Fulltext

The influence of gender on mortality in patients after thoracic endovascular aortic repair

Czerny, Martin ; Hoebartner, Michael ; Sodeck, Gottfried ; Funovics, Martin ; Juraszek, Andrzej ; Dziodzio, Tomasz ; Grimm, Michael ; Ehrlich, Marek

In: European Journal of Cardio-Thoracic Surgery, 2011, vol. 40, no. 1, p. e1-e5

Add to personal list
    Title
    • The influence of gender on mortality in patients after thoracic endovascular aortic repair
    Author
    • Czerny, Martin. Department of Cardiovascular Surgery, University Hospital Berne, Berne, Switzerland
    • Hoebartner, Michael. Leipzig Heart Center, Leipzig, Germany
    • Sodeck, Gottfried. Department of Emergency Medicine, University of Vienna Medical School, Vienna, Austria
    • Funovics, Martin. Department of Interventional Radiology, University of Vienna Medical School, Vienna, Austria
    • Juraszek, Andrzej. Department of Cardiac Surgery, University of Vienna Medical School, Vienna, Austria
    • Dziodzio, Tomasz. Department of Cardiac Surgery, University of Vienna Medical School, Vienna, Austria
    • Grimm, Michael. Department of Cardiac Surgery, University of Innsbruck Medical School, Innsbruck, Austria
    • Ehrlich, Marek. Department of Cardiac Surgery, University of Vienna Medical School, Vienna, Austria
    Document Type
    • Postprint
    Language
    • English
    Published in
    • European Journal of Cardio-Thoracic Surgery, 2011, vol. 40, no. 1, p. e1-e5. Elsevier Science B.V.
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:304821
    Summary
    Objectives: The aim of this study was to determine if gender affects mortality in patients after thoracic endovascular aortic repair (TEVAR). Methods: We retrospectively analyzed 286 consecutive patients undergoing TEVAR at our institution during a 12-year period (female 29%, median age 69 years). Chronic health conditions, risk factors, as well as early and long-term outcome were assessed. Follow-up data were available in all patients. Results: For female gender, 1-year survival and 5-year survival was 84% and 56% versus 83% and 60% for male gender. No significant gender influence was observed (odds ratio (OR) 0.96, 95% confidence interval (CI) 0.59-1.56). Furthermore, no significant gender influence could be observed according to the individual indication - atherosclerotic aneurysms (OR 0.78 95%CI 0.41-1.47), acute type B dissections (OR 0.78 95%CI 0.21-2.83), penetrating atherosclerotic ulcers/intramural hematoma (OR 1.48 95%CI 0.53-4.19), and traumatic aortic lesions (OR 1.48 95%CI 0.53-4.19). Age (OR 3.6 95%CI 1.24-10.45) and chronic obstructive pulmonary disease (COPD; OR 3.09 95%CI 0.98-9.73) were independent predictors of mortality in females. Conclusions: Gender does not affect mortality in patients after TEVAR irrespective of the underlying indication, atherosclerotic aneurysms, acute type B dissections, penetrating ulcers/intramural hematoma, and traumatic aortic lesions. Classical risk factors such as age and the presence of COPD at the time of TEVAR remain the most important risk factors in females