Imperial College London
Alternate

DrPinarUlug

Faculty of Medicine, Department of Surgery & Cancer

Honorary Research Fellow
 
 
 
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Contact

 

+44 (0)20 3311 7307p.ulug Website

 
 
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Location

 

North Wing - 4N12Charing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Powell:2015:eurheartj/ehu521,
author = {Powell, JT and Sweeting, MJ and Thompson, MM and Hinchliffe, RJ and Ashleigh, R and Bell, R and Greenhalgh, RM and Thompson, SG and Ulug, P},
doi = {eurheartj/ehu521},
journal = {European Heart Journal},
pages = {1328--U137},
title = {The effect of aortic morphology on peri-operative mortality of ruptured abdominal aortic aneurysm},
url = {http://dx.doi.org/10.1093/eurheartj/ehu521},
volume = {36},
year = {2015}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - The influence of six morphological parameters (maximum aortic diameter, aneurysm neck diameter, length and conicality,proximal neck angle, and maximum common iliac diameter) on mortality and reinterventions within 30 days was investigatedin rAAA patients randomized before morphological assessment in the Immediate Management of the Patient withRupture: Open Versus Endovascular strategies (IMPROVE) trial. Patients with a proven diagnosis of rAAA, who underwentrepair and had their admission computerized tomography scan submitted to the core laboratory, were included.Among 458 patients (364 men, mean age 76 years), who had either EVAR (n ¼ 177) or open repair (n ¼ 281) started,there were 155 deaths and 88 re-interventions within 30 days of randomization analysed according to a pre-specifiedplan. The mean maximum aortic diameter was 8.6 cm. There were no substantial correlations between the six morphologicalvariables. Aneurysm neck length was shorter in those undergoing open repair (vs. EVAR). Aneurysm neck length(mean 23.3, SD 16.1 mm) was inversely associated with mortality for open repair and overall: adjusted OR 0.72 (95% CI0.57, 0.92) for each 16 mm (SD) increase in length. There were no convincing associations of morphological parameterswith reinterventions.
AU  - Powell,JT
AU  - Sweeting,MJ
AU  - Thompson,MM
AU  - Hinchliffe,RJ
AU  - Ashleigh,R
AU  - Bell,R
AU  - Greenhalgh,RM
AU  - Thompson,SG
AU  - Ulug,P
DO  - eurheartj/ehu521
EP  - 137
PY  - 2015///
SN  - 1522-9645
SP  - 1328
TI  - The effect of aortic morphology on peri-operative mortality of ruptured abdominal aortic aneurysm
T2  - European Heart Journal
UR  - http://dx.doi.org/10.1093/eurheartj/ehu521
UR  - http://hdl.handle.net/10044/1/24615
VL  - 36
ER  -
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