作者
Klaas HJ Ultee, Sara L Zettervall, Peter A Soden, Jeremy Darling, Daniel J Bertges, Hence JM Verhagen, Marc L Schermerhorn, Vascular Study Group of New England
发表日期
2016/11/1
期刊
Journal of vascular surgery
卷号
64
期号
5
页码范围
1384-1391
出版商
Mosby
简介
Background
Bowel ischemia is a rare but devastating complication after abdominal aortic aneurysm (AAA) repair. Its rarity has prohibited extensive risk-factor analysis, particularly since the widespread adoption of endovascular AAA repair (EVAR); therefore, this study assessed the incidence of postoperative bowel ischemia after AAA repair in the endovascular era and identified risk factors for its occurrence.
Methods
All patients undergoing intact or ruptured AAA repair in the Vascular Study Group of New England (VSGNE) between January 2003 and November 2014 were included. Patients with and without postoperative bowel ischemia were compared and stratified by indication (intact and ruptured) and treatment approach (open repair and EVAR). Criteria for diagnosis were endoscopic or clinical evidence of ischemia, including bloody stools, in patients who died before diagnostic procedures were performed …
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