American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

V38N6: Vascular Surgery, Part I

Baxter BT, Terrin MC, Dalman RL. Medical management of small abdominal aortic aneurysms. Circulation. 2008;117(14):1883-1889. Free full-text

Baxter and coauthors provide a clear and useful description of medical therapies that may prevent growth of small abdominal aneurysms.

Blankensteijn JD, de Jong SE, Prinssen M, et al. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2005;352(23):2398-2405. Free full-text

This article presents two-year results from the DREAM trial comparing open and endovascular abdominal aneurysm repair. The results support the use of open repair in patients who are acceptable operative risks and have a normal life expectancy.

Curi MA, Geraghty PJ, Merino OA, et al. Mid-term outcomes of endovascular popliteal artery aneurysm repair. J Vasc Surg. 2007;45(3):505-510.

Curi and coauthors provide encouraging data regarding the use of endovascular repair for popliteal aneurysms in carefully selected patients.

Kent KC, Zwolak RM, Jaff MR, et al. Screening for abdominal aortic aneurysm: a consensus statement. J Vasc Surg. 2004;39(1):267-269.

The authors provide data supporting a comprehensive scoring system to guide patient selection for abdominal aneurysm screening programs.

Lederle FA, Freischlag JA, Kyriakides TC, et al. Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA. 14 2009;302(14):1535-1542. Free full-text

This article provides data from a multicenter trial conducted in Veterans’ Administration hospitals. The data show equivalent long-term mortality outcomes in patients undergoing endovascular and open repair. The costs of endovascular repair were higher because of the need for surveillance.

Mayer D, Pfammatter T, Rancic Z, et al. 10 years of emergency endovascular aneurysm repair for ruptured abdominal aortoiliac aneurysms: lessons learned. Ann Surg. 2009;249(3):510-515.

This article supplies useful information about the development of a protocol for endovascular management of ruptured abdominal aortic aneurysms.

Ravn H, Bergqvist D, Bjorck M. Nationwide study of the outcome of popliteal artery aneurysms treated surgically. Br J Surg. 2007;94(8):970-977.

This article supplies population-based information on the outcomes of surgical treatment of popliteal aneurysms.

Robinson WP 3rd, Belkin M. Acute limb ischemia due to popliteal artery aneurysm: a continuing surgical challenge. Semin Vasc Surg. 2009;22(1):17-24.

Robinson and Belkin provide a helpful discussion of the management of acute limb ischemia caused by popliteal aneurysms.

Sachdev-Ost U. Visceral artery aneurysms: review of current management options. Mt Sinai J Med. 2010;77(3):296-303.

This is a helpful review of diagnosis and management of various visceral artery aneurysms.