We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Incidence and Survival Outcome Following Femoral Artery Reconstruction During Endovascular Abdominal Aortic Aneurysm Repair.
- Authors
Twine, Christopher P.; Wood, Andrew; Gordon, Andrew; Hill, Susan; Whiston, Richard; Williams, Ian M.
- Abstract
Background: Planned or unplanned reconstruction of the common femoral artery (femoro-femoral crossover and/or patch closure) may be required following endovascular abdominal aortic aneurysm repair (EVAR) stent graft deployment for arterial closure or maintenance of limb perfusion. The aim of this study was to examine the incidence of common femoral artery reconstruction (FAR) following EVAR and examine the effect on patient survival. Methods: A total of 178 patients undergoing EVAR were studied retrospectively. Results: In all, 31 patients (17.4%) underwent FAR; 16 (51.6%) femoro-femoral crossover, and 15 (48.4%) endarterectomy and patch closure. All cause survival in patients undergoing FAR was significantly poorer than those undergoing direct closure (P = .010).A total of 3 factors: the need for FAR (hazard ratio [HR] = 0.435, P = .006), chronic obstructive pulmonary disease ([COPD] HR = 0.424, P = .002), and abdominal aortic aneurysm (AAA) size (HR = 1.414, P = .005) were significantly and independently associated with survival on forward conditional analysis. Conclusions: Femoral artery reconstruction was performed in almost 1 in 5 patients undergoing EVAR and associated with decreased survival. Multidisciplinary teams should be aware of these findings when planning EVAR, especially in borderline candidates.
- Subjects
ABDOMINAL surgery; FEMORAL artery; SURGICAL complication risk factors; ABDOMINAL aortic aneurysms; ANALYSIS of variance; CHI-squared test; COMPUTER software; ENDARTERECTOMY; OBSTRUCTIVE lung diseases; NONPARAMETRIC statistics; HEALTH outcome assessment; OPERATIVE surgery; SURVIVAL analysis (Biometry); LOGISTIC regression analysis; DATA analysis; TREATMENT effectiveness; PROPORTIONAL hazards models; RETROSPECTIVE studies; SURGERY
- Publication
Vascular & Endovascular Surgery, 2011, Vol 45, Issue 3, p232
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574410396591