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Reconstructive aortic surgery in high-risk patients
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Abstract
Material and methods. The studied group consisted of patients who underwent surgery between 2001 and 2004, were over 80 years of age with/or ejection fraction below 45%, with/or I or II grade of chronic obturative pulmonary disease (COPD), with/or serum creatinine level over 3 mg%. Fifty seven patients (41 with AAA), including 6 with symptomatic AAA, and 16 with bilateral AIOD) were qualified for the study after analysis of clinical database. The control group consisted of the remaining patients who underwent aortic reconstruction in the same period, i.e. 165 patients with AAA, including 20 with symptomatic AAA, and 111 with AIOD (in total, 276 patients).
Results. It was found that the frequency of complications and mortality were not statistically different between the examined groups.
Conclusion. The results of surgical treatment can be no different from those obtained in the remaining patients in experienced, interdisciplinary team after application of certain proceeding algorithms, anticipation of possible complications and constant analysis of own behaviour.
Abstract
Material and methods. The studied group consisted of patients who underwent surgery between 2001 and 2004, were over 80 years of age with/or ejection fraction below 45%, with/or I or II grade of chronic obturative pulmonary disease (COPD), with/or serum creatinine level over 3 mg%. Fifty seven patients (41 with AAA), including 6 with symptomatic AAA, and 16 with bilateral AIOD) were qualified for the study after analysis of clinical database. The control group consisted of the remaining patients who underwent aortic reconstruction in the same period, i.e. 165 patients with AAA, including 20 with symptomatic AAA, and 111 with AIOD (in total, 276 patients).
Results. It was found that the frequency of complications and mortality were not statistically different between the examined groups.
Conclusion. The results of surgical treatment can be no different from those obtained in the remaining patients in experienced, interdisciplinary team after application of certain proceeding algorithms, anticipation of possible complications and constant analysis of own behaviour.
Keywords
abdominal aortic aneurysm; aortoiliac occlusive disease; high risk
About this articleTitle
Reconstructive aortic surgery in high-risk patients
Journal
Issue
Article type
Research paper
Pages
127-133
Published online
2004-07-13
Page views
637
Article views/downloads
1313
DOI
10.5603/aa.9911
Bibliographic record
Acta Angiologica 2004;10(3):127-133.
Keywords
abdominal aortic aneurysm
aortoiliac occlusive disease
high risk
Authors
Piotr Korżyk
Piotr Blimel
Arkadiusz Michalak
Marek Kotala
Andrzej Joss