Table 4. Univariate risk factors for major morbidity (stroke, paraplegia/paraparesis, dialysis) or 1-year mortality for patients undergoing open repair.
Variable | No morbidity/mortality (n=24) | Yes morbidity/mortality (n=8) | P value |
---|---|---|---|
Age [year] | 47 [34,60] | 62 [50,66] | 0.05 |
Age >50 years | 9 (38%) | 6 (75%) | 0.07 |
Male | 20 (83%) | 7 (88%) | 0.78 |
White race | 10 (42%) | 4 (50%) | 0.68 |
Body mass index [kg/m2] | 25 [22,29] | 25 [21,29] | 0.86 |
Hypertension | 22 (92%) | 7 (88%) | 0.73 |
Hyperlipidemia | 11 (46%) | 6 (75%) | 0.15 |
Active or recent tobacco use | 13 (54%) | 7 (88%) | 0.09 |
Diabetes | 1 (4%) | 0 | 0.56 |
Coronary artery disease | 6 (25%) | 2 (25%) | 1 |
History of prior stroke | 4 (17%) | 2 (25%) | 0.60 |
COPD | 3 (13%) | 3 (38%) | 0.12 |
Baseline creatinine >1.5 mg/dL | 3 (13%) | 1 (13%) | 1 |
Peripheral vascular disease | 1 (4%) | 1 (13%) | 0.40 |
Connective tissue disease | 8 (33%) | 1 (13%) | 0.26 |
Prior aortic surgery | 16 (67%) | 5 (63%) | 0.83 |
Index dissection type | 0.54 | ||
DeBakey type I | 13 (54%) | 3 (38%) | |
DeBakey type IIIa | 1 (4%) | 0 | |
DeBakey type IIIb | 10 (42%) | 5 (63%) | |
Time in months from dissection | 30 [10,64] | 85 [16,142] | 0.26 |
Maximum aortic diameter (cm) | 6.2 (5.6,7.2) | 6.8 (6.2,8.7) | 0.15 |
Non-elective operation | 5 (21%) | 1 (13%) | 0.60 |
Procedure performed | 0.26 | ||
Open descending | 8 (33%) | 1 (13%) | |
Open TAAA | 16 (67%) | 7 (88%) | |
Extent of TAAA | 0.78 | ||
Type I | 6 (38%) | 3 (43%) | |
Type II | 6 (38%) | 2 (29%) | |
Type III | 3 (19%) | 2 (29%) | |
Type IV | 1 (6%) | 0 | |
Cardiopulmonary bypass time [min] | 195 [179,227] | 214 [189,247] | 0.32 |
Cerebral circulatory arrest time [min] | 17 [9,22] | 17 [4,19] | 0.46 |
Systemic circulatory arrest time [min] | 51 [40,73] | 70 [26,79] | 0.45 |
Femoral arterial cannulation | 7 (29%) | 4 (50%) | 0.28 |
Era (years) | 0.04 | ||
2005-2009 | 8 (33%) | 6 (75%) | |
2010-2013 | 16 (67%) | 2 (25%) |
Data represented as median (interquartile range) or number (percent). COPD, chronic obstructive pulmonary disease; TAAA, thoracoabdominal aortic aneurysm.