Severity of chronic obstructive pulmonary disease is associated with adverse outcomes in patients undergoing elective abdominal aortic aneurysm repair

Slides:

Advertisements

Similar presentations

In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity.

Advertisements

James M. Prentis, MBBS, Michael I. Trenell, PhD, Dave J

Optimal selection of asymptomatic patients for carotid endarterectomy based on predicted 5-year survival Jessica B. Wallaert, MD, MS, Jack L. Cronenwett,

Philip P. Goodney, MD, MS, Benjamin S

Comparison of the effects of open and endovascular aortic aneurysm repair on long- term renal function using chronic kidney disease staging based on glomerular.

Comparison of carotid endarterectomy and stenting in real world practice using a regional quality improvement registry Brian W. Nolan, MD, MS, Randall.

Comparison of EVAR and open repair in patients with small abdominal aortic aneurysms: Can we predict results of the PIVOTAL trial? Purandath Lall, MBBS,

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W

Endovascular repair of abdominal aortic aneurysm in octogenarians: An analysis based on EUROSTAR data Conrad Lange, MD, Lina J. Leurs, MSc, Jaap Buth,

National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice Salvatore.

The Vascular Study Group of New England Cardiac Risk Index (VSG-CRI) predicts cardiac complications more accurately than the Revised Cardiac Risk Index.

In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity.

Impaired renal function is associated with mortality and morbidity after endovascular abdominal aortic aneurysm repair Athanasios Saratzis, MBBS, MRCS,

Perioperative management with antiplatelet and statin medication is associated with reduced mortality following vascular surgery Randall R. De Martino,

Preoperative β-blockers do not improve cardiac outcomes after major elective vascular surgery and may be harmful Salvatore Scali, MD, Virendra Patel,

Variation in smoking cessation after vascular operations

Alik Farber, MD, Tze-Woei Tan, MD, Denis Rybin, MS, Jeffrey A

Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery Gregorio A. Sicard, MD, Robert M.

Mesenteric stenting for chronic mesenteric ischemia

Defining risk and identifying predictors of mortality for open conversion after endovascular aortic aneurysm repair Salvatore T. Scali, MD, Adam W. Beck,

Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients Kevin Lee, MD, Elaine.

Renal dysfunction and the associated decrease in survival after elective endovascular aneurysm repair Devin S. Zarkowsky, MD, Caitlin W. Hicks, MD, MS,

James M. Prentis, MBBS, Michael I. Trenell, PhD, Dave J

The natural history of type II endoleaks after endovascular aneurysm repair for ruptured abdominal aortic aneurysm Anna E. Boniakowski, MD, Randall R.

A regional quality improvement effort to increase beta blocker administration before vascular surgery Philip P. Goodney, MD, MS, Jens Eldrup-Jorgensen,

Is abdominal aortic aneurysm repair appropriate in oxygen-dependent chronic obstructive pulmonary disease patients? Christopher N. Compton, MD, Ellen.

Santiago Chahwan, MD, Anthony J. Comerota, MD, John P

Outcomes following endovascular abdominal aortic aneurysm repair (EVAR): An anatomic and device-specific analysis Thomas A. Abbruzzese, MD, Christopher.

Outcomes of infrainguinal bypass determined by age in the Vascular Study Group of New England Meghan Dermody, MD, MS, Christopher Homsy, MD, Yuanyuan.

Type II endoleak with or without intervention after endovascular aortic aneurysm repair does not change aneurysm-related outcomes despite sac growth

Early extubation reduces respiratory complications and hospital length of stay following repair of abdominal aortic aneurysms Sara L. Zettervall, MD,

Kenneth Ouriel, MD, Daniel G. Clair, MD, K

Endovascular repair of lesions involving the descending thoracic aorta

National outcomes for the treatment of ruptured abdominal aortic aneurysm: Comparison of open versus endovascular repairs Natalia Egorova, PhD, Jeannine.

Thomas A. Simone, MD, Benjamin S. Brooke, MD, PhD, Philip P

National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population Douglas W. Jones, MD, Philip.

Long-term outcomes and resource utilization of endovascular versus open repair of abdominal aortic aneurysms in Ontario Prasad Jetty, MD, MSc, FRCSC,

Sara L. Zettervall, MD, MPH, Dominique B. Buck, MD, Peter A

Long-term survival after vascular surgery: Specific influence of cardiac factors and implications for preoperative evaluation Martin R. Back, MD, Fabian.

Karthikeshwar Kasirajan, MD, Mark D. Morasch, MD, Michel S

Endovascular repair of ruptured abdominal aortic aneurysms does not reduce later mortality compared with open repair William P. Robinson, MD, Andres.

Derivation and validation of a practical risk score for prediction of mortality after open repair of ruptured abdominal aortic aneurysms in a U.S. regional.

Outcomes of symptomatic abdominal aortic aneurysm repair

Andres Schanzer, MD, Louis M

Validation of the Society for Vascular Surgery's Objective Performance Goals for critical limb ischemia in everyday vascular surgery practice Philip.

