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Early and long-term results of open repair of inflammatory abdominal aortic aneurysms: Comparison with a propensity score-matched cohort.

Authors
  • Cvetkovic, Slobodan1
  • Koncar, Igor2
  • Ducic, Stefan3
  • Zlatanovic, Petar3
  • Mutavdzic, Perica3
  • Maksimovic, Dejan4
  • Kukic, Biljana5
  • Markovic, Dragan1
  • Davidovic, Lazar1
  • 1 Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia. , (Serbia)
  • 2 Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia. Electronic address: [email protected] , (Serbia)
  • 3 Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia. , (Serbia)
  • 4 Department of General Surgery, Sabac County Hospital, Sabac, Serbia. , (Serbia)
  • 5 Center for Anesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia. , (Serbia)
Type
Published Article
Journal
Journal of vascular surgery
Publication Date
Sep 01, 2020
Volume
72
Issue
3
Pages
910–917
Identifiers
DOI: 10.1016/j.jvs.2019.11.040
PMID: 32139307
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The aim of our study was to compare early and long-term results of open repair of patients with inflammatory abdominal aortic aneurysm (IAAA) with matched cohort of patients with abdominal aortic aneurysm (AAA). This retrospective single-center cohort study used prospectively collected data from an institutional registry from 1786 patients between 2009 and 2015. Patients with IAAA and AAA were matched by propensity score analysis controlling for demographics, baseline comorbidities, and AAA parameters in a 1:2 ratio. Patients were followed for 5 years. There were 76 patients with IAAA and 152 patients with AAA. Patients with IAAA had more common intraoperative lesion of intraabdominal organs (P = .04), longer in-hospital (P = .035) and intensive care (P = .048) stays and a higher in-hospital mortality rate (P = .012). There were four patients (5.26%) with in-hospital lethal outcome in IAAA there were no deaths in the AAA group. During the follow-up, there was no difference in survival (χ2 = 0.07; DF = 1; P = .80) and overall aortic related complications (χ2 = 1.25; DF = 1; P = .26); however, aortic graft infection was more frequent in IAAA group (P = .04). Open repair of IAAA is challenging and comparing to AAA carries a higher perioperative risk and long-term infection rate, even in high-volume centers. The main causes of complications are intraoperative injury of adjacent organs, bleeding, and coronary events. Patients with AAA in a matched cohort showed equal long-term survival, which should be assessed in bigger registries. Copyright © 2019 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

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