Nationwide vascular registries offer rapid feed-back in an environment of fast new technical development, as is the case with the treatment of abdominal aortic aneurysm (AAA). Furthermore, they offer an opportunity to study non-selected, population-based data. The aim of this review was to analyze time-trends in published papers from nationwide registries on AAA-repair. In contrast to several US reports, an increased rate of intact AAA repair, associated with the introduction of endovascular repair, was reported in a recent publication based on the Swedish Vascular Registry (Swedvasc). The rate of ruptured abdominal aortic aneurysm (rAAA) repair is stable in most reports, while some report a decreasing incidence. Most nationwide studies report a reducing mortality over time after intact AAA repair, while time trends on the mortality after ruptured AAA repair are more heterogenic.
VolodosNLSkekhaninVEKarpovichIPTroianVIGur'evIUA: A self-fixing synthetic blood vessel endoprosthesis.(In Russian) Vestn Khir IM Grek1986;137:123–125.
2.
VolodosNLKarpovichIPTroyanVIKalashnikovaYUVShekhaninVETernyukNENeonetaASUstinovNIYakovenkoLF: Clinical experience of the use of self-fixing synthetic prostheses for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprostesis for aorta reconstruction. Vasa Suppl1991;33:93–95.
3.
The UK Small Aneurysm Trial Participants: Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. Lancet1998;352:1649–1655.
4.
LederleFAWilsonSEJohnsonGRReinkeDBLittooyFNAcherCWBallardDJMessinaLMGordonILChuteEPKrupskiWCBusuttilSJBaroneGWSparksSGrahamLMRappJHMakarounMSMonetaGLCambriaRAMakhoulRGEtonDAnselHJFreischlagJABandykD; Aneurysm Detection and Management Veterans Affairs Cooperative Study Group: Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med2002;346:1437–1444.
5.
LaukontausSJAhoPSPettiläVAlbäckAKantonenIRailoMHynninenMLepäntaloM: Decrease of mortality of ruptured abdominal aortic aneurysm after centralization and in-hospital quality improvement of vascular service. Ann Vasc Surg2007;21(5):580–585.
6.
PapiaGKleinDLindsayTF: Intensive care of the patient following open abdominal aortic surgery. Curr Opin Crit Care2006;12(4):340–345.
7.
The Vascular Registry — A responsibility for all vascular surgeons? Vascular Registry in Southern Sweden (VRISS). Eur J Vasc Surg1987;1:219–226.
8.
BergqvistDTroëngTEinarssonEElfströmJNorgrenL, Steering committee on behalf of the Swedish Vascular Registry (Swedvasc): Vascular Surgical audit during a 5-year period. Eur J Vasc Surg1994;8:472–477.
9.
ErikssonIHallénASimonssonNÅbergT: Surgical classification of abdominal aortic aneurysm. Acta Chir Scand1979;145:455–458.
BjörckMBergqvistDTroëngT: Incidence and clinical presentation of bowel ischaemia after aortoiliac surgery — 2930 operations from a population-based registry in Sweden. Eur J Vasc Endovasc Surg1996;12:139–149.
12.
BjörckMAcostaSLindbergFTroëngTBergqvistD:Revas-cularization of the superior mesenteric artery after acute thromboembolic occlusion. Br J Surg2002;89(7):923–927.
13.
KragstermanBPärssonHLindbackJBergqvistDBjörckM: Outcomes of carotid endarterectomy for asymptomatic stenosis in Sweden are improving: Results from a population-based registry. J Vasc Surg2006;44(1):79–85.
14.
RavnHBergqvistDBjörckM: Nationwide study of the outcome of popliteal artery aneurysms treated surgically. Br J Surg2007;94(8):970–977.
15.
WanhainenABylundNBjörckM: Outcome after abdominal aortic aneurysm repair in Sweden, 1994–2005. Br J Surg2008;95:564–570.
16.
TroëngTMalmstedtJBjörckM: External validation of the Swedvasc registry. A first-time individual cross-matching with the unique personal identity code, and a review of previous validation procedures. (Submitted).
17.
BjörckMBergqvistDEliassonKForssellCJanssonIKarlströmLKragstermanBLundellAMalmstedtJNordanstigJNorgrenLTroëngT: Twenty years with the Swedvasc Registry. Eur J Vasc Endovasc Surg2008;35:129–130.
18.
HellerJAWeinbergAAronsRKrishnasastryKVLyonRTDeitchJSSchulickAHBushHLJrKentKC: Two decades of abdominal aortic aneurysm repair: Have we made any progress? J Vasc Surg2000;32:1091–1100.
19.
WainessRMDimickJBCowanJAHenkePKStanleyJCUpchurchGR: Epidemiology of surgically treated abdominal aortic aneurysms in the United States, 1998 to 2000. Vascular2004;12(4):218–224.
20.
CowanJADimickJBHenkePKRectenwaldJStanleyJC: Epidemiology of aortic aneurysm repair in the United States from 1993 to 2003. Ann N Y Acad Sci2006;1085:1–10.
21.
VisserPAkkersdijkGJMBlankensteijnJD: In-hospital operative mortality of ruptured abdominal aortic aneurysm: A population-based analysis of 5593 patients in the Netherlands over a 10-year period. Eur J Vasc Endovasc Surg2005;4:359–364.
22.
AkkersdijkGJPrinssenMBlankensteijnJD: The impact of endovascular treatment on in-hospital mortality following non-ruptured AAA repair over a decade: A population based study of 16,446 patients. Eur J Vasc Endovasc Surg2004;28:41–46.
23.
DillavouEDMulukSCMakarounMS: A decade of change in abdominal aortic aneurysm repair in the United States: Have we improved outcomes equally between men and women. J Vasc Surg2006;43:230–238.
