{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:52:23Z","timestamp":1777942343365,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2001,9,1]],"date-time":"2001-09-01T00:00:00Z","timestamp":999302400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vascular Surgery"],"published-print":{"date-parts":[[2001,9]]},"abstract":"<jats:p>Newer, minimally invasive catheter-based endovascular technology utilizing stent grafts are currently being evaluated for abdominal aortic aneurysm (AAA) repair. A retrospective review of all (3 years) consecutive, non-ruptured elective AAA repairs was undertaken to document the results of AAA surgical repair in a modern cohort of patients to allow a contemporary comparison with the evolving endoluminal data. One hundred twenty-one AAAs were identified in a male veteran population. Mean age was 68.5 \u00b17.7 years. Medical history review showed hypertension in 55%, heart disease in 73.5%, peripheral vascular disease in 21%, stroke and transient ischemic attacks in 22%, diabetes mellitus in 7%, renal insufficiency in 10%, and smoking history in 80%. The AAA size was documented with ultrasound (5.2 +1.3 cm, n = 40) and computed tomography (5.6 +1.3 cm, n= 100). Fifty-nine percent had angiography. Intraoperative end points included an operative time of 165 \u00b16.3 minutes from incision to dressing placement. A Dacron tube graft was used in 78%, the remaining were Dacron bifurcated grafts. A suprarenal clamp was used in 8% for proximal aortic control with juxtarenal aneurysms. A pulmonary-artery catheter was placed in 69%. A transverse incision was used in 69% of patients and a midline incision was used in the rest. Estimated blood loss was 1505 +103 mL; cell saver blood returned 754 +53 mL; crystalloid\/Hespan 4771 \u00b1176 mL; banked packed red blood cells 0.75 \u00b10.1 1 U. Time to extubation was, in the operating room (78.5%), on the day of the operation (5.0%), postoperative day (POD) 1 (12.4%), POD2 (1.7%), POD3 (0.8%), and one case was performed with epidural anesthesia only. Postoperative end points included a 30-day mortality rate of 1.6% (two patients). Postoperative morbidity included wound dehiscence 0.8%; sepsis, urinary tract infection, wound infection, leg ischemia, ischemic colitis, and stroke each had an incidence of 1.6%; myocardial infarction, congestive heart failure, pneumonia, re-operation for suspected bleeding, and ileus or bowel obstruction occurred with an incidence of 3.3%. No significant increase in serum creatinine levels was noted. Time to enteral fluids\/nutrition was 3.5 +0.08 days. Patients were out of bed to a chair or walking by 1.3 +0.06 days postoperatively. The length of stay in the intensive care unit (ICU) was 2.0 +0.12 days and postoperative hospital stay was 6.6 + 0.33 days. Transfusion requirement for the hospital stay was 1.6 +0.2 U per patient. This review highlights a cohort of male veteran patients with significant cardiac co-morbidity who have undergone repair with a conventional open technique and low mortality and morbidity rates. This group had rapid extubation, time to oral intake, and ambulation. In addition, ICU and hospital stays were relatively short.<\/jats:p>","DOI":"10.1177\/153857440103500502","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T23:03:41Z","timestamp":1182467021000},"page":"335-344","source":"Crossref","is-referenced-by-count":20,"title":["Abdominal Aortic Aneurysm Repair"],"prefix":"10.1177","volume":"35","author":[{"given":"Carlos P.","family":"Cruz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Drouilhet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fredrick N.","family":"Southern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John F.","family":"Eidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W.","family":"Barnes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed M.","family":"Moursi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, Central Arkansas Veterans Healthcare System, University of Arkansas for Medical Sciences, Little Rock, AR"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2001,9,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02015271"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199909000-00003"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70382-4"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70002-3"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70352-0"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(00)90154-X"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70102-3"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70035-2"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70036-4"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70066-2"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70176-X"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70204-1"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70324-0"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70349-5"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70253-2"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70268-4"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70351-9"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70264-1"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70077-0"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70096-4"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70250-1"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70263-X"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(95)70281-4"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(94)90002-7"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(94)70005-2"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(93)90078-Z"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(92)90452-E"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(91)90008-I"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70237-5"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)00132-4"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(00)70075-9"},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70130-8"}],"container-title":["Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/153857440103500502","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/153857440103500502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:43:55Z","timestamp":1777704235000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/153857440103500502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,9]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2001,9]]}},"alternative-id":["10.1177\/153857440103500502"],"URL":"https:\/\/doi.org\/10.1177\/153857440103500502","relation":{},"ISSN":["0042-2835"],"issn-type":[{"value":"0042-2835","type":"print"}],"subject":[],"published":{"date-parts":[[2001,9]]}}}