Journal of Vascular Surgery
Volume 48, Issue 1 , Pages 10-18 , July 2008

Contemporary results of open repair of ruptured abdominal aortoiliac aneurysms: Effect of surgeon volume on mortality

Received 9 November 2007 ,Accepted 26 February 2008.

References 

  1. Rigberg DA, Zingmond DS, McGory ML, Maggard MA, Agustin M, Lawrence PF, et al. Age stratified, perioperative, and one-year mortality after abdominal aortic aneurysm repair: a statewide experience. J Vasc Surg. 2006;43:224–229
  2. Dillavou ED, Muluk SC, Makaroun MS. Improving aneurysm-related outcomes: nationwide benefits of endovascular repair. J Vasc Surg. 2006;43:446–451
  3. Cowan JA, Dimick JB, Henke PK, Rectenwald J, Stanley JC, Upchurch GR. Epidemiology of aortic aneurysm repair in the United States from 1993 to 2003. Ann N Y Acad Sci. 2006;1085:1–10
  4. Bown MJ, Sutton AJ, Bell PR, Sayers RD. A meta-analysis of 50 years of ruptured abdominal aortic aneurysm repair. Br J Surg. 2002;89:714–730
  5. Dardik A, Burleyson GP, Bowman H, Gordon TA, Williams GM, Webb TH, et al. Surgical repair of ruptured abdominal aortic aneurysms in the state of Maryland: factors influencing outcome among 527 recent cases. J Vasc Surg. 1998;28:413–420
  6. Holt PJ, Poloniecki JD, Gerrard D, Loftus IM, Thompson MM. Meta-analysis and systematic review of the relationship between volume and outcome in abdominal aortic aneurysm surgery. Br J Surg. 2007;94:395–403
  7. Manheim LM, Sohn MW, Feinglass J, Ujiki M, Parker MA, Pearce WH. Hospital vascular surgery volume and procedure mortality rates in California, 1982-1994. J Vasc Surg. 1998;28:45–56
  8. Dueck AD, Kucey DS, Johnston KW, Alter D, Laupacis A. Survival after ruptured abdominal aortic aneurysm: effect of patient, surgeon, and hospital factors. J Vasc Surg. 2004;39:1253–1260
  9. Dimick JB, Stanley JC, Axelrod DA, Kazmers A, Henke PK, Jacobs LA, et al. Variation in death rate after abdominal aortic aneurysmectomy in the United States: impact of hospital volume, gender, and age. Ann Surg. 2002;235:579–585
  10. Veith FJ, Ohki T, Lipsitz EC, Suggs WD, Cynamon J. Treatment of ruptured abdominal aneurysms with stent grafts: a new gold standard?. Semin Vasc Surg. 2003;16:171–175
  11. Hechelhammer L, Lachat ML, Wildermuth S, Bettex D, Mayer D, Pfammatter T. Midterm outcome of endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. 2005;41:752–757
  12. Harkin DW, Dillon M, Blair PH, Ellis PK, Kee F. Endovascular Ruptured Abdominal Aortic Aneurysm Repair (EVRAR): a systematic review. Eur J Vasc Endovasc Surg. 2007;(in press)
  13. Acosta S, Lindblad B, Zdanowski Z. Predictors for outcome after open and endovascular repair of ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2007;33:277–284
  14. Coppi G, Silingardi R, Gennai S, Saitta G, Ciardullo AV. A single-center experience in open and endovascular treatment of hemodynamically unstable and stable patients with ruptured abdominal aortic aneurysms. J Vasc Surg. 2006;44:1140–1147
  15. Hinchliffe RJ, Bruijstens L, MacSweeney ST, Braithwaite BD. A randomized trial of endovascular and open surgery for ruptured abdominal aortic aneurysm - results of a pilot study and lessons learned for future studies. Eur J Vasc Endovasc Surg. 2006;32:506–513
  16. Noel AA, Gloviczki P, Cherry KJ, Bower TC, Panneton JM, Mozes GI, et al. Ruptured abdominal aortic aneurysms: the excessive mortality rate of conventional repair. J Vasc Surg. 2001;34:41–46
  17. Dimick JB, Cowan JA, Stanley JC, Henke PK, Pronovost PJ, Upchurch GR. Surgeon specialty and provider volumes are related to outcome of intact abdominal aortic aneurysm repair in the United States. J Vasc Surg. 2003;38:739–744
  18. Cowan JA, Dimick JB, Wainess RM, Henke PK, Stanley JC, Upchurch GR. Ruptured thoracoabdominal aortic aneurysm treatment in the United States: 1988 to 1998. J Vasc Surg. 2003;38:319–322
  19. Killeen SD, Andrews EJ, Redmond HP, Fulton GJ. Provider volume and outcomes for abdominal aortic aneurysm repair, carotid endarterectomy, and lower extremity revascularization procedures. J Vasc Surg. 2007;45:615–626
  20. Dueck AD, Kucey DS, Johnston KW, Alter D, Laupacis A. Long-term survival and temporal trends in patient and surgeon factors after elective and ruptured abdominal aortic aneurysm surgery. J Vasc Surg. 2004;39:1261–1267
