Nationwide Study to Predict Colonic Ischemia after Abdominal Aortic Aneurysm Repair in The Netherlands

Colonic ischemia remains a severe complication after abdominal aortic aneurysm (AAA) repair and is associated with a high mortality. With open repair being one of the main risk factors of colonic ischemia, deciding between endovascular or open aneurysm repair should be based on tailor-made medicine....

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Veröffentlicht in:	Annals of vascular surgery 2021-05, Vol.73, p.407-416
Hauptverfasser:	Statius van Eps, Randolph George, van Overhagen, Hans, Putter, Hein, Akkersdijk, G.P., Akkersdijk, W.L., Arts, C.H., Avontuur, J.A., Baal, J.G., Bakker, O.J., Balm, R., Barendregt, W.B., Bender, M.H., van den Berg, M., Beuk, R.J., Bleker, R.J., Bosma, J., Brinckman, M.J., van den Broek, T.H., Brom, H.L., Brummel, P., van Brussel, J.P., den Butter, G., Cancrinus, E., Castenmiller, P.H., Coveliers, H.M., Dawson, I., Dolmans, D.E., van Eijck, G.J., Elshof, J.W., de Fijter, W.M., Fritschy, W.M., Geelkerken, R.H., Govaert, B., de Groot, H.G., Hajer, G.F., Hazenberg, C.E., Helleman, J.N., Hendriks, J.M., Heyligers, J.M., den Hoed, P.T., Hoencamp, R., Hollander, E.J., Huisman, L.C., Jansbeken, J.R., Jiang, H.H., de Jong, S.C., Keller, B.P., Khodadade Jahrome, A., Koedam, N.A., Kolkert, J.L., Koning, G.G., Krasznai, A.G., van der Laan, M.J., van Laanen, J.H., Lawson, J.A., Legemate, D.A., Lind, R.C., Loos, M.J., Mahmoud, D.E., Metz, R., de Mol van Otterloo, J.C., Montauban van Swijndregt, Y.C., Morak, M.J., Nederhoed, J.H., de Nie, A.J., Poyck, P.P., Prent, A., ten Raa, S., Reichart, M., Saleem, B.R., van’t Sant, H.P., Schepers, A., Schol, F.P., Schreinemacher, M.H., Smeets, H.J., de Smet, A.A., Sondakh, A.O., Stigter, D.A., Stigter, H., The, R.M., van Tongeren, R.B., Tordoir, J.H., Tournoij, E., Tutein Nolthenius, R.P., Veger, H.T., Visser, M.J., Vlijmen-van Keulen, C.J., Voesten, H.G., Vos, A.W., Vos, G.A., Vriens, P.W., de Vries, J.P., van Walraven, L.A., Welten, R.J., Wille, J., Willigendael, E.M., Witte, M.E., Wittens, C.H., Wolf-de Jonge, I.C., Yazar, O.
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Sprache:	eng
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Zusammenfassung:	Colonic ischemia remains a severe complication after abdominal aortic aneurysm (AAA) repair and is associated with a high mortality. With open repair being one of the main risk factors of colonic ischemia, deciding between endovascular or open aneurysm repair should be based on tailor-made medicine. This study aims to identify high-risk patients of colonic ischemia, a risk that can be taken into account while deciding on AAA treatment strategy. A nationwide population-based cohort study of 9,433 patients who underwent an AAA operation between 2014 and 2016 was conducted. Potential risk factors were determined by reviewing prior studies and univariate analysis. With logistic regression analysis, independent predictors of intestinal ischemia were established. These variables were used to form a prediction model. Intestinal ischemia occurred in 267 patients (2.8%). Occurrence of intestinal ischemia was seen significantly more in open repair versus endovascular aneurysm repair (7.6% vs. 0.9%; P
ISSN:	0890-5096 1615-5947
DOI:	10.1016/j.avsg.2020.11.015