Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (9): 26-29.doi: 10.6040/j.issn.1671-7554.0.2024.0341

• Advances in Basic and Clinical Research on Aortic Diseases-Research Progress • Previous Articles    

Open aortic repair of abdominal aortic aneurysm

SHI Xiaoxi, XIN Shijie   

  1. Department of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning, China
  • Published:2024-10-10

PDF (PC)

4

Abstract: Abdominal aortic aneurysm(AAA)is a common disease in vascular surgery. Traditional open aortic repair(OAR)or endovascular aortic repair(EVAR)is the only effective treatment. OAR reached its peak between 1950s and 1990s, and due to its trauma, technical complexity and the rapid development of EVAR technology, the application of OAR has gradually decreased. However, the role of OAR is still irreplaceable in basic research, young patients and mycotic AAA. This study reviewed the history and current situation of OAR, analyzed its advantages and disadvantages, discussed the key points of intraoperative techniques and the management of complications, and summarized the role and position played by OAR in the EVAR era.

Key words: Abdominal aortic aneurysm, Open aortic repair, Surgical approach, Block, Reconstruction, Intraoperative complications

CLC Number: 

  • R543.1+6
[1] Johnston KW, Rutherford RB, Tilson MD, et al. Suggested standards for reporting on arterial aneurysms[J]. J Vasc Surg, 1991, 13(3): 452-458.
[2] Sakalihasan N, Michel JB, Katsargyris A, et al. Abdominal aortic aneurysms[J]. Nat Rev Dis Primers, 2018, 4(1): 34.
[3] Golledge J, Muller J, Daugherty A, et al. Abdominal aortic aneurysm: pathogenesis and implications for management[J]. Arterioscler Thromb Vasc Biol, 2006, 26(12): 2605-2613.
[4] Golledge J. Abdominal aortic aneurysm: update on pathogenesis and medical treatments[J]. Nat Rev Cardiol, 2019, 16(4): 225-242.
[5] Sampson UKA, Norman PE, et al. Global and regional burden of aortic dissection and aneurysms: mortality trends in 21 world regions, 1990 to 2010[J]. Glob Heart, 2014, 9(1): 171-180.
[6] Friedman SG. The 50th anniversary of abdominal aortic reconstruction[J]. J Vasc Surg, 2001, 33(4): 895-898.
[7] Blakemore AH, Jr Voorhees AB. The use of tubes constructed from vinyon N cloth in bridging arterial defects; experimental and clinical[J]. Ann Surg, 1954, 140(3): 324-334.
[8] 董雨亭, 段志泉, 谷树人, 等. 腹及胸腹主动脉瘤的外科治疗(附9例报告)[J]. 实用外科杂志, 1988, 8(9): 471-473. DONG Yuting, DUAN Zhiquan, GU Shuren, et al. Surgical treatment of abdominal and thoracoabdominal aortic aneurysm(report of 9 cases)[J]. Chinese Journal of Practical Surgery, 1988, 8(9): 471-473.
[9] Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms[J]. Ann Vasc Surg, 1991, 5(6): 491-499.
[10] Rouwet EV, Torsello G, de Vries JP, et al. Final results of the prospective European trial of the Endurant stent graft for endovascular abdominal aortic aneurysm repair[J]. Eur J Vasc Endovasc Surg, 2011, 42(4): 489-497.
[11] Boyle JR, Mao J, Beck AW, et al. Variation in intact abdominal aortic aneurysm repair outcomes by country: analysis of international consortium of vascular registries 2010-2016[J]. J Vasc Surg, 2021, 74(2): 679.
[12] Patel R, Sweeting MJ, Powell JT, et al. EVAR trial investigators. Endovascular versus open repair of abdominal aortic aneurysm in 15-years follow-up of the UK endovascular aneurysm repair trial 1(EVAR trial 1): a randomised controlled trial[J]. Lancet, 2016, 388(10058): 2366-2374.
