Long-term outcomes and factors influencing late survival following elective abdominal aortic aneurysm repair: a 24-year experience

摘要: Background: Abdominal aortic aneurysms can be either treated by an open abdominal aneurysm repair or endovascular repair. Comparing clinical predictors of outcomes and those which influence survival rates in the long term is important determining choice treatment offered decision-making process with patients. Aims: To determine pre-existing perioperative determinants on late elective at a tertiary hospital. Methods: Consecutive patients undergoing from 1990 to 2013 were included. Data collected prospectively acquired database death data gathered Queensland state registry. Pre-existing risks factors assessed independently. Kaplan–Meier Cox regression modeling performed. Results: During study period, 1340 repaired electively, 982 The average age was 72.4 years old 81.7% males. cumulative percentage for 5, 10, 15 20 79, 49, 31 22, respectively. corresponding 5-, 10- 15-year not significantly different 75, 49 33%, respectively (P = 0.75). Predictors reduced advanced age, American Society Anaesthesiology scores, chronic obstructive pulmonary disease, renal impairment, bifurcated grafts, peripheral vascular disease congestive heart failure. Conclusions: Open offers good long-term option our experience there no significant difference between Consideration identified this that predict should considered when deciding aneurysm.