Five-year outcomes of elective infrarenal abdominal aortic aneurysm repair at a university hospital in Argentina




Ignacio M. Bluro, Departamento de Cardiología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Fernando Garagoli, Departamento de Cardiología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Norberto B. Fiorini, Departamento de Cardiología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
José M. Rabellino, Departamento de Angiografía Digital, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
José G. Chas, Departamento de Angiografía Digital, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Alberto Domenech, Departamento de Cirugía Cardiovascular. Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Vadim Kotowicz, Departamento de Cirugía Cardiovascular. Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Rodolfo Pizarro, Departamento de Cardiología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina


Objective: Few data about outcomes of elective infrarenal abdominal aortic aneurysm (AAA) repair in Latin America have been published. The objective of the present study is to address this aspect in our population. Method: Retrospective cohort, in which patients with infrarenal AAA undergoing elective surgical or endovascular repair from January 2011 to May 2017 at a university hospital in Autonomous City of Buenos Aires were consecutively included. The primary endpoints were perioperative mortality and all-cause mortality during follow-up. Among the secondary endpoints, the requeriment of reinterventions was assessed. Results: 195 patients were included. Open surgery was performed in 72 patients (36.9%) and endovascular aortic repair (EVAR) in 123 (63.1%). Perioperative mortality in the surgery group was 2.8%, while no deaths were recorded in the endovascular group (p = 0.06). The median follow-up was 38 months. No statistically significant difference was found in longterm mortality incidence rate between patients who underwent EVAR and those who underwent open surgery (7% per year vs. 6.7% per year, p = 0.8). The requirement of reinterventions was significantly higher in the endovascular group (9.0% vs. 0%, p = 0.01). Conclusions: Survival analyses demonstrated no statistically significant differences in perioperative and longterm mortality for patients who underwent EVAR compared with those who underwent open surgery, while the former had a higher rate of reinterventions. The results observed in our population do not differ from those published in the United State or Europe.



Keywords: Aneurysm. Abdominal aorta. EVAR. Open surgery.