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Conference Paper: Long-term outcome of patients who underwent open abdominal aortic aneurysm repair

TitleLong-term outcome of patients who underwent open abdominal aortic aneurysm repair
Authors
Issue Date2014
PublisherJ-STAGE.
Citation
The 15th Congress of Asian Society for Vascular Surgery (ASVS 2014) and 9th Asian Venous Forum, Hong Kong, 5-7 September 2014. In Annals of Vascular Diseases, 2014, v. 7 suppl., p. S27-S28, abstract no. 0154 How to Cite?
AbstractINTRODUCTION: The aim of the study was to evaluate the short and long-term outcomes in patients who underwent open infrarenal abdominal aortic aneurysm repair. METHODS: Consecutive patients with open repair of infrarenal aortic aneurysm at our institution from 1 July 1990 till 30 June 2012 were reviewed from a prospective collected departmental database. Short-term outcomes included 30 days mortality and peri-operative complications. Long-term survival and secondary intervention were also reported. RESULTS: 383 patients (317 males, Median age 72 with range 15–90) underwent open infrarenal aortic aneurysm repair during the period, of whom 266 (69.5%) were elective, 18 (4.7%) were urgent for symptomatic but non-ruptured cases, and 99 (25.8%) were emergency procedures for ruptured aneurysms. Mean aneurysm size was 6.5 cm (range 2.5–15.0). All patients were followed up for at least 24 months with mean follow up period 163 months. Overall 30 days mortality was 11.0% (36.4% for ruptured; 11.1% for symptomatic, 1.5% for elective, p <0.001). Systemic complications included 50 cardiac events, 52 respiratory events, 6 renal events, 3 cerebral vascular accidents and 1 deep vein thrombosis/ pulmonary embolisms. Local complications included 1 anastomotic/graft hemorrhage, 10 distal thrombosis/embolism, 5 bowel ischemia, 1 spinal cord ischemia, 17 wound complications. The ruptured group presented survival of 53.5%, 50.5%, 47.5%, 42.3%, 38.0%, 23.7% at 12, 24, 36, 48, 60 and 120 months respectively; while non-ruptured ones were 91.5%, 88.0%, 83.7%, 78.3%, 73.0%, 43.0% (Log rank p <0.001). For those who died after 30 days of operation, only 4 patients died of aneurysm related mortality. A total of 3 (0.8%) patients underwent secondary interventions were recorded: 1 for late aorto-enteric fistulae and 2 for anastomotic pseudoaneurysms. CONCLUSION: In the current era of endovascular repair, open infrarenal aneurysm repair is safe and effective, and has low secondary interventions rates.
DescriptionFree Paper Presentation - Abdominal Aortic Aneurysms - 1: FP4E: no. 0154
This journal entitled: Abstract Book of the 15th Congress of Asian Society for Vascular Surgery and 9th Asian Venous Forum 2014
Persistent Identifierhttp://hdl.handle.net/10722/206065
ISSN

 

DC FieldValueLanguage
dc.contributor.authorLaw, Yen_US
dc.contributor.authorChan, YCen_US
dc.contributor.authorLee, KFen_US
dc.contributor.authorYip, HCen_US
dc.contributor.authorTing, ACWen_US
dc.contributor.authorCheng, SWKen_US
dc.date.accessioned2014-10-20T12:00:26Z-
dc.date.available2014-10-20T12:00:26Z-
dc.date.issued2014en_US
dc.identifier.citationThe 15th Congress of Asian Society for Vascular Surgery (ASVS 2014) and 9th Asian Venous Forum, Hong Kong, 5-7 September 2014. In Annals of Vascular Diseases, 2014, v. 7 suppl., p. S27-S28, abstract no. 0154en_US
dc.identifier.issn1881-641X-
dc.identifier.urihttp://hdl.handle.net/10722/206065-
dc.descriptionFree Paper Presentation - Abdominal Aortic Aneurysms - 1: FP4E: no. 0154-
dc.descriptionThis journal entitled: Abstract Book of the 15th Congress of Asian Society for Vascular Surgery and 9th Asian Venous Forum 2014-
dc.description.abstractINTRODUCTION: The aim of the study was to evaluate the short and long-term outcomes in patients who underwent open infrarenal abdominal aortic aneurysm repair. METHODS: Consecutive patients with open repair of infrarenal aortic aneurysm at our institution from 1 July 1990 till 30 June 2012 were reviewed from a prospective collected departmental database. Short-term outcomes included 30 days mortality and peri-operative complications. Long-term survival and secondary intervention were also reported. RESULTS: 383 patients (317 males, Median age 72 with range 15–90) underwent open infrarenal aortic aneurysm repair during the period, of whom 266 (69.5%) were elective, 18 (4.7%) were urgent for symptomatic but non-ruptured cases, and 99 (25.8%) were emergency procedures for ruptured aneurysms. Mean aneurysm size was 6.5 cm (range 2.5–15.0). All patients were followed up for at least 24 months with mean follow up period 163 months. Overall 30 days mortality was 11.0% (36.4% for ruptured; 11.1% for symptomatic, 1.5% for elective, p <0.001). Systemic complications included 50 cardiac events, 52 respiratory events, 6 renal events, 3 cerebral vascular accidents and 1 deep vein thrombosis/ pulmonary embolisms. Local complications included 1 anastomotic/graft hemorrhage, 10 distal thrombosis/embolism, 5 bowel ischemia, 1 spinal cord ischemia, 17 wound complications. The ruptured group presented survival of 53.5%, 50.5%, 47.5%, 42.3%, 38.0%, 23.7% at 12, 24, 36, 48, 60 and 120 months respectively; while non-ruptured ones were 91.5%, 88.0%, 83.7%, 78.3%, 73.0%, 43.0% (Log rank p <0.001). For those who died after 30 days of operation, only 4 patients died of aneurysm related mortality. A total of 3 (0.8%) patients underwent secondary interventions were recorded: 1 for late aorto-enteric fistulae and 2 for anastomotic pseudoaneurysms. CONCLUSION: In the current era of endovascular repair, open infrarenal aneurysm repair is safe and effective, and has low secondary interventions rates.-
dc.languageengen_US
dc.publisherJ-STAGE.-
dc.relation.ispartofAnnals of Vascular Diseasesen_US
dc.titleLong-term outcome of patients who underwent open abdominal aortic aneurysm repairen_US
dc.typeConference_Paperen_US
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hken_US
dc.identifier.emailTing, ACW: tingacw@hku.hken_US
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_US
dc.identifier.authorityChan, YC=rp00530en_US
dc.identifier.authorityCheng, SWK=rp00374en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.3400/avd.sup.14-00001-
dc.identifier.hkuros241410en_US
dc.identifier.volume7en_US
dc.identifier.issuesuppl.-
dc.identifier.spageS27en_US
dc.identifier.epageS28en_US
dc.publisher.placeJapan-

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