Table III.
Tier 3 surgeries
| ACS category | Surgeries, No. (%) | Diagnosis | Procedure |
|---|---|---|---|
| AAA | 4 (9) | Aortic graft infection | Graft excision, in situ reconstruction |
| Mycotic iliac aneurysm | EVAR | ||
| Ruptured TAAA | TEVAR | ||
| Ruptured AAA (Ehlers-Danlos) | Open repair | ||
| Aneurysm, peripheral | 3 (6) | Symptomatic popliteal aneurysm | Open repair |
| Symptomatic brachial aneurysm | Open repair | ||
| Symptomatic radial aneurysm | Open repair | ||
| Aortic dissection | 1 (2) | Acute dissection with malperfusion after open repair of ruptured AAA (Ehlers-Danlos) | Aortic stent |
| Bypass graft complication | 5 (11) | Graft infection, bleedinga | Graft revision, muscle flap |
| Graft infection, bleedinga | Control of bleeding | ||
| Graft infection, bleedinga | Graft ligation | ||
| Graft infectionb | Incision and drainage | ||
| Graft infectionb | Graft excision, replacement with homograft | ||
| Carotid | 1 (2) | Stroke | Carotid endarterectomy |
| Dialysis | 16 (34) | Nonfunctional dialysis access (n = 13) | TDC |
| Acute need for dialysis | TDC | ||
| Thrombosed arteriovenous graft | Open thrombectomy, fistulagram, angioplasty | ||
| Infected AVF, bleeding | Open revision of AVF | ||
| Mesenteric | 5 (11) | Acute mesenteric ischemia secondary to graft thrombosisc | Thrombolysis |
| Acute mesenteric ischemia secondary to graft thrombosisc | Laparotomy, pharmacomechanical thrombolysis | ||
| Acute mesenteric ischemia secondary to graft thrombosisc | Thrombolysis | ||
| Acute mesenteric ischemiad | Mesenteric bypass | ||
| Acute mesenteric ischemiad | Second-look laparotomy | ||
| PVD | 4 (9) | Acute lower extremity ischemia | Femoral–femoral bypass, fasciotomy |
| Compartment syndrome | Fasciotomy | ||
| CLTI with tissue loss, rest pain | Diagnostic angiogram | ||
| CLTI with tissue loss, rest pain | Tibial bypass | ||
| Trauma | 4 (9) | Spleen injury | Splenic artery embolization |
| Spleen injury | Splenic artery embolization | ||
| Spleen injury | Splenic artery embolization | ||
| Expanding retroperitoneal hematoma | Diagnostic angiogram | ||
| Wound; gangrene; amputation | 2 (4) | CLTI with tissue loss, rest pain | Angiogram, ankle disarticulation |
| CLTI with tissue loss, rest pain | Completion BKA | ||
| Other | 2 (4) | Bleeding AVF | Control of bleeding, TDC |
| Iatrogenic subclavian artery injury | Diagnostic angiogram |
AAA, Abdominal aortic aneurysm; ACS, American College of Surgeons; AVF, arteriovenous fistula; BKA, below-the-knee amputation; CLTI, chronic limb threatening ischemia; EVAR, endovascular aneurysm repair; PVD, peripheral vascular disease; TAAA, thoracoabdominal aortic aneurysm; TDC, tunneled dialysis catheter; TEVAR, thoracic endovascular aneurysm repair.
a
Patient underwent multiple procedures.
b
Patient underwent multiple procedures.
c
Patient underwent multiple procedures.
d
Patient underwent multiple procedures.