Research Article
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Rüptüre aort anevrizma tamiri cerrahisi sonrası gelişen major komplikasyonların mortalite üzerine etkisi

Year 2019, Volume 58, Issue 2, 103 - 107, 28.06.2019
https://doi.org/10.19161/etd.418131

Abstract

Aim: To present our management approach, complications, and mortality-related risk factors in patients diagnosed with ruptured abdominal aortic aneurysm (RAAA) who underwent open surgery.

Materials and Methods: The charts of 39 patients with RAAA who underwent open surgery between September 2010 and August 2015 were reviewed retrospectively. Study population was divided into two groups; Group-1 (n=14) consisted of cases who died within 30 days after surgery and Group-2 (n=25) consisted of the survivors. Pre-, intra-, and postoperative factors related to mortality and morbidity were noted and statistically analyzed.

Results: Of the 39 patients with a mean age of 68.9±9.5 years, 37 (94.9%) were males. Twelve patients with hypovolemic shock (30.8%) were taken into operation; and 56.4% of all study participants had infrarenal aneurysms. A total of 69.2% of the patients developed at least one complication, while 38.5% developed two or more complications. Two patients (5.1%) died in the intraoperative period, whereas 12 (30.8%) died within 30 days after the operation. Intraoperative aortic cross-clamp time being over than 40 minutes, development of cardiac complications or acute renal failure, and sepsis were found to be independent risk factors related with mortality.

Conclusion: Our study results showed that preoperative hemodynamic regulation, shortening of aortic cross-clamp time and strict adherence to sterilization guidelines can reduce morbidity and mortality rates in cases with RAAA underwent repair surgery.

References

  • Kim IH, Kim DI, Huh SH, Lee SJ, Lee BB. Factors that affect the survival rate of ruptured abdominal aortic aneurysm. J Korean Soc Vasc Surg 2001;17(2):199-202.
  • Noel AA, Gloviczki P, Cherry KJ Jr, et al. Ruptured abdominal aortic aneurysms: The excessive mortality rate of conventional repair. J Vasc Surg 2001;34(1):41-6.
  • Davies RS, Dawlatly S, Clarkson JR, Bradbury AW, Adam DJ. Outcome in patients requiring renal replacement therapy after open surgical repair for ruptured abdominal aortic aneurysm. Vasc Endovascular Surg 2010;44(3):170-3.
  • Scarcello E, Ferrari M, Rossi G, et al. A new preoperative predictor of outcome in ruptured abdominal aortic aneurysms: the time before shock (TBS). Ann Vasc Surg 2010;24(3):315-20.
  • Halpern VJ, Kline RG, D’Angelo AJ, Cohen JR. Factors that af¬fect the survival rate of patients with ruptured abdominal aortic aneurysms. J Vasc Surg 1997;26(6):939-45.
  • Leonard A, Thompson J. Anaesthesia for ruptured abdominal aortic aneurysm. Contin Educ Anaesth Crit Care Pain 2008;8(1):11-5.
  • Kauvar DS, Sarfati MR, Kraiss LW. Intraoperative blood product resuscitation and mortality in ruptured abdominal aortic aneurysm. J Vasc Surg 2012;55(3):688-92.
  • Cho MJ, Yoon HJ, Park JY, Huh S, Kim YW. The risk factors influencing postoperative mortality in the patients with ruptured abdominal aortic aneurysm. J Korean Soc Vasc Surg 2004;20(2):208-13.
  • Boyle JR, Gibbs PJ, King D, Shearman CP, Raptis S, Phillips MJ. Predicting outcome in ruptured abdominal aortic aneurysm: A prospective study of 100 consecutive cases. Eur J Vasc Endovasc Surg 2003;26(6):607-11.
  • Grant SW, Grayson AD, Grant MJ, Purkayastha D, McCollum CN. What are the risk factors for renal failure following open elective abdominal aortic aneurysm repair? Eur J Vasc Endovasc Surg 2012;43(2):182-7.
  • Kim SD, Hwang JK, Park SC, et al. Predictors of postoperative mortality of ruptured abdominal aortic aneurysm: A retrospective clinical study. Yonsei Med J 2012;53(4):772-80.
  • Mell MW, O’Neil AS, Callcut RA, et al. Effect of early plasma transfusion on mortality in patients with ruptured abdominal aortic aneurysm. Surgery 2010;148(5):955-62.
  • Roberts K, Revell M, Youssef H, Bradbury AW, Adam DJ. Hypotensive resuscitation in patients with ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 2006;31(4):339-44.

Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality

Year 2019, Volume 58, Issue 2, 103 - 107, 28.06.2019
https://doi.org/10.19161/etd.418131

Abstract

Aim: To present our management approach, complications, and mortality-related risk factors in patients diagnosed with ruptured abdominal aortic aneurysm (RAAA) who underwent open surgery.

Materials and Methods: The charts of 39 patients with RAAA who underwent open surgery between September 2010 and August 2015 were reviewed retrospectively. Study population was divided into two groups; Group-1 (n=14) consisted of cases who died within 30 days after surgery and Group-2 (n=25) consisted of the survivors. Pre-, intra-, and postoperative factors related to mortality and morbidity were noted and statistically analyzed.

Results: Of the 39 patients with a mean age of 68.9±9.5 years, 37 (94.9%) were males. Twelve patients with hypovolemic shock (30.8%) were taken into operation; and 56.4% of all study participants had infrarenal aneurysms. A total of 69.2% of the patients developed at least one complication, while 38.5% developed two or more complications. Two patients (5.1%) died in the intraoperative period, whereas 12 (30.8%) died within 30 days after the operation. Intraoperative aortic cross-clamp time being over than 40 minutes, development of cardiac complications or acute renal failure, and sepsis were found to be independent risk factors related with mortality.

