Authors: Berge, Camilla¹; Haug, Erik²; Romundstad, Pål³; Lange, Conrad²; Myhre, Hans¹

Source: Scandinavian Cardiovascular Journal, Volume 42, Number 5, 2008 , pp. 354-359(6)

Publisher: Informa Healthcare

Abstract:

Background. The aim was to investigate early and long-term results following AAA repair during a 20-year period. Method. One thousand and forty one patients with AAA were treated with open surgery (905) or EVAR (136) during the period 1983-2002. Comorbidity and factors influencing early and long-term results were investigated. Data were collected retrospectively from the patients' medical records. A complete follow-up was obtained. Results. Women had a significantly higher 30-day mortality following repair of ruptured AAA than men. The degree of emergency, advancing age and renal failure were significantly associated with 30-day mortality. We observed an improvement in long-term survival during the study period. Time interval of surgery, cerebrovascular disease, diabetes, COPD and renal failure influenced long-term survival negatively. Conclusion. Women with ruptured AAA have a higher early mortality than men, which needs to be investigated further. Long-term survival has improved during the study period. Age, diabetes, chronic obstructive pulmonary disease, renal failure and cerebrovascular insufficiency influenced the long-term survival negatively. EVAR is used to an increasing extent and the results are improving.

Keywords: AAA repair; early mortality; improved long-term survival

Document Type: Research article

DOI: http://dx.doi.org/10.1080/14017430802061656

Affiliations: 1: Department of Surgery, University Hospital of Trondheim, Trondheim, Norway,Department of Circulation and Medical Imaging, Medical Faculty, Norwegian University of Science and Technology, 2: Department of Surgery, University Hospital of Trondheim, Trondheim, Norway 3: Department of Public Health and General Practice, Medical Faculty, Norwegian University of Science and Technology, Trondheim, Norway

Publication date: 2008-01-01

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