TY  - JOUR
TI  - Factors Affecting Mortality and Morbidity After Endovascular Aortic Repair for Abdominal Aortic Aneurysms
AB  - Objective Endovascular aortic repair (EVAR) has been preferred increasingly surgical repair for abdominal aortic aneurysms (AAAs). This minimally invasive procedure has favorable effects in the earlyperiod but our purpose is to reveal the anatomical and non-anatomical risk factors affecting mortality and morbidity after EVAR in the prolonged period.Materialsand MethodsA total of 96 patients (91 male, 5 female) electively EVAR operated for infrarenal AAAs between September 2014 to January 2019 is included to the study. Preoperative and postoperativecomputed tomography (CT) scans is controlled periodically and determined individually. Demographic factors, anatomical properties of the AAAs and non-anatomical risk factors areassessed. Kaplan-Meier survival analysis was used to determine survival rates. Cox regression and hazard ratio (HR) was used to assess the relation of these determined factors on mortalityand morbidity.Results Mean follow up time was 27,45 ± 12,99 months. We found that aortic neck morphology has an statistically significant effect on mortality (p value: 0.046 and HR: 1,73 [1,01-2,96]). Aorticneck angle, cigarette smoking, obesity, peripheral artery disease (PAD), coronary artery disease, chronic obstructive pulmonary disease have an increased hazard ratio on mortality (HR inorder; 1,39; 1,45; 3,33; 1,84; 1,87; 3,60). Increased creatinine level (p value: 0.003), presence of chronic renal failure (p value: 0.013) and diabetes mellitus (p value: 0.038) have an statisticallysignificant negative effect on morbidity. Obesity and PAD have an increased hazard ratio on morbidity (HR in order; 4,58; 1,61).Conclusion This study showed us survival after EVAR procedure is connected with several pre and postoperative factors. Preoperative detailed evaluation for the anatomical properties of aneurysm isimportant to achieve prolonged benefit and postoperative follow up is crucial.
AU  - Kara, İbrahim
AU  - Sacli, Hakan
DO  - 10.31832/smj.645571
PY  - 2020
JO  - Sakarya Tıp Dergisi
VL  - 10
IS  - 1
SN  - 2146-409X
SP  - 65
EP  - 73
DB  - TRDizin
UR  - http://search/yayin/detay/414451
ER  -