Table IV.
Complex EVAR (n=1,260) | Complex Open (n=1,010) | |||||
---|---|---|---|---|---|---|
OR | P-value | 95% CI | OR | P-value | 95% CI | |
Mortality, perioperative | 2.5 | 0.007 | 1.3 – 4.9 | 0.9 | 0.69 | .5 – 1.6 |
Any complication | 2.1 | <0.001 | 1.4 – 3.2 | 1.2 | 0.22 | .9 – 1.7 |
Major Complication | 2.0 | 0.002 | 1.3 – 3.1 | 1.1 | 0.74 | .8 – 1.5 |
Reoperation | 1.9 | 0.047 | 1.0 – 3.6 | 0.9 | 0.49 | .6 – 1.3 |
Cardiac complication | 1.1 | 0.8 | .4 – 2.9 | 0.7 | 0.19 | .4 – 1.2 |
Major Respiratory | ||||||
Complication | 2.6 | 0.017 | 1.2 – 5.6 | 1.1 | 0.60 | .7 – 1.7 |
Renal complication | 3.1 | 0.007 | 1.4 – 7.2 | 1.0 | 0.88 | .6 – 1.8 |
Stroke* | 1.8 | 0.356 | .5 – 6.5 | - | - | - |
Ischemic Colitis | 4.1 | 0.025 | 1.2 – 14.1 | 1.0 | 0.98 | .5 – 1.9 |
Lower Extremity Ischemia | 2.5 | 0.074 | .9 – 6.8 | 0.7 | 0.48 | .3 – 1.8 |
Aneurysm Rupture | 8.0 | 0.074 | .8 – 78.6 | 1.8 | 0.68 | .1 – 28.9 |
Sepsis* | - | - | - | 1.3 | 0.58 | .5 – 3.8 |
EVAR: endovascular aneurysm repair; AAA: abdominal aortic aneurysm; OR: Odds Ratio; CI: Confidence Interval; Major complications (cardiac complications, major pulmonary complications, renal complications, stroke, ischemic colitis, lower extremity ischemia requiring intervention, postoperative aneurysm rupture, an unplanned reoperation, or postoperative sepsis).
The model is adjusted for age (years), race (white (ref), black, other, unknown), body mass index category (BMI<18.5, BMI 18.5–25(ref), BMI 25–30, BMI 30–40, BMI>40 kg/m2), current smoking status, insulin dependent diabetes mellitus, hypertension requiring medication, congestive heart failure, chronic obstructive pulmonary disease, renal function (eGFR>60(ref), eGFR30–60, eGFR<30 or preoperative dialysis), steroid use for a chronic condition, weight loss (> 10% in the 6 Months Prior to Surgery), bleeding disorders, systemic inflammatory response syndrome within 48 Hours Prior to Surgery, symptomatic aneurysm and diameter. Boldface P values represent significance (P<.05).
Results not shown given the lack of any septic events among female patients undergoing EVAR and any stroke among female patients undergoing open repair.