lessened when intercostal and lumbar arteries were reattached.
Postoperative renal dysfunction was noted in 7 patients (4 mild and 3 severe), with 1 fatality occurring during recovery from renal failure following secondary revascularization.

Cite This Study

Crawford et al. (1978) studied this question.

synapsesocial.com/papers/6a70df3e8031ec7bb1dca436 https://doi.org/10.1097/00000658-197809000-00016

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