Talk:Aortic aneurysm

Aortic dissection

Care needs to be taken not to duplicate. Dissection I take to mean the splitting of layer of a blood vessel, vs aneurysm to be a stretched dilatation. An aneurysm may go on to dissect or rupture. Aortic dissection is a really comprehensive article and needs care in how we move any information over to Aortic Aneurism.. David Ruben 20:16, 15 August 2005 (UTC)

This article seems to focus primarily on AAAs rather than aneurysms in general........ me —Preceding unsigned comment added by 198.133.139.5 (talk) 18:14, 16 July 2008 (UTC)

Strange opening sentence

While the stretched vessel may occasionally cause discomfort, it is the risk of rupture causing severe pain, massive internal hemorrhage and, without prompt treatment, resulting in a quick death.

It is ... resulting in a quick death. This string of words doesn't make much sense to me. I'm not sure how it ought to be rewritten though. -- Sy / ^(talk) 22:11, 19 February 2006 (UTC)

I agree

Surgical Treatment

I removed "Media:cd3.mov," because it linked to a file that does not exist. (http://en.wikipedia.org/w/index.php?title=Special:Upload&wpDestFile=Cd3.mov) Gamecheater2009 18:02, 4 October 2007 (UTC)

Operative details for aortic aneurysm graft

I am an editor of www.wikisurgery.com. This is a free surgical wiki that focusses on operative detail, to a depth unlike any other wiki or indeed any operative surgical text book.

Wikisurgery also contains unique online training programs in basic surgical skills and basic laparoscopic skills, plus information for surgical patients.

I think that wikipedia users would find this information a new extension of their knowledge base.

Can you suggest a way of the wikipedian administration evaluating wikisurgery with a view to forming some sort of linkage?

Michael Harpur Edwards 10:02, 7 May 2008 (UTC)

Great! We can add a link under the 'external links' section. Whats the link to the specific page for details on AAA repair technique? BakerStMD T|C 17:44, 14 January 2015 (UTC)

Separate page on Aortic aneurysm rupture

I've thought for some time that there should be a separate page for Aortic aneurysm rupture, rather than a link to AAA, because neither the page for AAA nor this one adequately address the topic. Other people agree? BakerStMD T|C 17:46, 14 January 2015 (UTC)

 Done at Aortic rupture BakerStMD T|C 01:49, 15 January 2015 (UTC)

Percutaneous intervention

doi:10.1161/CIRCULATIONAHA.114.006512 (Circulation). JFW | T@lk 12:54, 7 April 2015 (UTC)

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Cerebrospinal fluid drainage

https://en.wikipedia.org/wiki/Aortic_aneurysm#Surgery subheading "open surgery" paragraph of this page.

I was here to update the 2004 Cochrane review used in this paragraph to the 2014 version. Conclusion from the Cochrane review states: "There are limited data supporting the role of CSFD in thoracic and thoracoabdominal aneurysm surgery for prevention of neurological injury. Further clinical and experimental studies are indicated." The wikipedia paragraph presently reads: "The aorta and its branching arteries are cross-clamped during open surgery. This can lead to inadequate blood supply to the spinal cord, resulting in paraplegia, when repairing thoracic aneurysms. Cerebrospinal fluid drainage, when performed in experienced centers, reduces the risk of ischemic spinal cord injury by increasing the perfusion pressure to the spinal cord.[15][16][needs update]"

Ref 16 is the Cochrane review I am updating. The conclusions are the same. Does anyone know what common surgical practice is for this?

For now, I propose the following edit: A 2004 systematic review and meta analysis found that cerebrospinal fluid drainage (CFSD), when performed in experienced centers, reduces the risk of ischemic spinal cord injury by increasing the perfusion pressure to the spinal cord.[15] A 2012 Cochrane systematic review noted that further research regarding the effectiveness of CFSD for preventing a spinal cord injury is required. https://www.ncbi.nlm.nih.gov/pubmed/23076900

If you have any feedback on this, it would be appreciated. Thanks, JenOttawa (talk) 19:01, 7 December 2016 (UTC)

[1]your proposed text seems well thought out and would benefit the article...IMO--Ozzie10aaaa (talk) 20:36, 13 December 2016 (UTC)

Thanks for your feedback! @Ozzie10aaaa: JenOttawa (talk) 15:12, 14 December 2016 (UTC)

Other Discussion

The abreviation/acronym? AAA means what?

4 sentences in we start talking about AAA. but there's no definition of AAA in the article before this point. The article title doesn't even have 3 a's in it. so, what's AAA? It's not mentioned before mentioning the abbreviation/acronym.

    -- Later looking at it it's mentioned later as Abdominal aortic aneurysms, but I have yet to see a writing guide that suggests spitting out an abbreviation, then figuring out what it means 4 paragraphs later.

Confusing sentence

The sentence "10–25% of patients survive rupture due to large pre-and postoperative mortality" sounds odd to me. Attributing a reason for survival to a high mortality rate doesn't make sense.

I'm not an expert and I don't know what this sentence should say. BackSeat (talk) 10:44, 14 June 2024 (UTC)

I agree that the sentence can look strange but I don't know how to reword it. It is saying that a large majority of people die after a rupture due to "large pre-and postoperative mortality". That's a pretty weak explanation: it's just saying that a lot of people die because a lot of people die. It is easy to see that a rupture would be likely to lead to death but that wording is not helpful. The issue could be raised at the wikiproject, WT:MED. Johnuniq (talk) 00:02, 15 June 2024 (UTC)