European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Eur J Vasc Endovasc Surg · Aug 2008
Meta AnalysisScreening for abdominal aortic aneurysm reduces overall mortality in men. A meta-analysis of the mid- and long-term effects of screening for abdominal aortic aneurysms.
Four randomised controlled trials of screening older men for abdominal aortic aneurysms (AAA) have been completed. A meta-analysis was performed to examine the pooled effects of screening on both mid- and long-term AAA-related and total mortality, and operations for AAA. ⋯ Population screening for AAA reduces AAA-related and overall mortality, however local differences may exits which could influence cost effectiveness of screening.
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Eur J Vasc Endovasc Surg · Aug 2008
Comparative StudyLocal versus general anaesthesia for carotid endarterectomy--improving the gold standard ?
Carotid endarterectomy (CEA) reduces stroke risk among selected patients. To achieve this, low operative risk is crucial. Outcome may depend on whether local (LA) or general (GA) anaesthesia is used. The aim of our study was to assess the risks of CEA under LA compared with that under GA. Primary endpoint was neurological outcome. ⋯ CEA can be performed safely under LA. It may improve the results and lead to better neurological outcome as compared to GA. Risk factor analysis did not reveal specific risk groups.
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Eur J Vasc Endovasc Surg · Aug 2008
Objective risk-scoring systems for repair of abdominal aortic aneurysms: applicability in endovascular repair?
Recent studies propose the use of objective risk-scoring systems as a clinical tool for selecting patients for open or endovascular abdominal aortic aneurysm repair (EVR). The aim of this study was to evaluate four established risk-scoring systems for accuracy of prediction of early mortality and morbidity following EVR. ⋯ GAS, V-POSSUM, m-CPI and CPI were poor predictors of early mortality and morbidity following EVR in this series. Caution should be applied to the use of these scoring systems for pre-operative risk stratification and treatment selection for endovascular repair of abdominal aneurysms.
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Eur J Vasc Endovasc Surg · Aug 2008
Comparative StudyQuantitative lymph imaging for assessment of lymph function using indocyanine green fluorescence lymphography.
A new diagnostic imaging technique that can assess lymph function is needed as a screening test in daily practice. This study assessed the use of indocyanine green (ICG) fluorescence lymphography in subjects without leg oedema. ⋯ ICG fluorescence lymphography has the potential to become an alternative lymphatic imaging technique to assess lymph function.
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Eur J Vasc Endovasc Surg · Aug 2008
Case ReportsMycotic aneurysm of the aorta as an unusual complication of coronary angiography.
Mycotic aneurysm of the aorta is a rare diagnosis with high mortality. ⋯ This report suggests that diagnosing and follow-up of aortitis is feasible with combined CT/PET scan and may help in determining choice and duration of therapy.