Comparison of percutaneous access and open femoral cutdown in elective endovascular aortic repair of abdominal aortic aneurysms

被引:0
作者
Akbulut, Mustafa [1 ]
Ak, Adnan [1 ]
Arslan, Ozgur [1 ]
Akardere, Omer Faruk [1 ]
Karakoc, Ayse Zehra [1 ]
Gume, Serkan [1 ]
Sismanoglu, Mesut [1 ]
Tuncer, Mehmet Altug [2 ]
机构
[1] Univ Hlth Sci, Kartal Kosuyolu Training & Res Hosp, Dept Cardiovasc Surg, Istanbul, Turkey
[2] Istanbul Okan Univ, Dept Cardiovasc Surg, Istanbul, Turkey
来源
TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 2022年 / 30卷 / 01期
关键词
Abdominal; aorta; aortic aneurysms; common femoral artery; endovascular procedures; CLOSURE DEVICES;
D O I
10.5606/tgkdc.dergisi.2022.2189
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The aim of this study was to compare postoperative outcomes of percutaneous access and femoral cutdown methods for elective bifurcated endovascular abdominal aortic aneurysm repair. Methods: Between November 2013 and September 2020, a total of 152 patient (135 males, 17 females; mean age: 70.6 +/- 6, range, 57 to 87 years) who underwent endovascular repair due to infrarenal abdominal aortic aneurysm were retrospectively analyzed. According to femoral access type, the patients were grouped into two groups as the total percutaneous femoral access and open cutdown femoral access endovascular repair. Intra-and postoperative data were compared, including operative time, amount of contrast media, bleeding requiring transfusion, return to the operating room, access vessel complications, wound complications, and overall length of hospital stay. Results: Eighty-seven (57.2%) femoral cutdown access repair and 65 (42.8%) percutaneous femoral access repair cases were evaluated in the study. The two groups were comparable in terms of demographic and clinical characteristics (p>0.05), except for chronic obstructive pulmonary disease which was more frequent in the percutaneous access group (p=0.014). After adjustment, age, diabetes mellitus, chronic obstructive pulmonary disease, and obesity were not predictive of percutaneous access failure. Percutaneous femoral access was observed as the only preventing factor for wound infection (odds ratio=0.166, 95% confidence interval: 0.036-0.756; p=0.021). Conclusion: Although femoral access preference does not affect mortality and re-intervention rates, percutaneous endovascular repair reduces operation time, hospital stay, and wound site complications compared to femoral artery exposures.
引用
收藏
页码:11 / 17
页数:7
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