TY - JOUR AU - Boyle, Jonathan R. AU - Mao, Jialin AU - Beck, Adam W. AU - Venermo, Maarit AU - Sedrakyan, Art AU - Behrendt, Christian-Alexander AU - Szeberin, Zoltán AU - Eldrup, Nikolaj AU - Schermerhorn, Marc AU - Beiles, Barry AU - Thomson, Ian AU - Cassar, Kevin AU - Altreuther, Martin AU - Debus, Sebastian AU - Johal, Amundeep S. AU - Waton, Sam AU - Scali, Salvatore T. AU - Cromwell, David A. AU - Mani, Kevin TI - Variation in Intact Abdominal Aortic Aneurysm Repair Outcomes by Country: Analysis of International Consortium of Vascular Registries 2010 – 2016 JF - EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY J2 - EUR J VASC ENDOVASC VL - 62 PY - 2021 IS - 1 SP - 16 EP - 24 PG - 9 SN - 1078-5884 DO - 10.1016/j.ejvs.2021.03.034 UR - https://m2.mtmt.hu/api/publication/32091400 ID - 32091400 N1 - Cambridge Vascular Unit, Cambridge University Hospitals NHS Trust & Department of Surgery, University of Cambridge, Cambridge, UK, United Kingdom Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, United States Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL, United States Department of Vascular Surgery, Helsinki University Hospital, Helsinki, Finland Department of Vascular Medicine, Working Group GermanVasc, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany Department of Vascular Surgery, Semmelweis University, Budapest, Hungary Department of Vascular Surgery, Rigshospitalet, Copenhagen University, Copenhagen, Denmark Division of Vascular Surgery and Endovascular Therapy, Beth Israel Deaconess Medical Centre, Boston, MA, United States Australasian Vascular Audit, Australasian Society for Vascular Surgery, Melbourne, Australia Department of Surgery, University of Otago, Dunedin, New Zealand Department of Surgery, Faculty of Medicine and Surgery, University of Malta, Malta Department of Vascular Surgery, St. Olavs Hospital, Trondheim, Norway The Clinical Effectiveness Unit, The Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London, United Kingdom University of Florida College of Medicine, Division of Vascular Surgery & Endovascular Therapy, Gainesville, FL, United States Department of Surgical Sciences, Uppsala University, Uppsala, Sweden Cited By :2 Export Date: 21 February 2022 CODEN: EJVSF Correspondence Address: Boyle, J.R.; Cambridge Vascular Unit, Hills Road, United Kingdom; email: jonboyle@doctors.org.uk LA - English DB - MTMT ER - TY - JOUR AU - D'Oria, M. AU - Scali, S. AU - Mao, J. AU - Szeberin, Zoltán AU - Thomson, I. AU - Beiles, B. AU - Stone, D. AU - Sedrakyan, A. AU - Eldrup, N. AU - Venermo, M. AU - Cassar, K. AU - Altreuther, M. AU - Boyle, J.R. AU - Behrendt, C.-A. AU - Beck, A.W. AU - Mani, K. TI - 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 JF - ANNALS OF SURGERY J2 - ANN SURG VL - 274 PY - 2021 IS - 5 SP - E452 EP - E459 SN - 0003-4932 DO - 10.1097/SLA.0000000000005044 UR - https://m2.mtmt.hu/api/publication/32691282 ID - 32691282 N1 - Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden Division of Vascular and Endovascular Surgery, Department of Medical Surgical and Health Sciences, University of Trieste Medical School, Trieste, Italy Division of Vascular Surgery & Endovascular Therapy, University of Florida, Gainesville, FL, United States Population Health Sciences, Weill Cornell Medical College, New York, NY, United States Department of Vascular Surgery, Semmelweis University, Budapest, Hungary Department of Surgery, University of Otago, Dunedin, New Zealand Australasian Vascular Audit, Australasian Society for Vascular Surgery, Melbourne, Australia Section of Vascular Surgery, Dartmouth- Hitchcock Medical Center, Lebanon, NH, United States Department of Vascular Surgery, Rigshospitalet, Copenhagen University, Copenhagen, Denmark Department of Vascular Surgery, University of Helsinki, Helsinki University Hospital, Helsinki, Finland Department of Surgery, Faculty of Medicine and Surgery, University of Malta, Valletta, Malta Department of Vascular Surgery, St. Olavs Hospital, Trondheim, Norway Cambridge Vascular Unit, Cambridge University Hospitals NHS Trust & Department of Surgery, University