MARC details
| 000 -LEADER |
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| fixed length control field |
03765nam a22003617a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
221018s20222022 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0009-7322 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1161/CIRCULATIONAHA.120.045894 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
36148651 |
| 245 ## - TITLE STATEMENT |
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| Title |
Results of the North American Complex Abdominal Aortic Debranching (NACAAD) Registry. |
| 251 ## - Source |
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| Source |
Circulation. :101161CIRCULATIONAHA120045894, 2022 Sep 23 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Circulation. :101161CIRCULATIONAHA120045894, 2022 Sep 23 |
| 253 ## - Journal Name |
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| Journal name |
Circulation |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2022 Sep 23 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2022-10-20 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Hybrid debranching repair of pararenal and thoracoabdominal aortic aneurysms was initially designed as a better alternative to standard open repair, addressing the limitations of endovascular repair involving the visceral aorta. We reviewed the collective outcomes of hybrid debranching repairs using extra-anatomic, open surgical debranching of the renal-mesenteric arteries, followed by endovascular aortic stenting. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: Mortality after hybrid repair and visceral debranching is highly variable by center, but strongly affected by preoperative comorbidities and the centers' experience with the technique. With excellent graft patency at 5 years, the outcomes of hybrid repair done at centers of excellence and in carefully selected patients may be comparable (or better) than traditional open or even totally endovascular approaches. However, in patients already considered as high-risk for surgery, it may not offer better outcomes. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: Data from patients who underwent hybrid repair in 14 North American institutions during 10 years were retrospectively reviewed. Society of Vascular Surgery scores were used to assess comorbidity risk. Early and late outcomes, including mortality, morbidity, reintervention, and patency were analyzed. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: A total of 208 patients (118 male; mean age, 71+/-8 years old) were treated by hybrid repair with extraanatomic reconstruction of 657 renal and mesenteric arteries (mean 3.2 vessels/patient). Mean aneurysm diameter was 6.6+/-1.3 cm. Thoracoabdominal aortic aneurysms were identified in 163 (78%) patients and pararenal aneurysms in 45 (22%). A single-stage repair was performed in 92 (44%) patients. The iliac arteries were the most common source of inflow (n=132; 63%), and most (n=150; 72%) had 3 or more bypasses. There were 30 (14%) early deaths, ranging widely across sites (0%-21%). A Society of Vascular Surgery comorbidity score >15 was the primary predictor of early mortality (P<0.01), whereas mortality was 3% in a score <=9. Early complications occurred in 140 (73%) patients and included respiratory complications in 45 patients (22%) and spinal cord ischemia in 22 (11%), of whom 10 (45%) fully recovered. At 5 years, survival was 61+/-5%, primary graft patency was 90+/-2%, and secondary patency was 93+/-2%. The most significant predictor of late mortality was renal insufficiency (P<0.0001). |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Health |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
President, MedStar Medical Group |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Woo, Edward Y |
| 790 ## - Authors |
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| All authors |
Black JH 3rd, Carlos Jimenez J, de Souza LR, Duncan AA, Eliason D JL, Ellozy SH, Escobar GA, Farber M, Fillinger MF, Gloviczki P, Kalra M, Lall P, Lee JT, Lyden SP, NACAAD Investigators, Oderich GS, Patel HJ, Quinones-Baldrich WJ, Singh MJ, Tenorio ER, Timaran C, Upchurch GR Jr, Woo EY |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1161/CIRCULATIONAHA.120.045894">https://dx.doi.org/10.1161/CIRCULATIONAHA.120.045894</a> |
| Public note |
https://dx.doi.org/10.1161/CIRCULATIONAHA.120.045894 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
