uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Changes in the management of infrarenal abdominal aortic aneurysm disease in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
2013 (English)In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 100, no 5, 638-644 p.Article in journal (Refereed) Published
Abstract [en]

Background Treatment of abdominal aortic aneurysm (AAA) has changed over time, with endovascular repair (EVAR) being the main technical revolution. This study assessed the effect of this change on outcome on a national basis over a 17-year interval. Methods Primary infrarenal AAA repairs in Swedish residents aged 50 years and older, in the Swedish Vascular Registry (Swedvasc) 19942010, were analysed. The rate per 100 000 population, patient characteristics, operative technique and outcome were assessed for the intervals 19941999, 20002005 and 20062010. Results Some 11 336 intact aneurysm repairs were performed. The overall rate per 100 000 increased (18 center dot 4 in 19941999, 19 center dot 4 in 20002005 and 24 center dot 0 in 20062010; P < 0 center dot 001), most noticeably among older people (18 per cent increase among those aged 5064 years, P = 0 center dot 004; 27 per cent in 6579-year-olds, P < 0 center dot 001; 128 per cent in those aged at least 80 years, P < 0 center dot 001). The use of EVAR increased rapidly after 2005 (rate: 0 center dot 6 in 19941999, 4 center dot 4 in 20002005 and 11 center dot 8 in 20062010; P < 0 center dot 001). The 30-day mortality rate decreased after open repair (4 center dot 7, 3 center dot 4 and 2 center dot 7 per cent respectively; P < 0 center dot 001), but was stable after EVAR (2 center dot 6, 2 center dot 2 and 1 center dot 6 per cent; P = 0 center dot 227). Some 4972 ruptured aneurysm (rAAA) repairs were performed. The rate decreased after 2005 (9 center dot 3 in 19931999, 9 center dot 3 in 20002005 and 8 center dot 4 in 20062010; P = 0 center dot 006). The use of EVAR for rAAA increased over time (rate: 0, 0 center dot 5 and 1 center dot 6 respectively; P < 0 center dot 001), whereas open repair decreased (9 center dot 3, 8 center dot 8 and 6 center dot 8; P < 0 center dot 001). Thirty-day mortality decreased over time (38 center dot 3, 32 center dot 8 and 28 center dot 4 per cent; P < 0 center dot 001). Conclusion The introduction of EVAR has been associated with an increased number of intact AAA repairs, which has accelerated recently, whereas the rate of rAAA repair has started to decline. Simultaneously, outcomes have improved.

Place, publisher, year, edition, pages
2013. Vol. 100, no 5, 638-644 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-197958DOI: 10.1002/bjs.9046ISI: 000315637600010OAI: oai:DiVA.org:uu-197958DiVA: diva2:615099
Available from: 2013-04-08 Created: 2013-04-08 Last updated: 2017-12-06Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Authority records BETA

Mani, KevinBjörck, MartinWanhainen, Anders

Search in DiVA

By author/editor
Mani, KevinBjörck, MartinWanhainen, Anders
By organisation
Vascular Surgery
In the same journal
British Journal of Surgery
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 509 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf