Long-Term Cardiovascular Outcome After Elective Abdominal Aortic Aneurysm Open Repair

Céniga, Melina Vega de; Estallo, L.; Barba, A.; Fuente, Natalia de la; Viviens, B.; Gómez, R.

doi:10.1016/j.avsg.2010.01.003

Cited by 11 publications

(17 citation statements)

References 25 publications

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“…La diferencia de mortalidad entre ambos grupos residía fundamentalmente en los primeros 6-12 meses de seguimiento. Nuestras series también presentan la mayor diferencia en la supervivencia en los primeros 2-5 años de seguimiento (11). Previamente, algunas series publicadas en los ochenta y en los noventa describían tasas de supervivencia comparables entre pacientes intervenidos por AAA de forma electiva o urgente (6,19,23).…”

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“…El pronóstico tardío de pacientes tras la reparación electiva de un AAA ha sido objeto de múltiples estudios (6,(11)(12)(13)(14)(15)(16)(17)(18). La supervivencia a largo plazo de los pacientes que sobreviven a una cirugía electiva de aneurisma de aorta abdominal es similar a la de la población general, pero a lo largo de su vida presentan una incidencia aumentada de eventos cardiovascula-Abstract Introduction and objectives: several studies have looked into the late prognosis of patients after elective abdominal aortic aneurysm (AAA) repair, but there is little data regarding those who survive a ruptured AAA.…”

Section: Introductionunclassified

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“…| Angiología 2019;71(5):175-182 | res, con cifras descritas de 0,16 eventos/paciente-año (11,12). La principal causa de muerte en estos pacientes es cardiovascular, seguida de la neoplasia; las complicaciones relacionadas con el injerto se limitan al 1%, aproximadamente (7,(11)(12)(13)(14)(15)17). En contraste, la evolución tardía de los pacientes que sobreviven a la cirugía urgente por rotura de un AAA apenas se ha estudiado (7,(19)(20)(21)(22).…”

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Código Aneurisma ¿una Realidad Necesaria?

Carriles¹

2019

Angiologia

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Section: Discussionunclassified

Section: Introductionunclassified

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Código Aneurisma ¿una Realidad Necesaria?

Carriles¹

2019

Angiologia

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“…Others found the long-term survival after elective AAA open repair similar to that in the general population, with a survival rate of 50.7 % and 31.5 % at 10 and 15 years after surgery. The main cause of death was cardiovascular disease (18.2%), followed by cancer (14.5%) (Vega de Céniga et al, 2010). In the Swedish Vascular Registry, crude long-term survival at 10 years after elective AAA repair was 33.8% for women and 40.4 % for men (Mani et al, 2009 EVAR Trial Investigators, 2010a).…”

Section: Long-term Outcome After Endovascular and Open Repair Of Aaamentioning

confidence: 99%

The Abdominal Aortic Aneurysm – Prognosis, Treatment, Screening and Cost-Effectiveness

Grundmann¹

2011

Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms

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Prevalence of abdominal aortic aneurysm and mortality rateGenerally, an AAA is considered to be present when the minimum anterioposterior diameter of the aorta reaches 3.0 cm (Hirsch et al., 2006). The prevalence of AAA depends on various risk factors, as advancing age, family history, male gender, and tobacco use. According to the ACC/AHA guidelines (Hirsch et al., 2006) the prevalence of AAA 2.9 to 4.9 cm in diameter ranges from 1.3 % for men aged 45 to 54 years up to 12.5 % for men 75 to 84 years of age. Comparable prevalence figures for women are 0% and 5.2 %, respectively. Scott et al., 1995 reported in men and women aged 65-80 years a prevalence rate of 4 % overall and 7.6 % of men. Vardulaki et al., 1999 observed in two different areas the prevalence of AAA ranging between 5.3 % and 8% and between 6.18% and 9.88 %, respectively, in men aged between 65 and 79 years. In the Multicentre Aneurysm Screening Study (MASS) the prevalence in men aged 65-74 years was 4.9% (Ashton et al., 2002). In these studies the AAA was defined as an aortic diameter  3cm. If clinically important aneurysms are only taken into account (AAA www.intechopen.com Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms 2 measuring  4 cm in diameter) the indicated prevalence would be lower. Van Walraven et al., 2010 identified the prevalence of incidental AAA during imaging for other reasons. In 79,121 abdominal images 812 incidental AAA with a mean diameter of 4.0 cm (1% of all studies) were detected in patients with a mean age of 74 years. Lederle et al., 1997 reported the results of ultrasonography screening for AAA in 73,451 US veterans who were 50 to 79 years of age and had no history of AAA. The infrarenal aortic diameter was at least 4 cm in 1031 patients (1.4%), 368 patients (0.5%) had an AAA of 5 cm or larger. Smoking was the factor most closely associated with AAA in this study. In men who never smoked the prevalence of AAA 4 cm or larger was 0 % (patient age 50 to 59 years) and 0.8% (patient age > 75 years), respectively. The corresponding figures for men who smoked were 0.9 % and 2.7 %, respectively. A second cohort study of the Department of Veterans Affairs medical centers (Lederle et al., 2000) including 52,745 subjects aged 50 to 79 years confirmed the findings previously reported and supported the hypothesis that AAA is primarily a smoking-related disease. In this study AAA of 4.0 cm or larger were detected in 613 participants (1.2%). The excess prevalence associated with smoking accounted for approximately 75% of all AAA of 4.0 cm or larger. Smoking as a very strong risk factor for AAA was also proven by the Tromsø study (Forsdahl et al., 2009). When subjects who reported to have never been a daily smoker were compared with those who currently were smoking 20 cigarettes or more, the latter group had a > 13 times increased risk of an incident AAA during follow-up. In the women`s health initiative, an observational study involving 161,808 postmenopausal women, too, a strong positi...

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