{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T12:07:43Z","timestamp":1784117263073,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess results of open repair (OR) of AAA in a single high volume center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed prospectively collected data of 450 patients who underwent elective OR of AAA at the Clinic for Vascular and Endovascular Surgery of the Serbian Clinical Centre in the period between January 2013 and September 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative death occurred in seven patients (1. 55%) during the first 30 postoperative days. The mortality was caused by: uncontrolled bleeding\u20101, acute myocardial infarction\u20101, ischemic colitis\u20102, MOFS\u20102, sepsis due to infection and dehiscence of laparotomy wound\u20101. Coronary artery disease (OR 3.89; CI 0.85\u201317.7; <jats:italic>p<\/jats:italic> = 0.0058), postoperative acute myocardial infarction (OR 29.9; CI 2.56\u2013334.95; <jats:italic>p<\/jats:italic> = 0.0053), chronic renal failure (OR 7.5; CI 1.35\u20138.5; <jats:italic>p<\/jats:italic> = 0.0073), colonic necrosis (OR 88.2; CI 4.77\u20131629.69; <jats:italic>p<\/jats:italic> = 0.0026), occlusion of the both hypogastric arteries and the inability to preserve at least one hypogastric artery (OR 17.4; CI 1.99\u2013178.33; <jats:italic>p<\/jats:italic> = 0.0230), aortobifemoral reconstruction (OR 9.06; CI 1.76\u201346.49; <jats:italic>p<\/jats:italic> = 0.016), significant perioperative bleeding (&gt;2\u00a0L) (OR 7.32; CI 1.31\u201310.79; <jats:italic>p<\/jats:italic> = 0.0001), hostile abdomen (OR 5.25; CI 1.3\u201321.1; <jats:italic>p<\/jats:italic> = 0.0055), inflammatory aneurysm (OR 13.99; CI 2.88\u201365.09; <jats:italic>p<\/jats:italic> = 0.0002), supraceliac aortic cross\u2010clamping (OR 18.7; CI 3.8\u201390.6; <jats:italic>p<\/jats:italic> = 0.0003), prolonged aortic cross\u2010clamping (&gt;60\u00a0min) (OR 14.25; CI 2.75\u201364.5; <jats:italic>p<\/jats:italic> = 0.0003), the intraoperative hypotension (OR 6.61; CI 0.71\u201361.07; <jats:italic>p<\/jats:italic> = 0.0545), the prolonged operation (&gt;240\u00a0min) (OR 8.66; CI 0.91\u201381.56; <jats:italic>p<\/jats:italic> = 0.0585) and complete dehiscence of the laparotomy (OR 44.1; CI 3.39\u2013572.78; <jats:italic>p<\/jats:italic> = 0.0396) increased the 30\u2010day mortality in our study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early mortality after open repair of AAA in high volume center might be very low due to experienced multidisciplinary team. Centralized open aortic surgery might be solution for effective treatment of patients with unsuitable anatomy or for young patients with long life expectancy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3788-3","type":"journal-article","created":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T14:17:06Z","timestamp":1478009826000},"page":"884-891","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Open Repair of AAA in a High Volume Center"],"prefix":"10.1002","volume":"41","author":[{"given":"Lazar B.","family":"Davidovic","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Belgrade Belgrade Serbia"},{"name":"Clinic for Vascular and Endovascular Surgery Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milanko","family":"Maksic","sequence":"additional","affiliation":[{"name":"Clinic for Surgery Clinical Center of Banja Luka Banja Luka Republic of Srpska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Koncar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Belgrade Belgrade Serbia"},{"name":"Clinic for Vascular and Endovascular Surgery Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikola","family":"Ilic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Belgrade Belgrade Serbia"},{"name":"Clinic for Vascular and Endovascular Surgery Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marko","family":"Dragas","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Belgrade Belgrade Serbia"},{"name":"Clinic for Vascular and Endovascular Surgery Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikola","family":"Fatic","sequence":"additional","affiliation":[{"name":"Department of Vascular surgery, Surgery Clinic Clinical Centre of Montenegro Ljubljanska 1 81000 Podgorica Montenegro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miroslav","family":"Markovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Belgrade Belgrade Serbia"},{"name":"Clinic for Vascular and Endovascular Surgery Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Banzic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Belgrade Belgrade Serbia"},{"name":"Clinic for Vascular and Endovascular Surgery Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perica","family":"Mutavdzic","sequence":"additional","affiliation":[{"name":"Clinic for Vascular and Endovascular Surgery Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/29184"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2015.07.002"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.07.002"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2010.09.011"},{"key":"e_1_2_7_6_2","unstructured":"The republic\u2019s expert committee for manufacturing and implementation of guidelines on successful clinical practice(2013) National reference guide on successful clinical practice \u201cAneurysmatic aortic artery disease\u201d. 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