title: [Results of open repair of infrarenal abdominal aortic aneurisms in patients unfit for endovascular treatment].
abstract: BACKGROUND
  Purpose of the study was to assess how the introduction of endovascular treatment has affected mortality and morbidity of the traditional surgery for infrarenal abdominal aortic aneurysms (AAA).
  
  
  METHODS
  From January 2002 to December 2009 we treated 230 patients with AAA (mean age 71.6; 121 male 70.7%); 171 (74.4%) were treated with surgery, 59 (25.6%) underwent to endovascular exclusion .We divided the patients into two groups: Group A, before the beginning of our "endovascular"; Group B, after the beginning of our endovascular experience. A total of 171 patients were treated with traditional surgical intervention, 99 in Group A and 72 in Group B. We evaluated the morbidity and mortality between the two groups by statistical analysis (by Student t test and χ ² test) considering a significant p-value <0.001.
  
  
  RESULTS
  e 30-day mortality was 4% respectively in group A and 5.5% in group B (P = not significative, n.s.). The incidence of renal and ischemic peripheral complications was, respectively, 2% and 4% in group A, and 4.1% and 8.3% in group B showing statistical significance (P <.001). There were no documented statistically significant differences between the two groups in terms of cardiac and respiratory complications (P = n.s.). CONCLUSIONS. The results of the traditional surgery for the infrarenal AAA not suitables for endovascular repair suffer from the difficult anatomy of aorto-iliac district. Although the incidence of complications of open surgery is increased, the mortality is similar to anatomical not complicated aneurysms.
authors: Ospedale S Paolo, ASL RMF Civitavecchia, Roma.
authors: F
authors: F
authors: Accrocca
authors: A
authors: A
authors: Siani
authors: R
authors: R
authors: Antonelli
authors: G A
authors: GA
authors: Giordano
authors: R
authors: R
authors: Gabrielli
authors: L M
authors: LM
authors: Siani
authors: A
authors: A
authors: Sbroscia
authors: D
authors: D
authors: Rotondi
authors: Gemma
authors: G
authors: Marcucci
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D000075202:Contraindications; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods / Q000401:mortality