Damage control in the management of ruptured abdominal aortic aneurysm: preliminary results.
Vasc Endovascular Surg
; 44(8): 638-44, 2010 Nov.
Article
in En
| MEDLINE
| ID: mdl-20675327
ABSTRACT
BACKGROUND:
This study compared damage control measures (DCM), including operative techniques (DCO) and resuscitative measures (DCR), with standard treatment (ST) for ruptured abdominal aortic aneurysm (rAAA).METHODS:
Historical cohort study methodology was used to evaluate outcomes for rAAA repairs related to DCM or ST over a 74-month period at a level I trauma center.RESULTS:
Of 28 repairs, 13 (46.4%) were DCM. Compared to ST patients, DCM patients had a lower mean preoperative BP (64.6 vs. 83.2 mm Hg, P = .03) and greater intraoperative blood loss (4.6 vs. 2.1 liters, P = .033). Patients who had both DCR and DCO (DCO & DCR) received more plasma (6.8 vs 2.6 units, P = .039) and less crystalloid (2.8 vs 10.5 liters, P = .005) than those receiving DCO only. A modest decrease in mortality was seen in the DCO & DCR group compared to DCO only. No DCO-related graft infections were observed.CONCLUSION:
DCR use may prove beneficial in the management of rAAA.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Outcome and Process Assessment, Health Care
/
Aortic Rupture
/
Resuscitation
/
Vascular Surgical Procedures
/
Aortic Aneurysm, Abdominal
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
Vasc Endovascular Surg
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
Year:
2010
Document type:
Article
Affiliation country:
United States