Long- Term Outcomes of Endovascular Aneurysm Repair in Patients Aged ≤70 Years

被引：1

作者：

Onohara, Toshihiro ^{[1
,15
]}

Handa, Nobuhiro ^{[2
]}

Kawasaki, Masakazu ^{[3
]}

Kasashima, Fuminori ^{[4
]}

Saito, Tetsuya ^{[5
]}

Nakamura, Teruya ^{[6
]}

Une, Dai ^{[7
]}

Nakai, Mikizo ^{[7
]}

Shiraya, Suguru ^{[8
]}

Maeda, Kazuki ^{[9
]}

Imai, Katsuhiko ^{[10
]}

Yamamoto, Tsuyoshi ^{[11
]}

Shimoe, Yasushi ^{[12
]}

Okamoto, Minoru ^{[13
]}

Kawazu, Yoshikazu ^{[14
]}

机构：

[1] Kyushu Med Ctr, Dept Vasc Surg, Fukuoka, Fukuoka, Japan

[2] Nagara Med Ctr, Dept Cardiovasc Surg, Gifu, Gifu, Japan

[3] Hokkaido Med Ctr, Dept Cardiovasc Med, Sapporo, Hokkaido, Japan

[4] Kanazawa Med Ctr, Dept Cardiovasc Surg, Kanazawa, Ishikawa, Japan

[5] Osaka Natl Hosp, Dept Cardiovasc Surg, Osaka, Osaka, Japan

[6] Osaka Minami Med Ctr, Dept Cardiovasc Surg, Kawachi Nagano, Osaka, Japan

[7] Okayama Med Ctr, Dept Cardiovasc Surg, Okayama, Okayama, Japan

[8] Hamada Med Ctr, Dept Cardiovasc Surg, Hamada, Shimane, Japan

[9] Natl Hosp Org Higashihiroshima Med Ctr, Dept Cardiovasc Surg, Higashihiroshima, Hiroshima, Japan

[10] Hiroshima Univ, Grad Sch Med, Kure, Hiroshima, Japan

[11] Iwakuni Clin Ctr, Dept Thorac Surg, Iwakuni, Yamaguchi 7408510, Japan

[12] Shikoku Med Ctr Children & Adults, Dept Obstet, Zentsuji, Kagawa, Japan

[13] Kumamoto Univ Hosp, Disaster Med Educ & Res Ctr, Kumamoto, Kumamoto, Japan

[14] Kagoshima Med Ctr, Dept Surg, Kagoshima, Japan

[15] NHO Kyushu Med Ctr, Dept Vasc Surg, Jigyohama 1-8-1,Chuou Ku, Fukuoka, Fukuoka 8108563, Japan

来源：

ANNALS OF VASCULAR DISEASES | 2024年 / 17卷 / 01期

关键词：

abdominal aortic aneurysm; endovascular aneurysm repair; open surgical repair; young patients; ABDOMINAL AORTIC-ANEURYSM; SURVIVAL;

D O I：

10.3400/avd.oa.23-00072

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Objectives: The efficacy of endovascular aneurysm repair (EVAR) against abdominal aortic aneurysm (AAA) in younger patients remains unknown. Hence, the current study aimed to investigate whether the aneurysm- related mortality rate of EVAR is acceptable among patients aged <= 70 years. Methods: Among 644 patients, 148 underwent EVAR (EVAR group), and 496 received open surgical repair (OSR group). The cumulative incidence rates of aneurysm- related death, any intervention, and serious aneurysm- related events after AAA repair were evaluated using the cumulative incidence function in the presence of competing risks. Results: The EVAR group had higher prevalences of several comorbidities, and overall survival for the EVAR group was significantly inferior to that of the OSR group. The cumulative incidence rates of aneurysm- related death, any intervention, and serious aneurysm- related events at 5 years were 1.5%, 11.7%, and 6.4% in the EVAR group and 1.3%, 5.3%, and 5.9% in the OSR group, respectively. EVAR was not a significant prognostic factor of aneurysm- related mortality and serious aneurysm- related events. However, it was an independent poor prognostic factor of any intervention. Conclusion: EVAR was not a significant prognostic factor of aneurysm- related mortality and serious aneurysm- related events. Therefore, it demonstrated acceptable procedure- related long- term outcomes, at least in high- risk young patients.

引用

页码：25 / 33

页数：9

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