Open Questions in Aortic Disease: New Problems, New Insights

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".

Deadline for manuscript submissions: 20 November 2024 | Viewed by 799

Special Issue Editors


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Guest Editor
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Interests: vascular surgery; vascular medicine; endovascular surgery; aortic repair; aortic stent

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Guest Editor
1. Section of Vascular Surgery, Cardio Thoracic Vascular Department, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
2. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Interests: vascular surgery; vascular medicine; endovascular surgery; aortic disease

E-Mail Website
Guest Editor
1. Section of Vascular Surgery, Cardio Thoracic Vascular Department, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
2. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Interests: vascular surgery; vascular medicine; endovascular surgery; aortic disease

Special Issue Information

Dear Colleagues,

Aortic disease encompasses a wide range of clinical and anatomical conditions, including aneurysm and dissection, that can have acute or chronic manifestations. Over the years, significant advancements have been made in the treatment of these pathological conditions. The introduction of endovascular surgery and its subsequent advancements have greatly enhanced patient management and treatment outcomes. However, vascular specialists now face increasingly complex pathologies that necessitate innovative approaches and state-of-the-art technologies. In this evolving landscape, it has become crucial to gather insights from global experiences in the treatment of aortic disease to ensure that optimal treatment decisions are made based on individual patient and aortic characteristics. Therefore, we cordially invite vascular experts to contribute to this Special Issue by providing original articles, case series, technical experiences, and reviews on novel treatments in the field of aortic disease. By sharing your expertise and experiences, we aim to foster a comprehensive understanding of the latest advancements in aortic disease management. We encourage submissions that explore cutting-edge technologies and present innovative approaches, ultimately striving to improve patient outcomes. We look forward to receiving your valuable contributions to this Special Issue, which will undoubtedly contribute to our collective knowledge and ultimately benefit patients worldwide.

Dr. Daniele Bissacco
Prof. Dr. Maurizio Domanin
Prof. Dr. Santi Trimarchi
Guest Editors

Manuscript Submission Information

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Keywords

  • vascular surgery
  • aortic disease
  • aortic aneurysm
  • aortic dissection
  • endovascular aortic repair
  • open aortic repair

Published Papers (1 paper)

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Research

10 pages, 509 KiB  
Article
Intraoperative Predictors and Proposal for a Novel Prognostic Risk Score for In-Hospital Mortality after Open Repair of Ruptured Abdominal Aortic Aneurysms (SPARTAN Score)
by Raffaella Berchiolli, Nicola Troisi, Giulia Bertagna, Mario D’Oria, Luca Mezzetto, Vittorio Malquori, Valerio Artini, Duilio Motta, Lorenzo Grosso, Beatrice Grando, Giovanni Badalamenti, Cristiano Calvagna, Davide Mastrorilli, Gian Franco Veraldi, Daniele Adami and Sandro Lepidi
J. Clin. Med. 2024, 13(5), 1384; https://doi.org/10.3390/jcm13051384 - 28 Feb 2024
Viewed by 529
Abstract
(1) Background: Several mortality risk scores have been developed to predict mortality in ruptured abdominal aortic aneurysms (rAAAs), but none focused on intraoperative factors. The aim of this study is to identify intraoperative variables affecting in-hospital mortality after open repair and develop a [...] Read more.
(1) Background: Several mortality risk scores have been developed to predict mortality in ruptured abdominal aortic aneurysms (rAAAs), but none focused on intraoperative factors. The aim of this study is to identify intraoperative variables affecting in-hospital mortality after open repair and develop a novel prognostic risk score. (2) Methods: The analysis of a retrospectively maintained dataset identified patients who underwent open repair for rAAA from January 2007 to October 2023 in three Italian tertiary referral centers. Multinomial logistic regression was used to calculate the association between intraoperative variables and perioperative mortality. Independent intraoperative factors were used to create a prognostic score. (3) Results: In total, 316 patients with a mean age of 77.3 (SD ± 8.5) were included. In-hospital mortality rate was 30.7%. Hemoperitoneum (p < 0.001), suprarenal clamping (p = 0.001), and operation times of >240 min (p = 0.008) were negative predictors of perioperative mortality, while the patency of at least one hypogastric artery had a protective role (p = 0.008). Numerical values were assigned to each variable based on the respective odds ratio to create a risk stratification for in-hospital mortality. (4) Conclusions: rAAA represents a major cause of mortality. Intraoperative variables are essential to estimate patients’ risk in surgically treated patients. A prognostic risk score based on these factors alone may be useful to predict in-hospital mortality after open repair. Full article
(This article belongs to the Special Issue Open Questions in Aortic Disease: New Problems, New Insights)
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