The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients
Aim To represent our results of EVAR/TEVAR procedures for thoracoabdominal aortic pathologies and the relation between the post-procedural neurological adverse events and in-hospital mortality. Material and Method Patients who underwent EVAR/TEVAR procedures between November 2016 and May 2021 inclu...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Selçuk University
2022-02-01
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| Series: | Genel Tıp Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/2077702 |
| _version_ | 1797686561162133504 |
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| author | İlker İnce Elif Coşkun Sungur Levent Altınay |
| author_facet | İlker İnce Elif Coşkun Sungur Levent Altınay |
| author_sort | İlker İnce |
| collection | DOAJ |
| description | Aim
To represent our results of EVAR/TEVAR procedures for thoracoabdominal aortic pathologies and the relation between the post-procedural neurological adverse events and in-hospital mortality.
Material and Method
Patients who underwent EVAR/TEVAR procedures between November 2016 and May 2021 included in this retrospective study. Patients with a history of any cerebrovascular event before the intervention were excluded. Patients divided into two groups according to occurrence of any early neurological complications.
Results
A total of 60 patients who underwent EVAR/TEVAR procedures were evaluated. Group 1 included 37 (78.7%) patients who had no neurological complication. Group 2 included 10 (21.3%) patients who had a postoperative neurological complication. The intensive care unit stay time was significantly longer in Group 2 than Group 1 (1.7 ± 2.0 days in Group 1 vs 6.2 ± 5.1 days in Group 2, p=0.021). Overall mortality rate was 19.1% (9 of 47 patients). The mortality rate of the Group 2 was significantly higher than Group 1 (2 of 37 (5.4%) patients in Group 1 vs 7 of 10 patients (70%) in Group 2, p=0.001). American Society of Anesthesiologists physical classification score was significantly higher in Group 2 than Group 1 (3.5 ± 0.6 in Group 1 vs 4.1 ± 0.3 in Group 2, p=0.016). The most common early postoperative neurological complication was lack of recovery of consciousness (no postoperative consciousness).
Conclusion
The occurrence of any postoperative neurological adverse event has an additive effect to the in-hospital mortality rate of TEVAR and EVAR procedures. |
| first_indexed | 2024-03-12T01:06:52Z |
| format | Article |
| id | doaj.art-60cb310b077e40509e72807aa3a71ccc |
| institution | Directory Open Access Journal |
| issn | 2602-3741 |
| language | English |
| last_indexed | 2024-03-12T01:06:52Z |
| publishDate | 2022-02-01 |
| publisher | Selçuk University |
| record_format | Article |
| series | Genel Tıp Dergisi |
| spelling | doaj.art-60cb310b077e40509e72807aa3a71ccc2023-09-14T08:47:57ZengSelçuk UniversityGenel Tıp Dergisi2602-37412022-02-0132110210710.54005/geneltip.1022644154The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patientsİlker İnce0Elif Coşkun Sungur1Levent Altınay2sağlık bilimleri üniversitesi Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi KliniğiZonguldak Bülent Ecevit Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim DalıZonguldak Bülent Ecevit Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim DalıAim To represent our results of EVAR/TEVAR procedures for thoracoabdominal aortic pathologies and the relation between the post-procedural neurological adverse events and in-hospital mortality. Material and Method Patients who underwent EVAR/TEVAR procedures between November 2016 and May 2021 included in this retrospective study. Patients with a history of any cerebrovascular event before the intervention were excluded. Patients divided into two groups according to occurrence of any early neurological complications. Results A total of 60 patients who underwent EVAR/TEVAR procedures were evaluated. Group 1 included 37 (78.7%) patients who had no neurological complication. Group 2 included 10 (21.3%) patients who had a postoperative neurological complication. The intensive care unit stay time was significantly longer in Group 2 than Group 1 (1.7 ± 2.0 days in Group 1 vs 6.2 ± 5.1 days in Group 2, p=0.021). Overall mortality rate was 19.1% (9 of 47 patients). The mortality rate of the Group 2 was significantly higher than Group 1 (2 of 37 (5.4%) patients in Group 1 vs 7 of 10 patients (70%) in Group 2, p=0.001). American Society of Anesthesiologists physical classification score was significantly higher in Group 2 than Group 1 (3.5 ± 0.6 in Group 1 vs 4.1 ± 0.3 in Group 2, p=0.016). The most common early postoperative neurological complication was lack of recovery of consciousness (no postoperative consciousness). Conclusion The occurrence of any postoperative neurological adverse event has an additive effect to the in-hospital mortality rate of TEVAR and EVAR procedures.https://dergipark.org.tr/tr/download/article-file/2077702evartevarnörolojik komplikasyonhastane mortalitesievartevarneurological deficitin-hospital mortality |
| spellingShingle | İlker İnce Elif Coşkun Sungur Levent Altınay The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients Genel Tıp Dergisi evar tevar nörolojik komplikasyon hastane mortalitesi evar tevar neurological deficit in-hospital mortality |
| title | The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients |
| title_full | The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients |
| title_fullStr | The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients |
| title_full_unstemmed | The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients |
| title_short | The relation between neurological outcomes and in-hospital mortality rates of endovascular aortic repair patients |
| title_sort | relation between neurological outcomes and in hospital mortality rates of endovascular aortic repair patients |
| topic | evar tevar nörolojik komplikasyon hastane mortalitesi evar tevar neurological deficit in-hospital mortality |
| url | https://dergipark.org.tr/tr/download/article-file/2077702 |
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