title: Endovascular vs open abdominal aortic aneurysm repair: a comparison of cardiac morbidity and mortality.
abstract: 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.
authors.affiliation: Department of Surgery, Harbor-UCLA Medical Center, Torrance, Calif 90509, USA.
authors.forename: C
authors.initials: C
authors.lastname: de Virgilio
authors.forename: H
authors.initials: H
authors.lastname: Bui
authors.forename: C
authors.initials: C
authors.lastname: Donayre
authors.forename: L
authors.initials: L
authors.lastname: Ephraim
authors.forename: R J
authors.initials: RJ
authors.lastname: Lewis
authors.forename: M
authors.initials: M
authors.lastname: Elbassir
authors.forename: B E
authors.initials: BE
authors.lastname: Stabile
authors.forename: R
authors.initials: R
authors.lastname: White
mesh_terms: 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*