초록접수 현황
| 16F-259 | 포럼 발표 |
Risk Factors for Survival Following Open Surgical Repair of Ruptured Abdominal Aortic Aneurysm : A 8-year Experience
Won-Ki Woo¹, Tae-Hoon Kim¹, Suk-won Song¹, Min-young Baek¹, Kyung-Jong Yoo², Bum-Koo Cho²
¹Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea, ²Department of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
Background : Although surgical techniques and critical cares have improved, open surgical repair (OSR) for ruptured abdominal aorta aneurysm (RAAA) still remains as a challenges to surgeons. This study aims to review the outcomes and identify the risk factors for operative mortality of RAAA.
Methods : Seventy four patients underwent OSR for RAAA between January 2008 and June 2016. Preoperative, operative and postoperative data were analyzed to identify the risk factors for in-hospital mortality.
Results : There were 60 (81%) males, and the mean age of patients was 73 years. In-hospital mortality occurred in 18 (24.3%) patients throughout whole period. According to the surgical era, the in-hospital mortality occurred in 13 (31.7%), and 5 (15.2%) patients at early and late period, respectively. Postoperative complications were as follows; abdominal compartment syndrome (8.1%), acute renal failure requiring dialysis (12.2%), pulmonary complication (35.1%), and reoperation for bleeding (8.1%) (Table 1). Multivariate analysis revealed total operation time, and history of percutaneous transluminal coronary angioplasty (PTCA) are independent predictors of in-hospital mortality (OR: 2.422, 95% CI: 1.225-4.787, p=0.011; OR: 49.567 95%CI: 2.016-1218.578, p=0.017, respectively).
Conclusion : Total operation time and history of PTCA were independent risk factors for in-hospital mortality after OSR for RAAA. Despite high mortality, OSR for RAAA can be performed with a gratifying rate of success in experienced high volume vascular centers.
Methods : Seventy four patients underwent OSR for RAAA between January 2008 and June 2016. Preoperative, operative and postoperative data were analyzed to identify the risk factors for in-hospital mortality.
Results : There were 60 (81%) males, and the mean age of patients was 73 years. In-hospital mortality occurred in 18 (24.3%) patients throughout whole period. According to the surgical era, the in-hospital mortality occurred in 13 (31.7%), and 5 (15.2%) patients at early and late period, respectively. Postoperative complications were as follows; abdominal compartment syndrome (8.1%), acute renal failure requiring dialysis (12.2%), pulmonary complication (35.1%), and reoperation for bleeding (8.1%) (Table 1). Multivariate analysis revealed total operation time, and history of percutaneous transluminal coronary angioplasty (PTCA) are independent predictors of in-hospital mortality (OR: 2.422, 95% CI: 1.225-4.787, p=0.011; OR: 49.567 95%CI: 2.016-1218.578, p=0.017, respectively).
Conclusion : Total operation time and history of PTCA were independent risk factors for in-hospital mortality after OSR for RAAA. Despite high mortality, OSR for RAAA can be performed with a gratifying rate of success in experienced high volume vascular centers.
책임저자: Suk-Won Song
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
발표자: Won-Gi Woo, E-mail : airtech2@naver.com