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 2013
Left renal vein division during open surgery of abdominal aortic disease: a propensity score-matched case-control study.
To investigate the impact of left renal vein division (LRVD) on the postoperative renal function of abdominal aortic aneurysm (AAA) or aortic occlusive disease (AOD). ⋯ LRVD may be a safe maneuver during abdominal aortic surgery as it did not increase the risks of early or late mortality and morbidity.
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Eur J Vasc Endovasc Surg · Aug 2013
DISSECT: a new mnemonic-based approach to the categorization of aortic dissection.
Classification systems for aortic dissection provide important guides to clinical decision-making, but the relevance of traditional categorization schemes is being questioned in an era when endovascular techniques are assuming a growing role in the management of this frequently complex and catastrophic entity. In recognition of the expanding range of interventional therapies now used as alternatives to conventional treatment approaches, the Working Group on Aortic Diseases of the DEFINE Project developed a categorization system that features the specific anatomic and clinical manifestations of the disease process that are most relevant to contemporary decision-making. ⋯ In current clinical practice, endovascular therapy is increasingly considered as an alternative to medical management or open surgical repair in select cases of type B aortic dissection. Currently, endovascular aortic repair is not used for patients with type A aortic dissection, but catheter-based techniques directed at peripheral branch vessel ischemia that may complicate type A dissection are considered valuable adjunctive interventions, when indicated. The use of a new system for categorization of aortic dissection, DISSECT, addresses the shortcomings of well-known established schemes devised more than 40 years ago, before the introduction of endovascular techniques. It will serve as a guide to support a critical analysis of contemporary therapeutic options and inform management decisions based on specific features of the disease process.