Impact of Shaggy Aorta in Patients with Abdominal Aortic Aneurysm Following Open or Endovascular Aneurysm Repair. Issue 5 (November 2016)

• Record Type: Journal Article
• Authors: Kwon, H.; Han, Y.; Noh, M.; Gwon, J.G.; Cho, Y.-P.; Kwon, T.-W.
• Is Part Of: European journal of vascular and endovascular surgery. Volume 52:Issue 5(2016:Nov.)
• Page Start: 613
• Page End: 619
• Publication Date: 2016-11
• Subjects: Abdominal aortic aneurysm -- Shaggy aorta -- EVAR -- Embolization -- Survival; Blood-vessels -- Endoscopic surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; Blood-vessels -- Endoscopic surgery; Blood-vessels -- Surgery; Endoscopy; Electronic journals; Periodicals; Electronic journals; 617.413005
• DOI: 10.1016/j.ejvs.2016.08.010
• Languages: English
• ISSNs: 1078-5884

Abstract

Abstract : Objective: To 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. Methods: This 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). Results: Of 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. Conclusions: Shaggy aorta is a prominent risk factor associated with 30 day morbidity and mortality. Poor long-term survival was expected in patients with shaggy aorta.