Late outcomes of endovascular aortic stent graft therapy in patients with chronic kidney disease

Wu, C.C.; Chou, An‐Hsun; Lin, Yu‐Sheng; Wu, Victor Chien‐Chia; Chang, Shang‐Hung; Chu, Pao‐Hsien; Cheng, Yu‐Ting; Ko, Po‐Jen; Liu, Kuo‐Sheng; Chen, Shaowei

doi:10.1097/md.0000000000022157

Cited by 4 publications

(2 citation statements)

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“…Our team previously demonstrated that in patients undergoing endovascular aortic stent graft therapy, CKD was an independent predictor of higher rates of in-hospital death, postoperative complications, and all-cause death. 27 Furthermore, patients on dialysis had the poorest outcomes. 27 A recent study of open surgical repair of INAA found similar results, with CKD independently associated with both in-hospital and 90-day deaths.…”

Section: Predictors Of Poor Outcomesmentioning

confidence: 99%

“…27 Furthermore, patients on dialysis had the poorest outcomes. 27 A recent study of open surgical repair of INAA found similar results, with CKD independently associated with both in-hospital and 90-day deaths. 28 Our results further highlighted the significant contribution of renal impairment to the death of patients with INAA.…”

Section: Predictors Of Poor Outcomesmentioning

confidence: 99%

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Outcomes of Endovascular Treatment for Infective Aortic Aneurysms　― A Multicenter Retrospective Study ―

Lee,

Chen,

Chan

et al. 2024

Circ J

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Background:In Taiwan, infective native aortic aneurysms (INAAs) are relatively common, so the aim of present study was to demonstrate the comparative outcomes of endovascular repair for thoracic and abdominal INAAs. Methods and Results:Patients with naïve thoracic or abdominal INAAs managed with endovascular repair between 2001 and 2018 were included in this multicenter retrospective cohort. The confounding factors were adjusted with propensity score (PS). Of the 39 thoracic and 43 abdominal INAA cases, 41 (50%) presented with aneurysmal rupture, most of which were at the infrarenal abdominal (n=35, 42.7%) or descending thoracic aorta (n=25, 30.5%). Salmonella spp. was the most frequently isolated pathogen. The overall in-hospital mortality rate was 18.3%. The risks of in-hospital death and death due to rupture were significantly lower with thoracic INAAs (12.8% vs. 23.3%; PS-adjusted odds ratio (OR) 0.24, 95% confidence interval (CI) 0.06-0.96; 0.1% vs. 9.3%; PS-adjusted OR 0.11, 95% CI 0.01-0.90). During a mean follow-up of 2.5 years, the risk of all-cause death was significantly higher with thoracic INAAs (35.3% vs. 15.2%;). Chronic kidney disease (CKD) was associated with death. Conclusions:Compared with thoracic INAAs, endovascular repair of abdominal INAAs was associated with a significantly higher in-hospital mortality rate. However, long-term outcomes were worse for thoracic INAAs, with CKD and infections being the most important predictor and cause of death, respectively.

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Section: Predictors Of Poor Outcomesmentioning

confidence: 99%

Section: Predictors Of Poor Outcomesmentioning

confidence: 99%

Outcomes of Endovascular Treatment for Infective Aortic Aneurysms　― A Multicenter Retrospective Study ―

Lee,

Chen,

Chan

et al. 2024

Circ J

Self Cite

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Outcomes of Thoracic and Complex Endovascular Aortic Repair in Patients with Renal Insufficiency

Elsayed,

Perez,

Straus

et al. 2024

Annals of Vascular Surgery

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One-year sac regression is associated with freedom from fatal adverse events after endovascular aneurysm repair

Ikeda

Sato

Kawai

et al. 2023

Journal of Vascular Surgery

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Late outcomes of endovascular aortic stent graft therapy in patients with chronic kidney disease

Abstract: Supplemental Digital Content is available in the text

Cited by 4 publications

References 36 publications

Outcomes of Endovascular Treatment for Infective Aortic Aneurysms　― A Multicenter Retrospective Study ―

Outcomes of Endovascular Treatment for Infective Aortic Aneurysms　― A Multicenter Retrospective Study ―

Outcomes of Thoracic and Complex Endovascular Aortic Repair in Patients with Renal Insufficiency

One-year sac regression is associated with freedom from fatal adverse events after endovascular aneurysm repair

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Late outcomes of endovascular aortic stent graft therapy in patients with chronic kidney disease

Abstract: Supplemental Digital Content is available in the text

Cited by 4 publications

References 36 publications

Outcomes of Endovascular Treatment for Infective Aortic Aneurysms ― A Multicenter Retrospective Study ―

Outcomes of Endovascular Treatment for Infective Aortic Aneurysms ― A Multicenter Retrospective Study ―

Outcomes of Thoracic and Complex Endovascular Aortic Repair in Patients with Renal Insufficiency

One-year sac regression is associated with freedom from fatal adverse events after endovascular aneurysm repair

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Product

Resources

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Outcomes of Endovascular Treatment for Infective Aortic Aneurysms　― A Multicenter Retrospective Study ―

Outcomes of Endovascular Treatment for Infective Aortic Aneurysms　― A Multicenter Retrospective Study ―