Factors associated with symptomatic postoperative myocardial infarction after endovascular aneurysm repair

Major adverse cardiac events after elective infrarenal endovascular aortic aneurysm repair

“…A few studies investigated multiple predictors for myocardial injury after EVAR, where the only shared predictor was an advancing age. [5][6][7] The occurrence of myocardial injury, comparable with other studies, [5][6][7] was also found to be significantly different between patients aged above and below 75 years in a study, that mainly focused on the effect of single risk factors, like other studies, [8][9][10][11][12][13][14] on survival after aneurysm repair. 8 Other described predictors for myocardial injury after EVAR included the American Society of Anesthesiologists (ASA) score of IV, 7 diabetes mellitus, 7 different preoperative laboratory results such as haemoglobin 5 and creatinine, 7 and duration of surgery, as well as complications during or immediately after surgery.…”

“…In contrast with our study, previous studies have mainly focused on individual complications after EVAR, mostly myocardial injury. [5][6][7] To our knowledge, no other studies have investigated MACE after EVAR within the range of our definition. The observed incidence of acute coronary syndrome of 0.9% through 1 year of follow-up after EVAR is comparable with the incidence of postoperative myocardial injury, as described Yang et al 6 and Bertges et al 7 of 1.4% and 1.0%, respectively, through 30 days of follow-up.…”

“…8 Other described predictors for myocardial injury after EVAR included the American Society of Anesthesiologists (ASA) score of IV, 7 diabetes mellitus, 7 different preoperative laboratory results such as haemoglobin 5 and creatinine, 7 and duration of surgery, as well as complications during or immediately after surgery. 6 To date, the literature has focused mainly on myocardial infarction as predominant cardiac complication after EVAR. Complications such as new-onset atrial fibrillation (AF) and hospitalization for heart failure or specification of the required cardiac revascularization following myocardial infarction such as the need for a coronary artery bypass graft (CABG) or a percutaneous coronary intervention (PCI) after EVAR are rarely reported in literature.…”

“…There is a lack of information about the long-term risk of cardiac events after EVAR and potential predictors. [5][6][7] The aim of this study is to evaluate the risk and predictors of early and late major adverse cardiac events (MACE) after an elective infrarenal EVAR.…”

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

“…Intraoperative factors were contrast material volume, operative time, and packed red blood cell transfusion. The risk of postoperative myocardial infarction is particularly increased for those who are older, who present with a ruptured AAA, who have pneumonia, who have unplanned intubation, and who have prolonged hospital stay revealed an analysis of 7,702 pts between 2011 and 2015 [226]. And the risk factor most associated with 30-day readmission after elective AAA repair was surgical site infection [227] and cardiac complications (138,014 pts, United States Nationwide Readmission Database from 2010 to 2014) [228].…”