Impact of Shaggy Aorta in Patients with Abdominal Aortic Aneurysm Following Open or Endovascular Aneurysm Repair.
Impact of Shaggy Aorta in Patients with Abdominal Aortic Aneurysm Following Open or Endovascular Aneurysm Repair.
复制标题
毛茸茸的主动脉对开放或血管内动脉瘤修复术后腹主动脉瘤患者的影响。
DOI：
10.1016/j.ejvs.2016.08.010
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
T. Kwon
中科院分区：
文献类型：
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作者：
H. Kwon;Youngjin Han;Minsu Noh;J. Gwon;Yong;T. Kwon
目的分析腹主动脉瘤（AAA）修复术患者出现粗裂主动脉对术后30天发病率、死亡率及远期生存率的影响。方法本回顾性观察研究纳入了2009年1月至2012年12月期间连续接受AAA修复的447例患者。该研究包括209例（47%）接受开放手术修复（OSR）和238例（53%）接受血管内动脉瘤修复（EVAR）。结果447例选择性AAA修复患者中，48例（11%）出现主动脉粗大。OSR组（p= 0.005）和EVAR组（p= 0.007）均显示主动脉蓬乱患者30天的发病率和死亡率较高。多因素回归分析显示，主动脉蓬乱患者30天的发病率和死亡率增加4.1倍（95% CI = 1.7-9.7;p= 0.002）。根据Kaplan-Meier分析，与非主动脉蓬乱组相比，主动脉蓬乱患者的长期总生存率显著降低（log-rank检验；p= 0.005），这是由合共病引起的。结论主动脉蓬乱是导致30天发病和死亡的重要危险因素。主动脉粗糙的患者长期生存率较差。
ObjectiveTo analyze the impact of the presence of shaggy aorta on 30 day morbidity and mortality and long-term survival in patients undergoing abdominal aortic aneurysm (AAA) repair.MethodsThis retrospective observational study included 447 consecutive patients who underwent AAA repair between January 2009 and December 2012. The study included 209 patients (47%) having open surgical repair (OSR) and 238 patients (53%) having endovascular aneurysm repair (EVAR).ResultsOf the 447 patients having elective AAA repair, 48 patients (11%) had shaggy aorta. Both the OSR (p= .005) and EVAR group (p= .007) demonstrated a higher 30 day morbidity and mortality in patients with shaggy aorta. On multivariate regression analysis, patients with shaggy aorta had 4.1 fold (95% CI = 1.7–9.7;p= .002) increase in 30 day morbidity and mortality. According to the Kaplan-Meier analysis, patients with shaggy aorta had significantly decreased long-term overall survival in comparison with the non-shaggy group (log-rank test;p= .005), and this resulted from comorbidities.ConclusionsShaggy aorta is a prominent risk factor associated with 30 day morbidity and mortality. Poor long-term survival was expected in patients with shaggy aorta.