Abdominal Aortic Aneurysms, Peripheral Arterial Disease, and Carotid Artery Stenosis

Paraskevas, Kosmas I.; Nordon, Ian M.; Baxter, Stephen; Shearman, C.P.; Phillips, Mike J.

doi:10.1177/0003319715594932

Cited by 5 publications

(5 citation statements)

References 28 publications

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“…In addition, the presence of disease in multiple vascular territories has been identified as a malignant condition needing meticulous care and clinical alertness [ 31 ]. Among AAA patients, the incidence of PAD may exceed 45%, depicting that AAA patients are at high risk of diffuse atherosclerotic disease [ 35 ]. While previous analyses focused on the impact of PAD in EVAR outcomes, especially regarding re-interventions and access complications, we found that patients undergoing EVAR and suffering from PAD were at increased risk for MACEs [ 34 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although a noninfectious inflammatory response after EVAR is considered a benign condition, the literature has linked PIS to major cardiovascular adverse events in the long term [ 44 ]. Multiple factors were related to the development of PIS after EVAR, including thrombus formation and stent-graft material [ 34 , 35 , 36 ]. In the current analysis, PIS was related to the preoperative smoking status—a finding not reported previously.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Ntalouka,

Nana,

Brotis

et al. 2023

JCM

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Background: We evaluated the 30-day postoperative outcome after elective endovascular aneurysm repair (EVAR) and the possible predictors for the 30-day postoperative outcome. Materials: Demographics, medical history, laboratory values, intensive care unit (ICU) admission and 30-day complications classified as major (major adverse cardiovascular events (MACEs), acute kidney injury (AKI) and death of any cause) and minor (postimplantation syndrome (PIS), postoperative delirium (POD), urinary tract infection (UTI) and technical graft failure) were documented (March 2016 to February 2019). Results: We included 322 patients. The majority were managed under general anesthesia (83%) with femoral cutdown (98.1%). Overall, 121 (37.5%) complications, mostly minor (n = 103, 31.9%), were recorded. In total, 11 patients (3.4%) developed MACEs, 5 (1.6%) experienced AKI and 2 (0.6%) died in the ICU. Moreover, 77 patients (23.9%) suffered from PIS, 11 from POD, 11 from UTI and 4 from technical graft failure. The multivariate logistic regression analysis revealed that aneurysm diameter (p = 0.01) and past smoking (p = 0.003) were predictors for complications. PAD was an independent predictor of MACEs (p = 0.003), preoperative neutrophil to lymphocyte ratio (NLR) of AKI (p = 0.003) and past smoking of PIS (p = 0.008), respectively. Conclusions: Our study showed that the 30-day morbidity after EVAR exceeded 35%. However, the majority of complications were minor, and the associated mortality was low. Aneurysm diameter and past smoking were independent predictors for postoperative outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Ntalouka,

Nana,

Brotis

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…In addition, the presence of disease in multiple vascular territories has been identified as a malignant condition needing meticulous care and clinical alertness [31]. Among AAA patients, the incidence PAD may exceed 45%, depicting that AAA patients are at high risk of diffuse atherosclerotic disease [35]. While previous analyses focused on the impact of PAD in EVAR outcomes, especially regarding re-interventions and access complications, we found that patients undergoing EVAR and suffering from PAD were at increased risk for MACEs [34,36].…”

Section: Discussionmentioning

confidence: 99%

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair; a Tertiary Referral Center Experience

Ntalouka,

Nana,

Brotis

et al. 2023

Preprint

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The 30-day postoperative outcome after elective endovascular aneurysm repair (EVAR) was evaluated and the possible predictors were identified. Demographics, medical history, laboratory values, length of hospitalization (LOH), intensive care unit (ICU) admission and 30-day complications, classified as major [major adverse cardiovascular events (MACE), acute kidney injury (AKI) and death of any cause] and minor [post-implantation syndrome (PIS), postoperative delirium (POD), urinary tract infection (UTI) and technical graft failure] were documented, respectively. We included 322 patients (median LOH 4 days). One-hundred and twenty one (37.5%) complications, mostly minor (n=103, 31.9%), were recorded. Eleven patients (3.4%) evolved MACE, 5 (1.6%) AKI and 2 patients (0.6%) died in ICU. Seventy-seven patients (23.9%) suffered from PIS, eleven from POD, 11 from UTI and 4 from technical graft failure. Multivariate logistic regression analysis revealed that aneurysm diameter (p=0.01) and past smoking (p=0.003) were predictors for postoperative complications. PAD was an independent predictor of MACE (p=0.003), preoperative neutrophil to lymphocyte ratio (NLR) value of AKI (p=0.003) and past smoking of PIS (p=0.008), respectively. Our study showed that 30-day morbidity after EVAR exceeded 35%. However, the majority of complications were classified as minor and the associated mortality was low. Aneurysm diameter and past smoking were independent predictors for postoperative outcome.

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“…It is not uncommon for a patient with a stroke to suffer from ischemic heart disease and peripheral artery disease. Morbidity and mortality are much higher in patients with multifocal artery disease than unifocal 4,5 .…”

mentioning

confidence: 96%

Cerebrovascular disease: Collaboration between neurologists and vascular surgeons in Mexico

Jiménez‐Ruiz¹,

García‐Grimshaw²,

Ruiz-Sandoval³

2021

RMA

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Abdominal Aortic Aneurysms, Peripheral Arterial Disease, and Carotid Artery Stenosis

Cited by 5 publications

References 28 publications

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair: A Tertiary Referral Center Experience

Predictors of 30-Day Postoperative Outcome after Elective Endovascular Abdominal Aortic Aneurysm Repair; a Tertiary Referral Center Experience

Cerebrovascular disease: Collaboration between neurologists and vascular surgeons in Mexico

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