Randomized Trials: What is the Evidence?
Fig. 14.1 Flowchart of AJAX recruitment The primary end point was the composite of death and severe complications at 30 days. The main findings were that there was no difference…
The Ruptured Abdominal Aorta: Diagnostics
Noncontrast scan first to assess for intramural hematoma CTA (arterial phase) – 4 mL/s injection rate, bolus tracking at level of descending aorta + 15 s delay No oral contrast…
Postoperative Intensive Care Unit Management After Ruptured Abdominal Aortic Aneurysm
Agent Class Effect(s) Indications Epinephrine Catecholamine Inotrope Low CO Vasopressor (higher doses) Hypotension Norepinepherine Catecholamine Vasopressor Hypotension Excessive vasodilatation Some inotrope Vasoplegia Low CO Dopamine Catecholamine Inotrope Low CO Some…
Ruptured Abdominal Aortic Aneurysms: Aortic Occlusion Balloons
Product Maximum inflation diameter Sheath size Shaft size Shaft length Coda 32, 40 mm 14 F 10 F 120 cm Reliant 46 mm 12 F 8 F 100 cm Equalizer…
Outcomes of Ruptured Aortic Aneurysm: Early and Late
Fig. 17.1 A uniform triage protocol was established for endovascular repair of ruptured abdominal aortic aneurysms (rAAA). ER emergency room, CTA computed tomography angiography, BP blood pressure, EVAR endovascular aneurysm…
Prehospital Considerations for REVAR
Fig. 9.1 Diagnostic algorithm for patients presenting with symptoms suggestive of a ruptured AAA which emphasizes performance of a CT scan with contrast for maximal diagnostic and therapy-planning information Unfortunately,…
Hypotensive Hemostasis in Patients Presenting with Ruptured Aortic Aneurysm
Substance and pharmacokinetic mechanism of action Primary pharmacodynamic mechanism of action Half-life Dosage repetitive i.v. bolus Dosage of continuous i.v. infusion Esmolol-specific antagonist at adrenergic β1-receptor Decrease of cardiac chrono-…
Technique of Supraceliac Balloon Control of the Aorta During Endovascular Repair of Ruptured Abdominal Aortic Aneurysms
Fig. 21.1 (a) Supraceliac balloon control via a large contralateral sheath. (b) Main body of endograft is deployed via ipsilateral access. Slight temporary deflation of the balloon may be required…
Ethical Issues Regarding rAAA
© Springer International Publishing Switzerland 2017Benjamin W. Starnes, Manish Mehta and Frank J. Veith (eds.)Ruptured Abdominal Aortic Aneurysm10.1007/978-3-319-23844-9_19 19. Ethical Issues Regarding rAAA Deepika Nehra1 and Samuel P. Mandell2 (1) Department of Surgery, Harborview Medical Center, 325 9th Ave,…
US Coding and Reimbursement
CPT code Total RVUs Description 35081 51.45 Open infrarenal AAA repair with tube graft, non-ruptured 35082 64.60 Open infrarenal AAA repair with tube graft, ruptured 35091 52.84 Open juxtarenal AAA…
