TITLE

Endovascular aortic aneurysm repair with the Zenith AAA Endovascular Graft: does gender affect procedural success, postoperative morbidity, or early survival?

AUTHOR(S)
Biebl, Matthias; Hakaim, Albert G.; Hugl, Beate; Oldenburg, Warner A.; Paz-Fumagalli, Ricardo; McKinney, J. Mark; Greenberg, Roy; Chuter, Timothy; Zenith Investigators
PUB. DATE
December 2005
SOURCE
American Surgeon;Dec2005, Vol. 71 Issue 12, p1001
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
The purpose of this study was to analyze the effect of gender on deployment, early morbidity, and survival after endovascular aortic aneurysm repair (EVAR) using the Zenith Endovascular Graft. Data were obtained from the U.S. Multicenter Zenith Endograft trial and complemented with results from the Zenith female registry, including 40 women (10.9%) and 326 men (89.1%). Data analysis included preoperative medical risk factors, aneurysm morphology, deployment, and postoperative morbidity data, and 30-day and 1-year results. Preoperatively, women more often had experienced thromboembolic events (13% vs 4.3%; P = 0.04), but less angina pectoris (24% vs 49%; P = 0.002) or myocardial infarction (18% vs 38%; P = 0.01) compared with men. Women had more angulated aneurysm necks and narrower iliac arteries compared with men. Procedural success, cardiovascular, pulmonary, renal, bowel-related, neurologic, or other adverse events were comparable, as were 30-day and 1-year survival. Females experienced more wound dehiscences (5.0% vs 0.0%; P = 0.01) and open surgical conversions in the first year (5%) compared with men (0.31%) (P = 0.03). With more challenging aneurysm morphologies, women were found to be at a higher risk for conversion in the first year after EVAR using the Zenith endograft. This however does not translate into inferior survival or higher overall morbidity compared with men.
ACCESSION #
19403509

 

Related Articles

  • AORTIC DISEASE - THE EVOLVING THERAPEUTIC CHALLENGE. Lumsden, A. B.; Davies, Mark G. // Methodist DeBakey Cardiovascular Journal;Sep2011, Vol. 7 Issue 3, p1 

    An introduction is presented in which the editor discusses various article within the issue on topics including endovascular surgery, aortic diseases, and aortic aneurysm.

  • Implementation of a successful endovascular surgical program in a non-teaching tertiary-care centre in Ontario. Willoughby, Rod P. N.; Fenton, John A.; Pudupakkam, Santosh R.; Greco, Robert A.; Roberts, Evan W. D.; DeRose, Guy; Kribs, Stewart // Canadian Journal of Surgery;Jun2004, Vol. 47 Issue 3, p182 

    Endovascular surgical techniques have become an accepted standard of care for high-risk patients with abdominal aortic aneurysms and for certain patients with thoracic aortic pathology and peripheral arterial aneurysms. In Canada, endovascular surgery has been concentrated in tertiary-care...

  • Endovascular surgery for failed open aortic aneurysm repair von Segesser, Ludwig K.; Marty, Bettina; Tozzi, Piergiorgio; Huber, Christoph; Bruschweiler, Ivan; Gallino, Augusto; Hayoz, Daniel; Ruchat, Patrick // European Journal of Cardio-Thoracic Surgery;Sep2004, Vol. 26 Issue 3, p614 

    Objective: Determine the usefulness of endovascular surgery for repair of aortic lesions late after open surgical repair. Patients and methods: A retrospective analysis of our databank (Patient Analysis and Tracking System, Dendrite, UK) for 2000–2002 showed 286 descending thoracic and/or...

  • Endovascular correction of abdominal aortic aneurysm as a late complication of type A aortic dissection. Dorsa Vieira Pontes, José Carlos; Duarte, João Jackson; da Silva, Augusto Daige; Dias, Mont'Serrat Ávila Souza // Brazilian Journal of Cardiovascular Surgery;oct-dec2012, Vol. 27 Issue 4, p645 

    Aortic dissection type A has a great mortality in its acute phase with low annual survival without surgical treatment. Although the chronic cases are exceptions the late complications exist and should be treated.

  • Hybrid Endovascular Repair of an Aneurysmal Chronic Type B Dissection in a Patient with Marfan Syndrome With an Aberrant Right Subclavian Artery. Cooper, David G.; Markur, Shiraz; Walsh, Stewart R.; Cousins, Claire; Hayes, Paul D.; Boyle, Jonathan R. // Vascular & Endovascular Surgery;Jun/Jul2009, Vol. 43 Issue 3, p271 

    Abnormal aortic arch anatomy is relatively uncommon but most frequently involves an aberrant right subclavian artery. Rarely, it is associated with aneurysmal dilatation of a chronic type B dissection. Under such circumstances, the abnormal anatomy may complicate therapeutics options....

  • Abdominal aortic aneurysm repair: Matching patients with approaches. Ginter, James F.; Linzmeyer, Jessica // JAAPA: Journal of the American Academy of Physician Assistants (;Jul2009, Vol. 22 Issue 7, p26 

    The article focuses on abdominal aortic aneurysm (AAA) and informs about its repair through surgery. An aneurysm is the focal dilation of a blood vessel as compared to the original or adjacent artery. Smoking, increasing age, male gender, and a family history of aneurysms are considered the main...

  • Contemporary management of the infra-renal abdominal aortic aneurysm. Wilson, W. R. W.; Choke, E. C.; Dawson, J.; Loftus, I. M.; Thompson, M. M. // Surgeon (Edinburgh University Press);Dec2006, Vol. 4 Issue 6, p363 

    Abdominal aortic aneurysms (AAAs) principally affect men over 60 years of age. Aneurysms are usually asymptomatic and detected coincidentally or following the onset of symptoms. Elective repair of an AAA is considered when the diameter reaches 5.5cm or annual expansion exceeds 1cm. Rupture...

  • RESOLUTION OF HOARSENESS AFTER ENDOVASCULAR REPAIR OF THORACIC AORTIC ANEURYSM: A CASE OF ORTNER'S SYNDROME. Stoob, Katharina; Alhkadhi, Hatem; Lachat, Mario; Wildermuth, Simon; Pfammatter, Thomas // Annals of Otology, Rhinology & Laryngology;Jan2004, Vol. 113 Issue 1, p43 

    We report the case of a 75-year-old man with a 6-month history of hoarseness due to a left recurrent laryngeal nerve palsy. Investigations revealed a thoracic aortic aneurysm compressing the left recurrent nerve; thus, the diagnosis of Ortner's syndrome, ie, cardiovocal syndrome, could be...

  • Endotension following endovascular aneurysm repair. Toya, Naoki; Fujita, Tetsuji; Kanaoka, Yuji; Ohki, Takao // Vascular Medicine;2008, Vol. 13 Issue 4, p305 

    Endovascular aneurysm repair (EVAR) is a new and minimally invasive alternative to open repair for patients with abdominal aortic aneurysm (AAA). Soon after its introduction in 1990, it was recognized that EVAR had potential and distinct advantages in the elective and emergency settings....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics