Endovascular vs open abdominal aortic aneurysm repair: a comparison of cardiac morbidity and mortality.
OBJECTIVE
Adverse cardiac event rates following endovascular abdominal aortic aneurysm (EAAA) and open abdominal aortic aneurysm (OAAA) repair are similar. We also hypothesized that the Eagle criteria (Q wave on electrocardiogram, diabetes, angina, congestive heart failure, age >70 years, and ventricular ectopy) are useful predictors of cardiac events in patients undergoing EAAA repair.


METHODS
Prospective (patients undergoing EAAA repair) and retrospective (patients undergoing OAAA repair).


METHODS
Public teaching and Veterans Affairs medical centers.


METHODS
Eighty-three EAAA and 63 OAAA repairs.


METHODS
Myocardial infarction, congestive heart failure, and cardiac death.


RESULTS
Patients with EAAA were older (73 vs 68 years, P=.003). There were no differences in the mean number of Eagle criteria (1.2 vs 1.3), cardiac event rates (6% vs 4.8%), or mortalities (3.6% vs 4.8%). Within the EAAA group, congestive heart failure (P=.005) and Q wave on electrocardiogram (P=.006) were the only predictors of cardiac events.


CONCLUSIONS
Patients undergoing OAAA and EAAA repair had similar cardiac event rates and mortality. In patients undergoing EAAA repair, history of congestive heart failure and Q wave on electrocardiogram were predictors of cardiac events.
de Virgilio
C
C
Department of Surgery, Harbor-UCLA Medical Center, Torrance, Calif 90509, USA.
Bui
H
H
Donayre
C
C
Ephraim
L
L
Lewis
R J
RJ
Elbassir
M
M
Stabile
B E
BE
White
R
R
D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D005260:Female; D006331:Heart Diseases / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods*