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Annals of Vascular Surgery
Published in: Annals of Vascular Surgery 6/2004

01-11-2004 | Papers Presented to the French Vascular Surgery Society

Current Outcome of Elective Open Repair for Infrarenal Abdominal Aortic Aneurysm

Authors: Simon Rinckenbach, MD, Othman Hassani, MD, Fabien Thaveau, MD, Yaëlle Bensimon, MD, Xavier Jacquot, MD, Salim Edah Tally, MD, Bernard Geny, MD, Bernard Eisenmann, MD, Arnaud Charpentier, MD, Nabil Chakfé, MD, Jean-Georges Kretz, MD

Published in: Annals of Vascular Surgery | Issue 6/2004

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Abstract

The outcome of conventional elective open repair for infrarenal abdominal aortic aneurysm (AAA) has improved mainly as a result of screening to detect coronary artery disease, the main risk factor for morbidity and mortality. Our group’s policy is to perform routine coronary angiography in patients scheduled to undergo elective AAA repair. The purpose of this study was to evaluate morbidity and mortality in our department using this work-up strategy. From January 1990 to December 2000 we performed elective open repair on 632 patients, including 580 men (92%) and 52 women (8%). Preoperative coronary angiography performed in 607 cases (96%) revealed significant coronary disease in 53% of patients and led to the decision to propose prior myocardial revascularization in 12.5% of cases. Mortality and morbidity in the first 30 days after AAA repair were 1.4% and 15%, respectively. Analysis with the Cox model showed that the only risk factor for mortality was chronic renal insufficiency. Our data support routine use of coronary angiography prior to AAA repair. Screening and, if necessary, treatment of coronary artery disease that is commonly associated with AAA enhances the outcome of open AAA repair.
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Metadata
Title
Current Outcome of Elective Open Repair for Infrarenal Abdominal Aortic Aneurysm
Authors
Simon Rinckenbach, MD
Othman Hassani, MD
Fabien Thaveau, MD
Yaëlle Bensimon, MD
Xavier Jacquot, MD
Salim Edah Tally, MD
Bernard Geny, MD
Bernard Eisenmann, MD
Arnaud Charpentier, MD
Nabil Chakfé, MD
Jean-Georges Kretz, MD
Publication date
01-11-2004
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 6/2004
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-004-0114-6

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