Juxtarenal Aneurysms, Open Repair
Conditions
Brief summary
All patients with a juxtarenal abdominal aortic aneurysm who underwent open aneurysm therapy between January 2010 and July 2020 were included retrospectively.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a juxtarenal aneurysm (defined as infrarenal neck \<10mm and clamping above at least one renal artery \[31592091\]) * Open therapy with infrarenal (Anschluss) * \>18 years
Exclusion criteria
* Patients with an anastomosis above the renal arteries (e.g. including bypass to a renal artery) * Patients with supravisceral clamping * Patients with reconstruction of the aorta in the suprarenal area * Patients with connective tissue diseases (e.g. Marfan syndrome or Ehler Danlos syndrome) * Post-dissection aneurysms * Infected aneurysms * Conversions after endovascular therapy * Inflammatory aneurysms
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 30 days after intervention | Mortality after 30 days postop |
| Acute renal failure | 30 days after intervention | Acute renal failure postoperatively, defined by KDIGO criteria of AKI \[22890468\] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | during Follow up period (up to 13 years) | Overall mortality |
| Dialysis | during Follow up period, checked every year | Permanent dialysis required |
| Post-operative complication rates | During Follow-up period (up to 13 years) | Post-operative complication rates: * cardiac * pulmonal * mesenterial * neurological * access-associated * re-intervention |
| Aneurysm-related Mortality | during Follow up period (up to 13 years) | Aneurysm-related Mortality |
| Reinterventions | during Follow up period, checked every year | Rates of Reinterventions |