Cross-sectional, multicenter study comparing sex differences in patients undergoing endovascular repair of infrarenal abdominal aortic aneurysms. Results from the São Paulo State University Provincial Hospitals Registry (RHEUNI).

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.1590/1677-5449.202400042
Regina Moura, Edwaldo Edner Joviliano, Ana Terezinha Guillaumon, Selma Regina de Oliveira Raymundo, Ludwig Hafner, Marcone Lima Sobreira, Marcelo José de Almeida, Daniel Gustavo Miquelin, Martin Geiger, Winston Bonetti Yoshida
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引用次数: 0

Abstract

Background: Abdominal aortic aneurysms (AAA) are 4-6 times more frequent among men than among women, but prognosis tends to be worse in women.

Objective: To compare endovascular procedures to repair infrarenal AAA in men and women, using data from a prospective registry.

Methods: This registry collected data from five university hospitals in the state of São Paulo (Brazil) from 2012 to 2022. A cross-sectional study was conducted compiling demographic data, anatomic variables (aneurysm diameter, short neck, angulated neck, calcified neck, or thrombosed neck; distal neck < 1.5 cm, and tortuous, abnormal iliac arteries), complications (leaks, conversions, and patency or stenosis of branches) and renal failure and mortality at 30 days. The chi-square test and Student's t test were applied with a 5% significance level. The study was approved by the Ethics Committee (process 4040-2011).

Results: A total of 152 (15.9%) of the patients were women and 799 (84.0%) were men (p < 0.05). The majority were white (80.2% of the women and 87.4% of the men). Diabetes and hypertension were significantly more frequent among the women. The most prevalent shape was fusiform, particularly among the women (95.39% vs. 89.86% among men). Mean diameter was smaller among the women (5.96 cm vs. 6.49 cm; p = 0.0056). The iliac arteries were less often involved among the women (89.40% vs. 73.58%; p = 0.00001). Blood loss was greater in the men (321.40 ml vs. 168.84 ml among the women; p < 0.05). Operative mortality was similar in both sexes, but obstructions were more frequent among the women (15.2% vs. 13.51%; p = 0.017296).

Conclusions: Aneurysmal diameter was smaller and obstructive complications were more frequent among women.

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横断面多中心研究:比较肾下腹主动脉瘤血管内修复术患者的性别差异。来自圣保罗州立大学省级医院登记处(RHEUNI)的结果。
背景:腹主动脉瘤(AAA)在男性中的发病率是女性的4-6倍,但女性的预后往往较差:利用前瞻性登记数据,比较男性和女性修复肾下主动脉瘤的血管内手术:该登记处收集了 2012 年至 2022 年巴西圣保罗州五所大学医院的数据。这项横断面研究收集了人口统计学数据、解剖变量(动脉瘤直径、短颈、成角颈、钙化颈或血栓形成颈;远端颈< 1.5厘米,以及迂曲、异常的髂动脉)、并发症(渗漏、转化、分支通畅或狭窄)以及肾衰竭和30天后的死亡率。采用卡方检验和学生 t 检验,显著性水平为 5%。该研究获得了伦理委员会的批准(流程 4040-2011):共有 152 名(15.9%)女性患者和 799 名(84.0%)男性患者(P < 0.05)。大多数患者为白人(女性占 80.2%,男性占 87.4%)。女性患糖尿病和高血压的比例明显更高。最常见的形状是纺锤形,尤其是在女性中(95.39%,男性为 89.86%)。女性的平均直径较小(5.96 厘米对 6.49 厘米;P = 0.0056)。女性髂动脉受累较少(89.40% 对 73.58%;P = 0.00001)。男性的失血量更大(321.40 毫升对女性的 168.84 毫升;P < 0.05)。男女患者的手术死亡率相似,但女性患者的梗阻发生率更高(15.2% 对 13.51%;P = 0.017296):结论:女性动脉瘤直径更小,阻塞并发症更常见。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
期刊最新文献
Cross-sectional, multicenter study comparing sex differences in patients undergoing endovascular repair of infrarenal abdominal aortic aneurysms. Results from the São Paulo State University Provincial Hospitals Registry (RHEUNI). Brazilian Society of Angiology and Vascular Surgery guidelines on peripheral artery disease. Analysis of the efficacy of endovascular treatment with foam sclerotherapy for pelvic congestion syndrome with ultrasound assessment. Treatment of penetrating injuries of the retrohepatic vena cava: systematic review protocol. Response to 1064 nm Nd:YAG LASER in treatment of vulvar Fordyce's Angiokeratoma: case report.
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