Predictors of in-hospital adverse events after endovascular aortic aneurysm repair

Nejim, Besma; Zarkowsky, Devin S.; Hicks, Caitlin W.; Locham, Satinderjit; Aridi, Hanaa Dakour; Malas, Mahmoud B.

doi:10.1016/j.jvs.2018.10.093

Cited by 11 publications

(19 citation statements)

References 49 publications

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“…The predictors of complicated postoperative course in elective EVAR, and subsequently prolonged hospital stays, include congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, chronic kidney disease, and hypertension. 46 Although these demographic data were not collected directly, the overall decrease in the preoperative GFR may also reflect worse chronic disease in the postprotocol population. Nine of the 189 patients who underwent EVAR in the postprotocol period developed an endoleak requiring intervention within 30 days of the index operation.…”

Section: Discussionmentioning

confidence: 99%

Impact of an emergency endovascular aneurysm repair protocol on 30-day ruptured abdominal aortic aneurysm mortality

Jones¹,

Koury²,

Faris³

et al. 2022

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Impact of an emergency endovascular aneurysm repair protocol on 30-day ruptured abdominal aortic aneurysm mortality

Jones¹,

Koury²,

Faris³

et al. 2022

Journal of Vascular Surgery

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“…Systemic complications in relation with patient specific factors without looking at anatomical features other than aneurysmal diameter is well described. [23][24][25][26] Nejim et al 23 reported predictive factors besides aneurysmal diameter, for in-hospital adverse events after elective EVAR. These included advanced age, female sex, hypertension, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, chronic kidney disease, diabetes mellitus, obesity and smoking.…”

Section: Discussionmentioning

confidence: 99%

Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes

Schaik

Hers

Rijswijk

et al. 2021

JRSM Cardiovascular Disease

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Objective The aim of this online clinical vignette-based survey study was to compare risk assessments by vascular surgeons, anaesthesiologists and interventional radiologists involved in treating patients with aortic aneurysms in the Netherlands with the NSQIP risk calculator outcomes. Methods Participants, recruited using purposive sampling, provided their estimation of the likelihood of postoperative complications and events following aortic surgery in five fictional cases. These cases were subsequently scored using the NSQIP calculator. The risk assessments were statistically analysed using the ANOVA and student t-test. Results All participating specialists i.e. twelve vascular surgeons, ten interventional radiologists and ten anaesthesiologists completed the survey. In the vast majority of outcomes and vignettes, no significant differences were found between various specialists, whereas significant differences were found between the NSQIP risk calculator outcomes and the combined risk assessments of the specialists. Overall, specialist risk assessments differ from the NSQIP, but neither particularly higher nor lower compared to the risk calculator. Conclusions Risk assessment by vascular surgeons, anaesthesiologists and interventional radiologists differs significantly with NSQIP risk calculator outcomes, within the framework of both endovascular and open aortic aneurysm repair. Based on these results, implementing the NSQIP risk calculator in preoperative workup could be of added value in both patient planning as well as adequately informing patients for obtaining consent.

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“…Perioperative complications, although rare, can occur after EVAR, contributing to longer hospitalisation, higher cost, and significant comorbidity and mortality. Therefore, an exploration of 28,240 pts of the VQI database from 2003 to 2017 identified the predictors of in-hospital events (IHEs) after elective EVAR [225]. A total of 28,240 pts with full information about IHEs were included.…”

Section: Large Trials Meta-analyses Databases and Registries On Outcomesmentioning

confidence: 99%

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

Nikol

Mathias²,

Olinic

et al. 2020

Vasa

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Predictors of in-hospital adverse events after endovascular aortic aneurysm repair

Cited by 11 publications

References 49 publications

Impact of an emergency endovascular aneurysm repair protocol on 30-day ruptured abdominal aortic aneurysm mortality

Impact of an emergency endovascular aneurysm repair protocol on 30-day ruptured abdominal aortic aneurysm mortality

Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

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