Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Risk assessment in patients with ruptured abdominal aortic aneurysms.

H W Kniemeyer1, P U Reber, T Kessler

  • 1Clinic for Vascular Surgery and Phlebology, Elisabeth Krankenhaus Essen, Germany. h.w.kniemeyer@elisabeth-essen.de

Acta Chirurgica Belgica
|July 26, 2002
PubMed
Summary

Ruptured abdominal aortic aneurysm surgery has high mortality, often from multi-organ dysfunction. A scoring system after 48 hours can help guide intensive care unit support decisions for these critical patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical outcomes of drug-coated balloon vs. second-generation drug-eluting stent for coronary in-stent restenosis.

Clinical research in cardiology : official journal of the German Cardiac Society·2025
Same author

SVEP1 influences monocyte to macrophage differentiation via integrin α4β1/α9β1 and Rho/Rac signalling.

Biochimica et biophysica acta. Molecular cell research·2023
Same author

Improvement of functional outcome for patients with newly diagnosed grade 2 or 3 gliomas with co-deletion of 1p/19q - IMPROVE CODEL: the NOA-18 trial.

BMC cancer·2022
Same author

Magnetization transfer ratio: a quantitative imaging biomarker for 5q spinal muscular atrophy.

European journal of neurology·2020
Same author

Effect of Linearization in a WNT Signaling Model.

Computational and mathematical methods in medicine·2019
Same author

Raman Amplification with a Flying Focus.

Physical review letters·2018

Area of Science:

  • Vascular Surgery
  • Critical Care Medicine
  • Surgical Outcomes Research

Background:

  • Surgery for ruptured abdominal aortic aneurysms (rAAA) carries a high mortality risk, frequently due to multi-organ failure following extended intensive care.
  • Identifying predictive factors for organ dysfunction is crucial for optimizing patient management and outcomes in rAAA cases.

Purpose of the Study:

  • To identify individual organ dysfunction risk profiles that influence patient outcomes after surgery for ruptured abdominal aortic aneurysms.
  • To analyze preoperative, intraoperative, and postoperative variables to understand their impact on mortality and intensive care unit (ICU) resource utilization.

Main Methods:

  • A retrospective analysis of 57 patients who underwent graft replacement for rAAA over a three-year period.
  • Analysis of 48 preoperative, 13 intraoperative, and 34 postoperative variables, utilizing a multi-organ dysfunction (MOD) score.

Related Experiment Videos

Main Results:

  • The perioperative mortality rate was 31%. Significant preoperative risk factors included cardiovascular disease, low hemoglobin (< 90 g/l), low systolic blood pressure (< 80 mmHg), and ECG signs of ischemia.
  • Multi-organ dysfunction (MOD) was the primary cause of death in 93% of patients who died after 48 hours postoperatively.
  • All patients with a MOD score of 4 or higher (n=7) died, requiring significantly longer ICU stays.

Conclusions:

  • Patients with ruptured aortic aneurysms should not be excluded from surgical treatment.
  • A physiological scoring system, particularly after 48 hours, may be valuable in determining the appropriateness of continued intensive care unit support for rAAA patients.