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Contemporary outcomes of open repair of thoracoabdominal aortic aneurysm in young patients

Overview of attention for article published in Journal of Cardiothoracic Surgery, December 2014
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Title
Contemporary outcomes of open repair of thoracoabdominal aortic aneurysm in young patients
Published in
Journal of Cardiothoracic Surgery, December 2014
DOI 10.1186/s13019-014-0195-4
Pubmed ID
Authors

Neil Johns, Russell W Jamieson, Carlo Ceresa, Carl Moores, Alastair F Nimmo, Orwa Falah, Paul J Burns, Roderick TA Chalmers

Abstract

BackgroundEndovascular technology now permits total endovascular thoracoabdominal aortic aneurysm (TAAA) repair with high volume centres reporting encouraging results. The long-term durability of such stent grafts is unknown, leading to concerns regarding their use in younger patients. This study reports contemporary outcomes of open repair in young patients.MethodsOutcomes for patients age 60 or younger undergoing open TAAA repair between June 1999 and August 2013 with prospective collected data were analysed retrospectively.ResultsThirty-seven patients (31 men, 84%) with a median age of 56 (range 22¿60) were identified with a median TAAA diameter of 6.9 cm (range 5.6-11). Aneurysm aetiology included degenerative change (18), dilation of chronic dissection (10), connective tissue disease (7) and mycotic degeneration (2). Crawford Type IV TAAA were most commonly treated (17), followed by Type II (10), Type III (7) and Type I (3). Two (5%) patients died in hospital, one from multiple organ failure and one from respiratory failure. Three patients (8%) developed temporary paraplegia, all of whom made a complete recovery and 4 (11%) patients required temporary renal replacement therapy. Median critical care stay was 5 days (range 2¿28) with an in-hospital stay of 14 days (range 7¿83). During a median follow-up of 72 months (range 13¿171), no patient subsequently required any further aneurysm related surgical or radiological intervention. The mean (SEM) survival time was 138.5 (11) months. The 5 year survival was 79.7% (8.3) including early deaths, with no aneurysm related complications.ConclusionsThe outcome of open TAAA repair in patients aged less than 60 years is favorable. It is against these results that evolving endovascular interventions must be compared.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 3%
Unknown 30 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 16%
Researcher 4 13%
Student > Ph. D. Student 4 13%
Student > Bachelor 3 10%
Student > Doctoral Student 2 6%
Other 5 16%
Unknown 8 26%
Readers by discipline Count As %
Medicine and Dentistry 16 52%
Business, Management and Accounting 1 3%
Agricultural and Biological Sciences 1 3%
Arts and Humanities 1 3%
Psychology 1 3%
Other 3 10%
Unknown 8 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 January 2015.
All research outputs
#15,315,142
of 22,778,347 outputs
Outputs from Journal of Cardiothoracic Surgery
#384
of 1,225 outputs
Outputs of similar age
#213,939
of 361,237 outputs
Outputs of similar age from Journal of Cardiothoracic Surgery
#10
of 17 outputs
Altmetric has tracked 22,778,347 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,225 research outputs from this source. They receive a mean Attention Score of 2.2. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 361,237 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one is in the 29th percentile – i.e., 29% of its contemporaries scored the same or lower than it.