Conclusion: Our study results showed that preoperative hemodynamic regulation, shortening of aortic cross-clamp time and strict adherence to sterilization guidelines can reduce morbidity and mortality rates in cases with RAAA underwent repair surgery.

References

  • Kim IH, Kim DI, Huh SH, Lee SJ, Lee BB. Factors that affect the survival rate of ruptured abdominal aortic aneurysm. J Korean Soc Vasc Surg 2001;17(2):199-202.
  • Noel AA, Gloviczki P, Cherry KJ Jr, et al. Ruptured abdominal aortic aneurysms: The excessive mortality rate of conventional repair. J Vasc Surg 2001;34(1):41-6.
  • Davies RS, Dawlatly S, Clarkson JR, Bradbury AW, Adam DJ. Outcome in patients requiring renal replacement therapy after open surgical repair for ruptured abdominal aortic aneurysm. Vasc Endovascular Surg 2010;44(3):170-3.
  • Scarcello E, Ferrari M, Rossi G, et al. A new preoperative predictor of outcome in ruptured abdominal aortic aneurysms: the time before shock (TBS). Ann Vasc Surg 2010;24(3):315-20.
  • Halpern VJ, Kline RG, D’Angelo AJ, Cohen JR. Factors that af¬fect the survival rate of patients with ruptured abdominal aortic aneurysms. J Vasc Surg 1997;26(6):939-45.
  • Leonard A, Thompson J. Anaesthesia for ruptured abdominal aortic aneurysm. Contin Educ Anaesth Crit Care Pain 2008;8(1):11-5.
  • Kauvar DS, Sarfati MR, Kraiss LW. Intraoperative blood product resuscitation and mortality in ruptured abdominal aortic aneurysm. J Vasc Surg 2012;55(3):688-92.
  • Cho MJ, Yoon HJ, Park JY, Huh S, Kim YW. The risk factors influencing postoperative mortality in the patients with ruptured abdominal aortic aneurysm. J Korean Soc Vasc Surg 2004;20(2):208-13.
  • Boyle JR, Gibbs PJ, King D, Shearman CP, Raptis S, Phillips MJ. Predicting outcome in ruptured abdominal aortic aneurysm: A prospective study of 100 consecutive cases. Eur J Vasc Endovasc Surg 2003;26(6):607-11.
  • Grant SW, Grayson AD, Grant MJ, Purkayastha D, McCollum CN. What are the risk factors for renal failure following open elective abdominal aortic aneurysm repair? Eur J Vasc Endovasc Surg 2012;43(2):182-7.
  • Kim SD, Hwang JK, Park SC, et al. Predictors of postoperative mortality of ruptured abdominal aortic aneurysm: A retrospective clinical study. Yonsei Med J 2012;53(4):772-80.
  • Mell MW, O’Neil AS, Callcut RA, et al. Effect of early plasma transfusion on mortality in patients with ruptured abdominal aortic aneurysm. Surgery 2010;148(5):955-62.
  • Roberts K, Revell M, Youssef H, Bradbury AW, Adam DJ. Hypotensive resuscitation in patients with ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 2006;31(4):339-44.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Cengiz ŞAHUTOĞLU This is me (Primary Author)
Ege University Faculty of Medicine, Department of Anesthesiology and Reanimation, İzmir
0000-0002-2664-4459
Türkiye


Pelin ÖZTÜRK This is me
Ege University Faculty of Medicine, Department of Cardiovascular Surgery, İzmir
0000-0002-7962-4363
Türkiye

Publication Date June 28, 2019
Application Date March 25, 2018
Acceptance Date April 5, 2018
Published in Issue Year 2019, Volume 58, Issue 2

Cite

Bibtex @research article { etd418131, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2019}, volume = {58}, pages = {103 - 107}, doi = {10.19161/etd.418131}, title = {Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality}, key = {cite}, author = {Şahutoğlu, Cengiz and Öztürk, Pelin} }
APA Şahutoğlu, C. & Öztürk, P. (2019). Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality . Ege Tıp Dergisi , 58 (2) , 103-107 . DOI: 10.19161/etd.418131
MLA Şahutoğlu, C. , Öztürk, P. "Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality" . Ege Tıp Dergisi 58 (2019 ): 103-107 <http://egetipdergisi.com.tr/en/pub/issue/44438/418131>
Chicago Şahutoğlu, C. , Öztürk, P. "Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality". Ege Tıp Dergisi 58 (2019 ): 103-107
RIS TY - JOUR T1 - Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality AU - Cengiz Şahutoğlu , Pelin Öztürk Y1 - 2019 PY - 2019 N1 - doi: 10.19161/etd.418131 DO - 10.19161/etd.418131 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 103 EP - 107 VL - 58 IS - 2 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.418131 UR - https://doi.org/10.19161/etd.418131 Y2 - 2018 ER -
EndNote %0 Ege Journal of Medicine Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality %A Cengiz Şahutoğlu , Pelin Öztürk %T Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality %D 2019 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 58 %N 2 %R doi: 10.19161/etd.418131 %U 10.19161/etd.418131
ISNAD Şahutoğlu, Cengiz , Öztürk, Pelin . "Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality". Ege Tıp Dergisi 58 / 2 (June 2019): 103-107 . https://doi.org/10.19161/etd.418131
AMA Şahutoğlu C. , Öztürk P. Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality. EJM. 2019; 58(2): 103-107.
Vancouver Şahutoğlu C. , Öztürk P. Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality. Ege Tıp Dergisi. 2019; 58(2): 103-107.
IEEE C. Şahutoğlu and P. Öztürk , "Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality", Ege Tıp Dergisi, vol. 58, no. 2, pp. 103-107, Jun. 2019, doi:10.19161/etd.418131