[13] Antoniou GA, Antoniou SA, Torella F. Editors choice-endovascular vs. open repair for abdominal aortic aneurysm: systematic review and meta-analysis of updated peri-operative and long term data of randomised controlled trials[J]. Eur J Vasc Endovasc Surg, 2020, 59(3): 385-397.
[14] Chang DC, Parina RP, Wilson SE. Survival after endovascular vs open aortic aneurysm repairs[J]. JAMA Surg, 2015, 150(12): 1160-1166.
[15] Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm[J]. J Vasc Surg, 2018, 67(1): 2-77.
[16] Wanhainen A, Verzini F, Van Herzeele I, et al. Editors choice-European society for vascular surgery(ESVS)2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms[J]. Eur J Vasc Endovasc Surg, 2019, 57(1): 8-93.
[17] Abdominal aortic aneurysm: diagnosis and management[M]. London: National Institute for Health and Care Excellence(NICE), 2020. https://www.ncbi.nlm.nih.gov/books/NBK556921/.
[18] Ogino H, Iida O, Akutsu K, et al. JCS/JSCVS/JATS/JSVS 2020 guideline on diagnosis and treatment of aortic aneurysm and aortic dissection[J]. Circ J, 2023, 87(10): 1410-1621.
[19] 辛世杰, 张珈玮, 张健, 等. 单中心近10年腹主动脉瘤1 246例流行病学研究[J]. 中国实用外科杂志, 2021, 41(12): 1384-1393. XIN Shijie, ZHANG Jiawei, ZHANG Jian, et al. Epidemiological study of 1,246 cases of abdominal aortic aneurysm from a single center in the last 10 years[J]. Chinese Journal of Practical Surgery, 2021, 41(12): 1384-1393.
[20] Wang L, Xin SJ, Song Z, et al. Left renal vein division during open surgery of abdominal aortic disease: a propensity score-matched case-control study[J]. Eur J Vasc Endovasc Surg, 2013, 46(2): 227-231.
[21] Sicard GA, Reilly JM, Rubin BG, et al. Transabdominal versus retroperitoneal incision for abdominal aortic surgery: report of a prospective randomized trial[J]. J Vasc Surg, 1995, 21(2): 174-181;discussion 181-183.
[22] Welch HJ. Retroperitoneal approach for aortic surgery: is it worth it?[J]. Cardiovasc Surg, 2002, 10(2): 185.
[23] Robertson L, Nandhra S. Laparoscopic surgery for elective abdominal aortic aneurysm repair[J]. Cochrane Database Syst Rev, 2017(5). doi:10.1002/14651858.cd012302.
[24] Rusch R, Hoffmann G, Rusch M, et al. Robotic-assisted abdominal aortic surgery: evidence and techniques[J]. J Robot Surg, 2022, 16(6): 1265-1271.
[25] Charlton-Ouw KM, Sandhu HK, Huang G, et al. Reinfection after resection and revascularization of infected infrarenal abdominal aortic grafts[J]. J Vasc Surg, 2014, 59(3): 684-692.
[26] Oderich GS, Bower TC, Hofer J, et al. In situ rifampin-soaked grafts with omental coverage and antibiotic suppression are durable with low reinfection rates in patients with aortic graft enteric erosion or fistula[J]. J Vasc Surg, 2011, 53(1): 99-106, 107.
[27] Oda T, Minatoya K, Kobayashi J, et al. Prosthetic vascular graft infection through a Median sternotomy: a multicentre review[J]. Interact Cardiovasc Thorac Surg, 2015, 20(6): 701-706.
[1] WEI Ren, GUO Wei. Current status of endovascular therapy for abdominal aortic aneurysm [J]. Journal of Shandong University (Health Sciences), 2024, 62(9): 13-18.
[2] LIANG Yuanhao, XIAO Wenshan, PENG Shengxin, ZHANG Yixiang, SHI Bin, YU Gongchang, LIU Lei. Establishment and application of three-dimensional computed tomography reconstruction-guided percutaneous lateral approach for foramen ovale puncture [J]. Journal of Shandong University (Health Sciences), 2024, 62(5): 95-102.
