PMID: 9659885Jul 11, 1998Paper

Complications of standard elective abdominal aortic aneurysm repair

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
G J AkkersdijkB C Eikelboom

Abstract

To evaluate complications of standard elective repair of infrarenal abdominal aortic aneurysms. Prospective multicentre study. Two-hundred and ninety-one consecutive patients undergoing standard elective surgery for an infrarenal aortic aneurysm. Recording adverse events according to the recommendations of the Ad Hoc Committee on Reporting Standards. Seventy-five patients (26%) experienced some complication following elective aortic aneurysm surgery. Twenty-two patients had a mild complication (7.6%, 95% C.I. 4.8-11.2%), 27 a moderate (9.3%, 95% C.I. 6.2-13.2%) and 26 patients had a severe and/or fatal complication (8.9%, 95% C.I. 5.9-12.8%). The in-hospital mortality was 4.1% (12 patients, 95% C.I. 2.2-7.1%). Cardiac failure was the commonest primary cause for death (58%). Twenty-two per cent of the patients had a non-fatal complication: the most frequent being pulmonary (10%) and cardiac (10%). Patients with a history of cardiac events had a five times higher risk of a fatal outcome (95% C.I. 1.1-24.0) and a two and a half times higher risk of any severe fatal or non-fatal complication (95% C.I. 1.0-6.5). Other risk factors were advancing age and the presence of pulmonary disease. In addition to mortality, morbidity figures o...Continue Reading

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