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Differences in mortality and risk factors, two years after endovascular repair of ruptured abdominal aortic aneurysms - Reassessment analysis.
Anton, Bartlomiej; Malyszko, Jolanta; Stabiszewski, Piotr; Kaszczewski, Piotr; Anton, Piotr; Kuzma, Lukasz; Nazarewski, Slawomir; Galazka, Zbigniew.
Afiliación
  • Anton B; Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
  • Malyszko J; Department of Nephrology, Dialysis and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
  • Stabiszewski P; Department of Vascular Surgery, St. Padre Pio Provincial Hospital in Przemysl, Przemysl, Poland.
  • Kaszczewski P; Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
  • Anton P; Department of Vascular Surgery, University of Warmia and Mazury, Olsztyn, Poland.
  • Kuzma L; Department of Invasive Cardiology, Medical University of Bialystok, Bialystok, Poland.
  • Nazarewski S; Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
  • Galazka Z; Department of General, Vascular, Endocrine and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland.
Ren Fail ; 46(2): 2397051, 2024 Dec.
Article en En | MEDLINE | ID: mdl-39248372
ABSTRACT

OBJECTIVE:

The prevalence of abdominal aortic aneurysms (AAA) increases with age. Elective intervention for AAA is critical to prevent rupture associated with very high mortality among older males.

METHODS:

The aim of this study was to address the impact of post-contrast acute kidney-PC-AKI injury among patients treated with endovascular repair of ruptured AAA-EVAR on outcomes such as new onset chronic kidney disease-CKD and mortality among patients within a two-year trial.

RESULTS:

The same study group (of n = 192 patients) underwent reassessment, two years after EVAR treatment. The overall mortality rate was 16.67%, and it was higher in the AKI group - 38.89%. CKD patients had a mortality rate of 23.88% (n = 16). Among patients with an aneurysm diameter >67 mm mortality rate reached 20% (n = 6), while in the previously reported diabetes mellitus group 37.93% (n = 11). New onset of CKD was diagnosed in 23% of cases. Preexisting CKD patients with PC- AKI contributed to a 33.33% mortality rate (n = 8).

CONCLUSION:

This study concludes that PC-AKI impacts outcomes and survival in endovascularly treated AAAs. Type 2 diabetes and preexisting chronic kidney disease are associated with higher mortality within a 2-year follow-up, however gender factor was not significant. A larger aneurysm diameter is related with a higher prevalence of PC-AKI. These factors should be taken into account during screening, qualifying patients for the treatment and treating patients with AAA. It may help to identify high-risk individuals and tailor preventive measurements and treatment options accordingly, improving treatment results and reducing mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rotura de la Aorta / Aneurisma de la Aorta Abdominal / Insuficiencia Renal Crónica / Lesión Renal Aguda / Procedimientos Endovasculares Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Ren Fail Asunto de la revista: NEFROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rotura de la Aorta / Aneurisma de la Aorta Abdominal / Insuficiencia Renal Crónica / Lesión Renal Aguda / Procedimientos Endovasculares Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Ren Fail Asunto de la revista: NEFROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Reino Unido