Complete ten-year follow-up after endovascular abdominal aortic aneurysm repair: Survival and causes of death

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• 作者：Andreas Wibmer^a ; ^{andreas.wibmer@meduniwien.ac.at} ; Richard Nolz^a ; ¹ ; Harald Teufelsbauer^b ; ² ; Georg Kretschmer^b ; ² ; Alexander M. Prusa^b ; ² ; Martin Funovics^a ; ¹ ; Johannes Lammer^a ; ¹ ; Maria Schoder^a ; ¹
• 关键词：Aortic aneurysm ; Abdominal ; Endovascular procedures ; Mortality ; Cause of death ; Aortic rupture
• 刊名：European Journal of Radiology
• 出版年：2012
• 期刊代码：93_0720048x
• 类别：med
• 出版时间：June, 2012
• 卷：81
• 期：6
• 页码：1203-1206
• 文件大小：282 K

摘要

Purpose

To analyze the hazard and causes of death after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms during a complete ten year follow-up.

Methods

This is a retrospective clinical study of 130 consecutive patients undergoing EVAR between 1995 and 1998. One-hundred twenty-one patients (93.1%) were treated with first-generation stentgrafts and nine patients (6.9%) received second-generation devices. All patients completed a follow-up of at least 10 years, unless death occurred before then. Time and causes of death were provided by the Austrian central register of deaths.

Results

The median follow-up was 7.6 years, and the 130 patients had 968.5 person-years of follow-up. The ten-year mortality rate was 62.3%. Cardiovascular events were the most frequent causes of death, with a 3.9 incidence rate per 100 person-years. Cancer death and death due to other causes occurred in 2.1 and 1.8 cases per 100 person-years, respectively. Lethal late aneurysm rupture happened in 4.6%(n = 6), which corresponds to an annual incidence rate of 0.6 per 100 person-years. All of those patients had been treated with first-generation devices.

Conclusions

Cardiovascular events were the most frequent cause of death after EVAR, followed by malignancy and other diseases. The risk of dying from secondary rupture was clearly lower than that of death due to other reasons during ten years after EVAR, even in patients with first-generation stentgrafts.