Improved long-term survival following infrarenal abdominal aortic aneurysm repair

Abstract

Women with ruptured AAA have a higher early mortality than men, which needs to be investigated further. Long-term survival has improved during the study period. Age, diabetes, chronic obstructive pulmonary disease, renal failure and cerebrovascular insufficiency influenced the long-term survival negatively. EVAR is used to an increasing extent and the results are improving.

Systematic Review and Meta-analysis of Factors Influencing Survival Following Abdominal Aortic Aneurysm Repair

“…Two studies reported the influence of carotid disease but these were not included in this group as carotid disease is not primarily associated with all strokes and carotid disease was poorly defined. 16,37 Nine studies 17,19,24,27,28,31,38,44,59 reported the influence of cerebrovascular disease on late survival resulting in a pooled HR 1.57 (95% CI 1.40e1.77) I 2 ¼ 0%. The presence of carotid disease had a HR 1.27 (95% CI 0.93e1.73) I 2 ¼ 0%.…”

Systematic review and meta-analysis of sex differences in outcome after intervention for abdominal aortic aneurysm

“…Berge et al 31 Faizer et al 32 Hultgren et al 33 Bonamigo et al 34 Haug et al 35 Leon et al 36 Lifeline 20…”

“…Berge et al 31 Ting et al 52 Azizzadeh et al 53 Biebl et al 54 Leon et al 36 Lifeline 20 Zarins et al 55 Sampaio et al 56 Criado et al 57 Elkouri et al 58 Nordness et al 59 Parlani et al 60 Shames et al 61 Slovut et al 62 Wyers et al 63 Sanchez et al 64 Wolf et al 65 1 1·54 1·22 Howell et al 66 Mathison et al 67 Romero et al 68 Cao et al 69 Pooled odds ratio 35 23 82 80·8 8 2 ·2 68 65 2 (9) 9 (11) Leon et al 36 2746 7974 73·2(8·0)# 71·4(8·0)# --225 (8·2)** 415 (5·2)** Lifeline 20 69 37 42 177 69·9 ‡ 69·9 ‡ --5 (12)** 3 (1·7)** Urbonavicius et al 38 17 52 ----3 (18) 5 (10) Rigberg et al 9 18 71 ----0 (0)** 0 (0)** Sasaki et al 39 11 89 71 ‡ 71 ‡ 57·9(10·2) ‡ 57·9(10·2) ‡ 0 (0)** 1 (1)** Stenbaek et al 40 109 488 71(6·4) 70 (7) --12 (11·0) § 42 (8·6) § Biancari et al 41 239 42 68 90 70·3 ‡ 70·3 ‡ 58 ‡ 58 ‡ 1 (1) 4 (4) Rayan et al 43 100 321 74·4(7·1) ‡ 74·4(7·1) ‡ --2 ( 2 ·0)** 5 (1·6)** Alonso-Pérez et al 44 13 170 77 ‡ 77 (2)…”

“…Berge et al 31 17 119 ----1 (6) 3 (2·5) Ting et al 52 15 85 75(7) ‡ 75(7) ‡ 62(8) ‡ 62(8) ‡ 0 (0)** 2 (2)** Azizzadeh et al 53 58 340 73 ‡ 73 ‡ --1 (2) 4 (1·2) Biebl et al 54 40 326 74 (7) 73 (8) --0 (0) 4 (1·2) Leon et al 36 295 1384 73·2(8·0)# 71·4(8·0)# --15 (5·1)** 24 (1·7)** Lifeline 20 235 1828 76·4(7·7) 72·8(7·8) 55·8(10·2) ‡ 55·8(10·2) ‡ 5 (2·1) ¶ 27 (1·5) ¶ Zarins et al 55 23 289 70(7) ‡ 70(7) ‡ 50(3) ‡ 50(3) ‡ 0 (0) 6 (2·1) Sampaio et al 56 29 212 79·9(1·1) 74·9(0·5) 54·1(1·1) 55·5(0·8) 2 (7) 2 (0·9) Criado et al 57 24 216 75·5 ‡ 75·5 ‡ --0 (0) 0 (0) Elkouri et al 58 11 89 76(7) ‡ 76(7) ‡ 58(11) ‡ 58(11) ‡ 0 (0) 0 (0) Nordness et al 59 17 101 75·1(9·4) 73 (7) 61·9(11·6) 57·5(9·7) 2 (12) 0 (0) Parlani et al 60 25 377 75·3 7 1 ·3 5 2 ·2 5 0 ·8 0 (0) 5 (1·3) Shames et al 61 42 203 76(6) 72 (7) --1 (2) 3 (1·5) Slovut et al 62 27 143 73·6(7·2) ‡ 73·6(7·2) ‡ 55(8) ‡ 55(8) ‡ 0 (0) 2 (1·4) Wyers et al 63 34 168 74(7) ‡ 74 (7) ‡ --0 (0) 1 (0·6) Sanchez et al 64 22 133 76·3(6·4) 72·0(7·2) 54·1 5 6 ·7 1 (5) 4 (3·0) Wolf et al 65 26 163 77·9(6·3) 73·1(8·1) 57·2(10·9) 57·8(9·4) 0 (0) 2 (1·2) Howell et al 66 23 192 72(8·2) ‡ 72(8·2) ‡ 55·5(11) ‡ 55·5(11) ‡ 0 (0) 0 (0) Mathison et al 67 24 281 75·9(6·7) 74·4(7·9) 52·1(6·8) 57(11·8) 0 (0) ‡ ‡ 8 (2·8) ‡ ‡ Romero et al 68 17 156 73 ‡ 73 ‡ 58 ‡ 58 ‡ 1 (6) ¶ 5 (3·2) ¶ Cao et al 69 10 105 69·8(7) ‡ 69·8(7) ‡ --0 (0) 0 (0) mean AAA diameter stratified by sex ( Table 1) 34,35 . For the elective EVAR group, the majority of the studies reported mean AAA diameter (13 of 21) and six of these stratified by sex; mean AAA diameter was 55·5 mm for women and 55·4 mm for men.…”

“…Grant et al 70 Berge et al 31 Sharif et al 71 Hultgren et al 33 Filipovic et al 72 Visser et al 13 Stone et al 24 Leon et al 36 Stenbaek et al 40 Korhonen et al 73 Janczyk et al 74 Hans and Huang 76 Turton et al 21 Heller et al 18 Evans et al 77 Sasaki et al 78 Alonso-Perez et al 79 Semmens et al 49 Dardik et al 80 Katz et al 8 Barry et al 81 Rutledge et al 82 Hardman et al 83 Henderson and Effeney 51…”