Predictors of early discharge following open abdominal aortic aneurysm repair

Annals of Vascular Surgery
Apostolos K TassiopoulosWilliam H Baker

Abstract

Patients undergoing endovascular abdominal aortic aneurysm (AAA) repair have lower perioperative morbidity and leave the hospital earlier than patients undergoing open repair. However, potential complications require continuous surveillance of endografts and there are few data regarding their long-term fate. If an open operation were well tolerated, this might be a preferable alternative. The purpose of this study was to identify patients with lower morbidity and shorter hospital stay following open AAA repair and to analyze factors that might point to open repair as the preferred approach. We performed a retrospective review of all patients who underwent AAA repair between 1995 and 2000 at our institution. All patients with ruptured aneurysms and those that required renal, celiac, or superior mesenteric reconstructions during the AAA repair were excluded. Patient demographics, preoperative comorbid conditions, intraoperative data, and postoperative complications were analyzed in detail. A total of 115 patients fulfilled the inclusion criteria. There was only one perioperative death (0.9%). The mean hospital stay was 8.1 days. A history of chronic obstructive pulmonary disease (COPD) and longer operative time were independent f...Continue Reading

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Citations

Aug 11, 2007·The Laryngoscope·Nicolas Y BuSaba, Debra A Schaumberg
Mar 31, 2006·Journal of the American College of Surgeons·Ruth L BushCarol M Ashton
Jun 10, 2014·Annals of Vascular Surgery·Raphaël CoscasMarc Coggia
Jan 24, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A M WolthuisJ F Thompson
Jun 6, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S A ChoksyJ Beard
Jan 5, 2007·Vascular and Endovascular Surgery·Brian ParkJames O Menzoian
Jan 3, 2014·The Journal of Bone and Joint Surgery. American Volume·Hossein PakzadAlastair Younger

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