of Cambridge, Cambridge, United Kingdom Department of Vascular Medicine, Working Group GermanVasc, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL, United States Cited By :1 Export Date: 21 February 2022 CODEN: ANSUA Correspondence Address: Mani, K.; Department of Surgical Sciences, Sweden; email: kevin.mani@surgsci.uu.se LA - English DB - MTMT ER - TY - JOUR AU - Wanhainen, Anders AU - Verzini, Fabio AU - Van Herzeele, Isabelle AU - Allaire, Eric AU - Bown, Matthew AU - Cohnert, Tina AU - Dick, Florian AU - van Herwaarden, Joost AU - Karkos, Christos AU - Koelemay, Mark AU - Kölbel, Tilo AU - Loftus, Ian AU - Mani, Kevin AU - Melissano, Germano AU - Powell, Janet AU - Szeberin, Zoltán AU - de Borst, Gert J AU - Chakfe, Nabil AU - Debus, Sebastian AU - Hinchliffe, Rob AU - Kakkos, Stavros AU - Koncar, Igor AU - Kolh, Philippe AU - Lindholdt, Jes AU - de Vega, Melina AU - Vermassen, Frank AU - Björck, Martin AU - Cheng, Stephen AU - Dalman, Ronald AU - Davidovic, Lazar AU - Donas, Konstantinos AU - Earnshaw, Jonothan AU - Eckstein, Hans-Henning AU - Golledge, Jonathan AU - Haulon, Stephan AU - Mastracci, Tara AU - Naylor, Ross AU - Ricco, Jean-Baptiste AU - Verhagen, Hence TI - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms JF - EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY J2 - EUR J VASC ENDOVASC VL - 57 PY - 2019 IS - 1 SP - 8 EP - 93 PG - 86 SN - 1078-5884 DO - 10.1016/j.ejvs.2018.09.020 UR - https://m2.mtmt.hu/api/publication/30377202 ID - 30377202 N1 - Cited By :786 Export Date: 21 February 2022 CODEN: EJVSF LA - English DB - MTMT ER - TY - JOUR AU - Budtz-Lilly, J AU - Bjorck, M AU - Venermo, M AU - Debus, S AU - Behrendt, CA AU - Altreuther, M AU - Beiles, B AU - Szeberin, Zoltán AU - Eldrup, N AU - Danielsson, G AU - Thomson, I AU - Wigger, P AU - Khashram, M AU - Loftus, I AU - Mani, K TI - Editor's Choice - The Impact of Centralisation and Endovascular Aneurysm Repair on Treatment of Ruptured Abdominal Aortic Aneurysms Based on International Registries. JF - EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY J2 - EUR J VASC ENDOVASC VL - 56 PY - 2018 IS - 2 SP - 181 EP - 188 PG - 8 SN - 1078-5884 DO - 10.1016/j.ejvs.2018.01.014 UR - https://m2.mtmt.hu/api/publication/3410604 ID - 3410604 N1 - Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden Department of Cardio-Thoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark Department of Vascular Surgery, Helsinki University Hospital, Helsinki, Finland Department of Vascular Medicine, University Heart Centre Hamburg – Eppendorf, Hamburg, Germany Department of Vascular Surgery, St Olavs Hospital, Trondheim, Norway Australian and New Zealand Society for Vascular Surgery, East Melbourne, Australia Department of Vascular Surgery, Semmelweis University, Budapest, Hungary National University Hospital of Iceland, Department of Surgery, Reykjavík, Iceland Department of Vascular Surgery, Dunedin School of Medicine, Dunedin Hospital, Dunedin, New Zealand Department of Cardiovascular Surgery, Kantonsspital Winterthur, Switzerland Department of Surgery, University of Otago, Christchurch, New Zealand Department of Vascular Surgery, St George's University of London, London, United Kingdom Cited By :50 Export Date: 21 February 2022 CODEN: EJVSF Correspondence Address: Budtz-Lilly, J.; Department of Surgical Sciences, Sweden; email: jacobudt@rm.dk AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Budtz-Lilly, J AU - Venermo, M AU - Debus, S AU - Behrendt, CA AU - Altreuther, M AU - Beiles, B AU - Szeberin, Zoltán AU - Eldrup, N AU - Danielsson, G AU - Thomson, I AU - Wigger, P AU - Bjorck, M AU - Loftus, I AU - Mani, K TI - Editor's Choice - Assessment of International Outcomes of Intact Abdominal Aortic Aneurysm Repair over 9 Years. JF - EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY J2 - EUR J VASC ENDOVASC VL - 54 PY - 2017 IS - 1 SP - 13 EP - 20 PG - 8 SN - 1078-5884 DO - 10.1016/j.ejvs.2017.03.003 UR - https://m2.mtmt.hu/api/publication/3303420 ID - 3303420 AB - 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. LA - English DB - MTMT ER -