Prior contralateral amputation predicts worse outcomes for lower extremity bypasses performed in the intact limb Donald T. Baril, MD, Philip P. Goodney,

Significant regional variation exists in morbidity and mortality after repair of abdominal aortic aneurysm Sara L. Zettervall, MD, MPH, Peter A. Soden,

Adherence to endovascular aortic aneurysm repair device instructions for use guidelines has no impact on outcomes Joy Walker, MD, Lue-Yen Tucker, BA,

Adam W. Beck, MD, Philip P. Goodney, MD, Brian W. Nolan, MD, Donald S

Trends of 30-day mortality and morbidities in endovascular repair of intact abdominal aortic aneurysm during the last decade Kanhua Yin, MD, Satinderjit.

Jessica P. Simons, MD, MPH, Andres Schanzer, MD, Brian W

Effect of chronic oral anticoagulation with warfarin on the durability and outcomes of endovascular aortic aneurysm repair Marques S. Johnson, MD, Jasmine.

Endovascular treatment of ruptured abdominal aortic aneurysms in the United States ( ): A significant survival benefit over open repair is independently.

Ten-year results of endovascular abdominal aortic aneurysm repair from a large multicenter registry Robert W. Chang, MD, Philip Goodney, MD, Lue-Yen.

Endovascular versus open surgical repair of abdominal aortic aneurysm with concomitant malignancy Massimo Porcellini, MD, Piero Nastro, MD, MRCS, Umberto.

Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report Roel Hobo, MSc, Jacob Buth,

RR13. Statin Therapy after Infrainguinal Bypass Surgery for Critical Limb Ischemia Is Associated with Improved Five-Year Survival Bjoern D. Suckow, Larry.

Outcomes of endovascular aneurysm repair on renal function compared with open repair Michele Antonello, MD, PhD, Mirko Menegolo, MD, Michele Piazza,

Predictors of decreased short- and long-term survival following open abdominal aortic aneurysm repair Derek P. Nathan, MD, Clayton J. Brinster, MD, Benjamin.

Philip P. Goodney, MD, MS, Brian W

Variation in Smoking Cessation After Vascular Operations

Emily L. Spangler, MD, MS, Philip P

Prior failed ipsilateral percutaneous endovascular intervention in patients with critical limb ischemia predicts poor outcome after lower extremity bypass

The effect of postoperative stroke and myocardial infarction on long-term survival after carotid revascularization Jessica P. Simons, MD, MPH, Philip.

Contemporary outcomes of open complex abdominal aortic aneurysm repair

Outcomes after endovascular abdominal aortic aneurysm repair are equivalent between genders despite anatomic differences in women Luc Dubois, MD, MSc,

Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England Ruby C. Lo, MD, Rodney.

Extent of Chronic Obstructive Pulmonary Disease Is Associated with Both Short-Term and Long-Term Adverse Outcomes in Patients Undergoing Elective Abdominal.

Endovascular vs open repair for ruptured abdominal aortic aneurysm

Presentation transcript:

Severity of chronic obstructive pulmonary disease is associated with adverse outcomes in patients undergoing elective abdominal aortic aneurysm repair David H. Stone, MD, Philip P. Goodney, MD, MS, Jeffrey Kalish, MD, Andres Schanzer, MD, Jeffrey Indes, MD, Daniel B. Walsh, MD, Jack L. Cronenwett, MD, Brian W. Nolan, MD, MS Journal of Vascular Surgery Volume 57, Issue 6, Pages 1531-1536 (June 2013) DOI: 10.1016/j.jvs.2012.11.132 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Rates of in-hospital death are shown stratified by chronic obstructive pulmonary disease (COPD) severity and endovascular (EVAR) or open abdominal aortic aneurysm repair. Journal of Vascular Surgery 2013 57, 1531-1536DOI: (10.1016/j.jvs.2012.11.132) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Rates of pulmonary complications are shown stratified by chronic obstructive pulmonary disease (COPD) severity and endovascular (EVAR) or open abdominal aortic aneurysm repair. Pulmonary complications were defined as pneumonia or respiratory failure. Journal of Vascular Surgery 2013 57, 1531-1536DOI: (10.1016/j.jvs.2012.11.132) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Rates of major adverse events are shown stratified by chronic obstructive pulmonary disease (COPD) severity and endovascular (EVAR) or open abdominal aortic aneurysm repair. Major adverse events reflected a composite of in-hospital death, postoperative myocardial infarction, new-onset congestive heart failure or cardiac dysrhythmia, respiratory failure, decline in renal function (by at least 20%), lower extremity ischemia, mesenteric ischemia, or unplanned reoperation. Journal of Vascular Surgery 2013 57, 1531-1536DOI: (10.1016/j.jvs.2012.11.132) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 Rates of extubation in the operating room are shown stratified by chronic obstructive pulmonary disease (COPD) severity and endovascular (EVAR) or open abdominal aortic aneurysm repair. Journal of Vascular Surgery 2013 57, 1531-1536DOI: (10.1016/j.jvs.2012.11.132) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 5 Kaplan-Meier life table analysis shows 5-year survival stratified by severity of chronic obstructive pulmonary disease. All standard error was <10%. Journal of Vascular Surgery 2013 57, 1531-1536DOI: (10.1016/j.jvs.2012.11.132) Copyright © 2013 Society for Vascular Surgery Terms and Conditions