  21. Luft HS, Hunt SS, Maerki SC. The volume-outcome relationship: practice-makes-perfect or selective-referral patterns?. Health Serv Res. 1987;22:157–182
  22. Dueck AD, Johnston KW, Alter D, Laupacis A, Kucey DS. Predictors of repair and effect of gender on treatment of ruptured abdominal aortic aneurysm. J Vasc Surg. 2004;39:784–787
  23. Rutledge R, Oller DW, Meyer AA, Johnson GJ. A statewide, population-based time-series analysis of the outcome of ruptured abdominal aortic aneurysm. Ann Surg. 1996;223:492–502
  24. Johansen K, Kohler TR, Nicholls SC, Zierler RE, Clowes AW, Kazmers A. Ruptured abdominal aortic aneurysm: the Harborview experience. J Vasc Surg. 1991;13:240–245
  25. Ouriel K, Geary K, Green RM, Fiore W, Geary JE, DeWeese JA. Factors determining survival after ruptured aortic aneurysm: the hospital, the surgeon, and the patient. J Vasc Surg. 1990;11:493–496
  26. Gloviczki P, Pairolero PC, Mucha P, Farnell MB, Hallett JW, Ilstrup DM, et al. Ruptured abdominal aortic aneurysms: repair should not be denied. [see comments] J Vasc Surg. 1992;15:851–857discussion 857-9
  27. Zelenock GB, Strodel WE, Knol JA, Messina LM, Wakefield TW, Lindenauer SM, et al. A prospective study of clinically and endoscopically documented colonic ischemia in 100 patients undergoing aortic reconstructive surgery with aggressive colonic and direct pelvic revascularization, compared with historic controls. Surg. 1989;106:771–779
  28. Champagne BJ, Darling RC, Daneshmand M, Kreienberg PB, Lee EC, Mehta M, et al. Outcome of aggressive surveillance colonoscopy in ruptured abdominal aortic aneurysm. J Vasc Surg. 2004;39:792–796
  29. Piotrowski JJ, Ripepi AJ, Yuhas JP, Alexander JJ, Brandt CP. Colonic ischemia: the Achilles heel of ruptured aortic aneurysm repair. Am Surg. 1996;62:557–560
  30. Levison JA, Halpern VJ, Kline RG, Faust GR, Cohen JR. Perioperative predictors of colonic ischemia after ruptured abdominal aortic aneurysm. J Vasc Surg. 1999;29:40–45
  31. Senekowitsch C, Assadian A, Assadian O, Hartleb H, Ptakovsky H, Hagmuller GW. Replanting the inferior mesentery artery during infrarenal aortic aneurysm repair: influence on postoperative colon ischemia. J Vasc Surg. 2006;43:689–694
  32. Meissner MH, Johansen KH. Colon infarction after ruptured abdominal aortic aneurysm. Arch Surg. 1992;127:979–985
  33. Dadian N, Ohki T, Veith FJ, Edelman M, Mehta M, Lipsitz EC, et al. Overt colon ischemia after endovascular aneurysm repair: the importance of microembolization as an etiology. J Vasc Surg. 2001;34:986–996
  34. Arya N, Makar RR, Lau LL, Loan W, Lee B, Hannon RJ, et al. An intention-to-treat by endovascular repair policy may reduce overall mortality in ruptured abdominal aortic aneurysm. J Vasc Surg. 2006;44:467–471
  35. Hinchliffe RJ, Braithwaite BD. Ruptured abdominal aortic aneurysm: endovascular repair does not confer any long-term survival advantage over open repair. Vascular. 2007;15:191–196
  36. Birkmeyer JD, Siewers AE, Finlayson EV, Stukel TA, Lucas FL, Batista I, et al. Hospital volume and surgical mortality in the United States. N Engl J Med. 2002;346:1128–1137
  37. Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349:2117–2127
  38. Kantonen I, Lepantalo M, Salenius JP, Matzke S, Luther M, Ylonen K. Mortality in abdominal aortic aneurysm surgery–the effect of hospital volume, patient mix and surgeon's case load. Eur J Vasc Endovasc Surg. 1997;14:375–379
  39. Hannan EL, Kilburn H, O'Donnell JF, Bernard HR, Shields EP, Lindsey ML, et al. A longitudinal analysis of the relationship between in-hospital mortality in New York State and the volume of abdominal aortic aneurysm surgeries performed. Health Serv Res. 1992;27:517–542
  40. Pearce WH, Parker MA, Feinglass J, Ujiki M, Manheim LM. The importance of surgeon volume and training in outcomes for vascular surgical procedures. J Vasc Surg. 1999;29:768–776
  41. Tu JV, Austin PC, Johnston KW. The influence of surgical specialty training on the outcomes of elective abdominal aortic aneurysm surgery. J Vasc Surg. 2001;33:447–452

 Competition of interest: none.

PII: S0741-5214(08)00330-3

doi: 10.1016/j.jvs.2008.02.067

Journal of Vascular Surgery
Volume 48, Issue 1 , Pages 10-18 , July 2008

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