[3] WANG Jinjin, LIU Xiaoyang, GE Zhongpeng, CUI Xingang. Impact of iliac crest on the placement of L5-S1 transforaminal endoscopic surgical channel based on three-dimensional CT reconstruction [J]. Journal of Shandong University (Health Sciences), 2024, 62(2): 75-82.
[4] MA Chenbang, GAO Pei, CHANG Yao, MAO Changlin, CHEN Feng, ZHU Kejia, GUAN Yong, LI Shanjun, DING Sentai. A case of non-tuberous sclerosis complex with giant angiomyolipoma of both kidneys treated with simultaneous resection and literature review [J]. Journal of Shandong University (Health Sciences), 2023, 61(2): 65-71.
[5] FU Jia, WANG Lulu, HU Shuai, CHEN Zheping, LIU Dongyi, LI Qingsong, LU Guodong, ZHANG He, ZHAO Xin, FENG Chang. Effects of different approaches of quadrates lumborum block on postoperative recovery of patients undergoing radical gastrectomy [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 50-57.
[6] LI Qing, LIN Xueyan, LIU Tianhang, LI Xiaowen, FAN Mingzhe, ZHAO Ruirui, TIAN Yongjie. Medium- and long-term efficacy of transvaginal mesh pelvic floor reconstruction [J]. Journal of Shandong University (Health Sciences), 2022, 60(3): 71-75.
[7] WANG Ying, GU Hui, YU Xinxin, HU Jinzhuo, WANG Ruopeng, WANG Ximing. Correlation between baseline CT features and progression of abdominal aortic aneurysm in 71 cases [J]. Journal of Shandong University (Health Sciences), 2022, 60(10): 62-67.
[8] GAO Pei, MAO Changlin, CHEN Feng, HE Wei, GUAN Yong,LYU Jiaju, LI Shanjun, DING Sentai. Application of CT three-dimensional reconstruction modified R.E.N.A.L. score in 50 cases of laparoscopic partial nephrectomy [J]. Journal of Shandong University (Health Sciences), 2020, 1(9): 52-57.
[9] CHENG Ruilin, HUANG Zheng, LI Zhengxun, ZHANG Ning, HU Yong, XU Wenpeng. Small incision gastrocnemius tendon turndown flap to treat 5 cases with chronic Achilles tendon rupture [J]. Journal of Shandong University (Health Sciences), 2020, 58(6): 92-96.
[10] WU Hao, XU Ke, HAN Liang, XU Feifei, WANG Dongqin, DA Peng, YIN Yong. Modified cervical-parotid approach in the resection of upper benign tumors in the parapharyngeal space [J]. Journal of Shandong University (Health Sciences), 2020, 58(12): 72-76.
[11] XING Nianzeng. Theory, technique and skills of “Sandwich” urethral reconstruction in laparoscopic radical prostatectomy [J]. Journal of Shandong University (Health Sciences), 2019, 57(1): 16-20.
[12] XING Qianqian, FU Zhijian. Dorsal root ganglion pulsed radiofrequency combined with lumbar lateral recess block in the treatment of lumbar spinal stenosis [J]. Journal of Shandong University (Health Sciences), 2018, 56(7): 76-80.
[13] ZHAO Lijian, HAN Bo, ZHANG Jianjun, YI Yingchun, JIANG Diandong, LÜ Jianli, WANG Jing. Feasibility and safety of transcatheter closure of ventricular septal defect with subaortic rim <2 mm [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 52-56.
[14] WANG Ningning, QU Linli, CAO Fangli, LIANG Lei. Application of computed tomography sagittal reconstruction for microwave ablation of hepatic carcinoma under the diaphragm [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 71-75.
[15] GAO Jianbu, YANG Shouzhong, LI Yudong, QIAO Chong, ZHANG Songyu. Trend survey of inpatient use of drugs for acute myocardial infarction during 10 years in a hospital of Nanyang City [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(5): 66-69.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd