Preoperative renal function affects outcomes of surgery for aortic arch aneurysm in the elderly.
Yoshimasa SeikeKoki YokawaYosuke InoueTakayuki ShijoKyokun UeharaHiroaki SasakiTetsuya FukudaHitoshi MatsudaPublished in: General thoracic and cardiovascular surgery (2020)
In elderly patients who underwent TAR, CKD was the independent risk factor of the mortality, but not in the patients who underwent debranching TEVAR. Conversion of surgical strategy from TAR to debranching TEVAR in the treatment of aortic arch aneurysms in the elderly with CKD below Grade IIIa is acceptable considering that less-invasiveness. While, in the elderly with Grade I/II CKD, TAR still remains as a primary choice for the arch repair for better mid-term survival.
Keyphrases
- chronic kidney disease
- end stage renal disease
- middle aged
- risk factors
- community dwelling
- newly diagnosed
- aortic dissection
- minimally invasive
- ejection fraction
- coronary artery
- peritoneal dialysis
- prognostic factors
- cardiovascular events
- cardiovascular disease
- coronary artery bypass
- type diabetes
- adipose tissue
- acute coronary syndrome
- skeletal muscle
- insulin resistance
- weight loss