Sex-Related Outcomes After Endovascular Aneurysm Repair Within the Global Registry for Endovascular Aortic Treatment

Mwipatayi, Bibombe P.; Anwari, Tahmina; Wong, Jackie; Verhoeven, Eric L.G.; Dubenec, Steven; Heyligers, Jan M.M.; Milner, Ross; Mascoli, Chiara; Gargiulo, Mauro; Shutze, William P.

doi:10.1016/j.avsg.2020.02.014

Cited by 15 publications

(2 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another possible explanation could be anatomical differences in male and female patients. Previous studies have reported on the anatomical differences between female and male patients with an AAA [3,11,12,27]. Female patients present with more angulated aneurysms and shorter neck lengths.…”

Section: Discussionmentioning

confidence: 99%

Sex-Related Differences in Proximal Neck Anatomy and Their Consequences in Patients after EVAR: A Matched Cohort Analysis

Brunschot

Holzhey

Botsios

2023

JCM

View full text Add to dashboard Cite

Introduction: Studies comparing male and female patients with abdominal aortic aneurysms have shown that female patients are generally older and more often experience postoperative complications after endovascular and open repair. There are also indications that female patients have more extensive neck pathologies and that they more often have postoperative complications related to proximal neck pathology. Material and methods: This retrospective study describes all consecutive female patients who underwent EVAR between 1 January 2012 and 31 December 2021. Propensity-score matching was used to obtain a matched control male cohort. Propensity scores were generated with the following anatomic parameters: infrarenal and suprarenal angulation, proximal and distal neck diameter and neck length. 1 Female patient was matched with 3 male patients. Results: A total of 160 patients were included, namely 120 male patients and 40 female patients. Due to matching, there were no significant differences regarding infrarenal and suprarenal angulation and proximal and distal neck diameter and length. All-cause and aneurysm-related mortality were comparable (p = 0.19 and p = 0.98). The necessity of neck-related secondary procedures was significantly higher in female patients (p = 0.02). In the multivariate analysis, the female sex was a significant predictor of endoleak type IA within 30 days. However, there was no significant association between intraoperative endoleak type IA and endoleak type IA at the end of follow-up. Conclusions: This study suggests that there was a higher initial incidence of endoleak type IA in female patients, despite thematched preoperative anatomic parameter. Due to the relatively low number of included female patients, conclusions should be drawn carefully.

show abstract

Section: Discussionmentioning

confidence: 99%

Sex-Related Differences in Proximal Neck Anatomy and Their Consequences in Patients after EVAR: A Matched Cohort Analysis

Brunschot

Holzhey

Botsios

2023

JCM

View full text Add to dashboard Cite

show abstract

“…One study was a randomised controlled trial (RCT)(17) and the other 27 were retrospective observational studies. Seven studies used administrative databases (4,8,18,26,28,30,37), seven were single centre case series (29,31,32,34,(38)(39)(40), six were multicentre case series (20,(41)(42)(43)(44)(45), two used data from health insurance companies (25,27), two used data of EVAR registries (46,47) and three used a healthcare quality registry. (6,35,36)…”

Section: Study Characteristicsmentioning

confidence: 99%

Differences in Comorbidities Between Women and Men Treated with Elective Repair for Abdominal Aortic Aneurysms: A Systematic Review and Meta-Analysis

Tedjawirja

Wit

Balm

et al. 2021

Annals of Vascular Surgery

View full text Add to dashboard Cite

show abstract

EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ

Czerny,

Grabenwöger,

Berger

et al. 2024

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

Sex-Related Outcomes After Endovascular Aneurysm Repair Within the Global Registry for Endovascular Aortic Treatment

Cited by 15 publications

References 35 publications

Sex-Related Differences in Proximal Neck Anatomy and Their Consequences in Patients after EVAR: A Matched Cohort Analysis

Sex-Related Differences in Proximal Neck Anatomy and Their Consequences in Patients after EVAR: A Matched Cohort Analysis

Differences in Comorbidities Between Women and Men Treated with Elective Repair for Abdominal Aortic Aneurysms: A Systematic Review and Meta-Analysis

EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ

Contact Info

Product

Resources

About