This study investigated the long-term outcomes of patients treated with open surgical repair for complex abdominal aortic aneurysms (c-AAAs). A total of 119 patients with c-AAAs undergoing repair between January 2010 and June 2016 in a high-volume aortic center were included. The long-term imaging follow-up consisted of yearly abdominal ultrasound examinations and 5-year computed tomography angiography. At a median follow-up of 76 months (IQR 38 months), forty-three deaths (37%) and three (2.5%) aortic-related deaths were observed. Long-term chronic renal decline was observed in fifty (43.8%) patients, significantly correlated with post-operative acute kidney injury. During the follow-up, five reinterventions (4.3%) were performed. The present study suggests that open c-AAA repair can be performed with acceptable operative risk with durable results. To achieve the best possible long-term outcome, the open surgery repair of complex AAA should be performed in high-volume aortic centers and tailored to the patient.

Tshomba, Y., Sica, S., Minelli, F., Ferraresi, M., De Waure, C., Donati, T., De Nigris, F., Vincenzoni, C., Snider, F., Tinelli, G., Long-Term Results of Complex Abdominal Aortic Aneurysm Open Repair, <<JOURNAL OF PERSONALIZED MEDICINE>>, 2022; 12 (10): 1630-1638. [doi:10.3390/jpm12101630] [https://hdl.handle.net/10807/223252]

Long-Term Results of Complex Abdominal Aortic Aneurysm Open Repair

Tshomba, Yamume;Sica, Simona;Minelli, Fabrizio;De Waure, Chiara;Donati, Tommaso;De Nigris, Francesca;Vincenzoni, Claudio;Snider, Francesco;Tinelli, Giovanni
Ultimo
2022

Abstract

This study investigated the long-term outcomes of patients treated with open surgical repair for complex abdominal aortic aneurysms (c-AAAs). A total of 119 patients with c-AAAs undergoing repair between January 2010 and June 2016 in a high-volume aortic center were included. The long-term imaging follow-up consisted of yearly abdominal ultrasound examinations and 5-year computed tomography angiography. At a median follow-up of 76 months (IQR 38 months), forty-three deaths (37%) and three (2.5%) aortic-related deaths were observed. Long-term chronic renal decline was observed in fifty (43.8%) patients, significantly correlated with post-operative acute kidney injury. During the follow-up, five reinterventions (4.3%) were performed. The present study suggests that open c-AAA repair can be performed with acceptable operative risk with durable results. To achieve the best possible long-term outcome, the open surgery repair of complex AAA should be performed in high-volume aortic centers and tailored to the patient.
Inglese
Tshomba, Y., Sica, S., Minelli, F., Ferraresi, M., De Waure, C., Donati, T., De Nigris, F., Vincenzoni, C., Snider, F., Tinelli, G., Long-Term Results of Complex Abdominal Aortic Aneurysm Open Repair, <<JOURNAL OF PERSONALIZED MEDICINE>>, 2022; 12 (10): 1630-1638. [doi:10.3390/jpm12101630] [https://hdl.handle.net/10807/223252]
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