@article{MTMT:32091400, title = {Variation in Intact Abdominal Aortic Aneurysm Repair Outcomes by Country: Analysis of International Consortium of Vascular Registries 2010 – 2016}, url = {https://m2.mtmt.hu/api/publication/32091400}, author = {Boyle, Jonathan R. and Mao, Jialin and Beck, Adam W. and Venermo, Maarit and Sedrakyan, Art and Behrendt, Christian-Alexander and Szeberin, Zoltán and Eldrup, Nikolaj and Schermerhorn, Marc and Beiles, Barry and Thomson, Ian and Cassar, Kevin and Altreuther, Martin and Debus, Sebastian and Johal, Amundeep S. and Waton, Sam and Scali, Salvatore T. and Cromwell, David A. and Mani, Kevin}, doi = {10.1016/j.ejvs.2021.03.034}, journal-iso = {EUR J VASC ENDOVASC}, journal = {EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY}, volume = {62}, unique-id = {32091400}, issn = {1078-5884}, year = {2021}, eissn = {1532-2165}, pages = {16-24}, orcid-numbers = {Boyle, Jonathan R./0000-0002-3990-3341; Szeberin, Zoltán/0000-0003-0105-1785; Cassar, Kevin/0000-0001-6220-7435; Johal, Amundeep S./0000-0002-5050-1861; Cromwell, David A./0000-0002-6516-8125} } @article{MTMT:32691282, title = {Association Between Hospital Volume and Failure to Rescue After Open or Endovascular Repair of Intact Abdominal Aortic Aneurysms in the VASCUNET and International Consortium of Vascular Registries}, url = {https://m2.mtmt.hu/api/publication/32691282}, author = {D'Oria, M. and Scali, S. and Mao, J. and Szeberin, Zoltán and Thomson, I. and Beiles, B. and Stone, D. and Sedrakyan, A. and Eldrup, N. and Venermo, M. and Cassar, K. and Altreuther, M. and Boyle, J.R. and Behrendt, C.-A. and Beck, A.W. and Mani, K.}, doi = {10.1097/SLA.0000000000005044}, journal-iso = {ANN SURG}, journal = {ANNALS OF SURGERY}, volume = {274}, unique-id = {32691282}, issn = {0003-4932}, year = {2021}, eissn = {1528-1140}, pages = {E452-E459}, orcid-numbers = {Szeberin, Zoltán/0000-0003-0105-1785} } @article{MTMT:30377202, title = {European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms}, url = {https://m2.mtmt.hu/api/publication/30377202}, author = {Wanhainen, Anders and Verzini, Fabio and Van Herzeele, Isabelle and Allaire, Eric and Bown, Matthew and Cohnert, Tina and Dick, Florian and van Herwaarden, Joost and Karkos, Christos and Koelemay, Mark and Kölbel, Tilo and Loftus, Ian and Mani, Kevin and Melissano, Germano and Powell, Janet and Szeberin, Zoltán and de Borst, Gert J and Chakfe, Nabil and Debus, Sebastian and Hinchliffe, Rob and Kakkos, Stavros and Koncar, Igor and Kolh, Philippe and Lindholdt, Jes and de Vega, Melina and Vermassen, Frank and Björck, Martin and Cheng, Stephen and Dalman, Ronald and Davidovic, Lazar and Donas, Konstantinos and Earnshaw, Jonothan and Eckstein, Hans-Henning and Golledge, Jonathan and Haulon, Stephan and Mastracci, Tara and Naylor, Ross and Ricco, Jean-Baptiste and Verhagen, Hence}, doi = {10.1016/j.ejvs.2018.09.020}, journal-iso = {EUR J VASC ENDOVASC}, journal = {EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY}, volume = {57}, unique-id = {30377202}, issn = {1078-5884}, year = {2019}, eissn = {1532-2165}, pages = {8-93}, orcid-numbers = {Szeberin, Zoltán/0000-0003-0105-1785} } @article{MTMT:3410604, title = {Editor's Choice - The Impact of Centralisation and Endovascular Aneurysm Repair on Treatment of Ruptured Abdominal Aortic Aneurysms Based on International Registries.}, url = {https://m2.mtmt.hu/api/publication/3410604}, author = {Budtz-Lilly, J and Bjorck, M and Venermo, M and Debus, S and Behrendt, CA and Altreuther, M and Beiles, B and Szeberin, Zoltán and Eldrup, N and Danielsson, G and Thomson, I and Wigger, P and Khashram, M and Loftus, I and Mani, K}, doi = {10.1016/j.ejvs.2018.01.014}, journal-iso = {EUR J VASC ENDOVASC}, journal = {EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY}, volume = {56}, unique-id = {3410604}, issn = {1078-5884}, abstract = {OBJECTIVES: Current management of ruptured abdominal aortic aneurysms (RAAA) varies among centres and countries, particularly in the degree of implementation of endovascular aneurysm repair (EVAR) and levels of vascular surgery centralisation. This study assesses these variations and the impact they have on outcomes. MATERIALS AND METHODS: RAAA repairs from vascular surgical registries in 11 countries, 2010-2013, were investigated. Data were analysed overall, per country, per treatment modality (EVAR or open aortic repair [OAR]), centre volume (quintiles IV), and whether centres were predominantly EVAR (>/=50% of RAAA performed with EVAR [EVAR(p)]) or predominantly OAR [OAR(p)]. Primary outcome was peri-operative mortality. Data are presented as either mean values or percentages with 95% CI within parentheses, and compared with chi-square tests, as well as with adjusted OR. RESULTS: There were 9273 patients included. Mean age was 74.7 (74.5-74.9) years, and 82.7% of patients were men (81.9-83.6). Mean AAA diameter at rupture was 7.6 cm (7.5-7.6). Of these aneurysms, 10.7% (10.0-11.4) were less than 5.5 cm. EVAR was performed in 23.1% (22.3-24.0). There were 6817 procedures performed in OAR(p) centres and 1217 performed in EVAR(p) centres. Overall peri-operative mortality was 28.8% (27.9-29.8). Peri-operative mortality for OAR was 32.1% (31.0-33.2) and for EVAR 17.9% (16.3-19.6), p < .001, and the adjusted OR was 0.38 (0.31-0.47), p < .001. The peri-operative mortality was 23.0% in EVAR(p) centres (20.6-25.4), 29.7% in OAR(p) centres (28.6-30.8), p < .001; adjusted OR = 0.60 (0.46-0.78), p < .001. Peri-operative mortality was lower in the highest volume centres (QI > 22 repairs per year), 23.3% (21.2-25.4) than in QII-V, 30.0% (28.9-31.1), p < .001. Peri-operative mortality after OAR was lower in high volume centres compared with the other centres, 25.3% (23.0-27.6) and 34.0% (32.7-35.4), respectively, p < .001. There was no significant difference in peri-operative mortality after EVAR between centres based on volume. CONCLUSIONS: Peri-operative mortality is lower in centres with a primary EVAR approach or with high case volume. Most repairs, however, are still performed in low volume centres and in centres with a primary OAR strategy. Reorganisation of acute vascular surgical services may improve outcomes of RAAA repair.}, year = {2018}, eissn = {1532-2165}, pages = {181-188}, orcid-numbers = {Szeberin, Zoltán/0000-0003-0105-1785} } @article{MTMT:3303420, title = {Editor's Choice - Assessment of International Outcomes of Intact Abdominal Aortic Aneurysm Repair over 9 Years.}, url = {https://m2.mtmt.hu/api/publication/3303420}, author = {Budtz-Lilly, J and Venermo, M and Debus, S and Behrendt, CA and Altreuther, M and Beiles, B and Szeberin, Zoltán and Eldrup, N and Danielsson, G and Thomson, I and Wigger, P and Bjorck, M and Loftus, I and Mani, K}, doi = {10.1016/j.ejvs.2017.03.003}, journal-iso = {EUR J VASC ENDOVASC}, journal = {EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY}, volume = {54}, unique-id = {3303420}, issn = {1078-5884}, abstract = {BACKGROUND: Case mix and outcomes of complex surgical procedures vary over time and between regions. This study analyses peri-operative mortality after intact abdominal aortic aneurysm (AAA) repair in 11 countries over 9 years. METHODS: Data on primary AAA repair from vascular surgery registries in 11 countries for the years 2005-2009 and 2010-2013 were analysed. Multivariate adjusted logistic regression analyses were carried out to adjust for variations in case mix. RESULTS: A total of 83,253 patients were included. Over the two periods, the proportion of patients >/=80 years old increased (18.5% vs. 23.1%; p < .0001) as did the proportion of endovascular repair (EVAR) (44.3% vs. 60.6; p < .0001). In the latter period, 25.8% of AAAs were less than 5.5 cm. The mean annual volume of open repairs per centre decreased from 12.9 to 10.6 between the two periods (p < .0001), and it increased for EVAR from 10.0 to 17.1 (p < .0001). Overall, peri-operative mortality fell from 3.0% to 2.4% (p < .0001). Mortality for EVAR decreased from 1.5% to 1.1% (p < .0001), but the outcome worsened for open repair from 3.9% to 4.4% (p = .008). The peri-operative risk was greater for octogenarians (overall, 3.6% vs. 2.1%, p < .0001; open, 9.5% vs. 3.6%, p < .0001; EVAR, 1.8% vs. 0.7%, p < .0001), and women (overall, 3.8% vs. 2.2%, p < .0001; open, 6.0% vs. 4.0%, p < .0001; EVAR, 1.9% vs. 0.9%, p < .0001). Peri-operative mortality after repair of AAAs <5.5 cm was 4.4% with open repair and 1.0% with EVAR, p < .0001. CONCLUSIONS: In this large international cohort, total peri-operative mortality continues to fall for the treatment of intact AAAs. The number of EVAR procedures now exceeds open procedures. Mortality after EVAR has decreased, but mortality for open operations has increased. The peri-operative mortality for small AAA treatment, particularly open surgical repair, is still considerable and should be weighed against the risk of rupture.}, year = {2017}, eissn = {1532-2165}, pages = {13-20}, orcid-numbers = {Szeberin, Zoltán/0000-0003-0105-1785} }