title: Early endovascular aneurysm repair after percutaneous coronary interventions.
abstract: OBJECTIVE
  The objective of this study was to report long-term results of early endovascular aortic aneurysm repair after percutaneous coronary intervention (PCI).
  
  
  METHODS
  This was a retrospective analysis of all patients presenting with abdominal aortic aneurysm and coronary artery disease treated during the same hospitalization by endovascular aortic aneurysm repair performed soon after PCI. Primary outcomes were perioperative mortality, perioperative complications, survival after treatment, and freedom from reintervention.
  
  
  RESULTS
  A total of 20 patients were included, and all completed both procedures. No deaths or abdominal aortic aneurysm ruptures occurred between the PCI and the aortic intervention. Perioperative mortality was 5% as one patient died of mesenteric ischemia after endovascular aneurysm repair. Major cardiovascular vascular complications occurred in four patients (20%) and included non-ST-segment elevation myocardial infarction (one) and access vessel complication (three). Mean follow-up was 94 (range, 1-164; standard deviation, 47) months. Estimated survival at 1 year, 2 years, 5 years, and 10 years was 90%, 90%, 90%, and 60%, respectively. A reoperation was required in six patients. Estimated freedom from reintervention at 1 year, 2 years, 5 years, and 10 years was 83%, 83%, 78%, and 72%, respectively.
  
  
  CONCLUSIONS
  Our study indicates that early endovascular aneurysm repair performed within a week after PCI may be a reasonable approach in patients with large or symptomatic aneurysms.
authors: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland; Vascular Surgery Unit, University of Palermo, AOUP "P. Giaccone," Palermo, Italy. Electronic address: felicepecoraro@libero.it.
authors: Felice
authors: F
authors: Pecoraro
authors: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
authors: Markus
authors: M
authors: Wilhelm
authors: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
authors: Angela R
authors: AR
authors: Kaufmann
authors: Division of Cardiovascular Anesthesia, University Hospital Zurich, Zurich, Switzerland.
authors: Dominique
authors: D
authors: Bettex
authors: Department of Cardiology, University Hospital Zurich, Zurich, Switzerland.
authors: Willibald
authors: W
authors: Maier
authors: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
authors: Dieter
authors: D
authors: Mayer
authors: The Cleveland Clinic and New York University Medical Center, New York, NY.
authors: Frank J
authors: FJ
authors: Veith
authors: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
authors: Mario
authors: M
authors: Lachat
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D002423:Cause of Death; D003131:Combined Modality Therapy / Q000401:mortality; D015897:Comorbidity; D003327:Coronary Disease / Q000401:mortality / Q000628:therapy*; D061345:Early Medical Intervention; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate