Despite Increased Comorbidities, Patients with Diabetes Mellitus Have Outcomes That Are Similar to the General Population Following Endovascular Aortic Aneurysm Repair

Abstract

Results: The total number of access procedures per year increased from 86 in 2007 to 181 in 2013. A mean of 72% autogenous access was achieved (range, 68%-81%) over the study period. Overall, 18% of patients required a second access creation during the period, with arteriovenous (AV) graft creation requiring the highest rate of secondary procedures at 23%. The most frequently performed secondary procedure following an AV graft creation was another AV graft creation, and 43% of secondary procedures were a new autogenous access. Autogenous access procedures paid an average of $635.53 per procedure, and nonautogenous access creations paid an average of $598.47 per procedure, with reimbursement rates of 27.2% and 30.2%, respectively.Conclusions: It is possible to achieve the >66% autogenous access goal set forth by the DOQI guidelines. Further analysis is required to determine the characteristics of our institution allowing us to achieve a higher rate than that reported for the United States as a whole. Our data suggest that similar results can be achieved nationally and should serve as a renewed goal for all dialysis access surgeons.

Evaluando la experiencia local: primeros 50 casos de reparo endovascular de aneurismas aórticos en Manizales, Colombia

“…El 18 % de los pacientes analizados en este estudio eran diabéticos. Según Le Grand et al 23 , la relación entre diabetes mellitus y AAA asciende hasta un 16 %; estos pacientes presentan un crecimiento más lento del saco aneurismático, pero tienen un mayor riesgo de infecciones relacionadas con el EVAR. Por el contrario, De Rango et al reportaron una relación inversa entre la in-cidencia de diabetes mellitus y la presentación de aneurismas aórticos abdominales 24 .…”