| Long-term cardiovascular outcome after elective abdominal aortic aneurysm open repair. | |
| | |
MedLine Citation:
|
PMID: 20363099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: We analyzed the incidence of late cardiovascular events and mortality after elective infra-/juxtarenal abdominal aortic aneurysm open repair (AAA-OR). METHODS: We included patients who survived AAA-OR in our center in 1988-2006. We registered late cardiac, cerebrovascular, and peripheral vascular events, as well as all-cause and cardiovascular mortality. We calculated patient survival and freedom from cardiovascular events (Kaplan-Meier) and evaluated risk factors (multivariate analysis). RESULTS: We studied 297 patients: 292 (98.3%) men, aged 67 +/- 7 (44-83) years, 143 (48.1%) bifurcated grafts. In a mean follow-up of 78.7 +/- 52.9 months, we registered 203 cardiovascular events in 123 (41.4%) patients, at a rate of 0.16 cardiovascular events/patient-year. Eleven (3.7%) patients suffered graft-related complications. Freedom from cardiovascular events was 94.2%, 67.2%, 45.7%, and 27.6% at 1, 5, 10, and 15 years, respectively. Survival was 96.6%, 74.7%, 50.7%, and 31.5%, respectively. The main cause of death was cardiovascular disease (n = 54, 18.2%), followed by cancer (n = 43, 14.5%). Only four (1.3%) deaths were graft-related. Coronary artery disease and chronic renal failure were predictive of cardiovascular mortality (p = 0.033 and 0.006). CONCLUSION: Although long-term survival is similar to that in the general population, successful AAA-OR patients remain at increased risk of cardiovascular events throughout their lifetime. Graft-related complications are rare, confirming the durability of the procedure. |
| | |
Authors:
|
M Vega de Céniga; L Estallo; A Barba; N de la Fuente; B Viviens; R Gómez |
Related Documents
:
|
3706009 - Enhanced cisternal drainage and cerebral vasospasm in early aneurysm surgery. 10584839 - Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocor... 17277679 - A population-based study of neurosurgical and endovascular treatment of ruptured, intra... 17482849 - Rapid quantitative determination of c-reactive protein at chair side in dental emergenc... 6353849 - Early onset group b streptococcal disease. seven year experience and clinical scoring s... 11113219 - Rebleeding, secondary ischemia, and timing of operation in patients with subarachnoid h... 15346799 - Management of acute exacerbations of chronic obstructive pulmonary disease in the elder... 22678319 - Preemptive use of diclofenac in combination with ketamine in patients undergoing laparo... 16674629 - Intraperitoneal fluid therapy: an alternative to intravenous treatment in a patient wit... |
Publication Detail:
|
Type: Journal Article Date: 2010-04-02 |
Journal Detail:
|
Title: Annals of vascular surgery Volume: 24 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-06-28 Completed Date: 2010-10-25 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 655-62 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Angiology and Vascular Surgery, Hospital de Galdakao-Usansolo, Galdakao-Usansolo, Bizkaia, Spain. melina.vegadeceniga@osakidetza.net |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Aortic Aneurysm, Abdominal / mortality, surgery* Blood Vessel Prosthesis Implantation / adverse effects*, mortality Cardiovascular Diseases / etiology*, mortality Chi-Square Distribution Disease-Free Survival Female Humans Incidence Kaplan-Meiers Estimate Male Middle Aged Retrospective Studies Risk Assessment Risk Factors Spain Surgical Procedures, Elective Survivors* / statistics & numerical data Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Restless legs syndrome in children and adolescents.
Next Document: A functional murine model of hindlimb demand ischemia.