Comparison of Fenestrated Stentgrafts and Open Repair for Juxtarenal Aortic Aneurysms Using A Propensity Score Matching

Abstract Background Prosthetic replacement of aneurysms of the ascending aorta is the gold standard in terms of long-term stability. Wrapping seems to be a less invasive procedure. It has not yet been shown if it is as safe in terms of long-term outcome. Methods We present a single-center analysis of our experience over 13 years. We retrospectively analyzed data from patients who received either aortic prosthetic wrapping (AW) or aortic prosthetic replacement (AR) with or without aortic valve replacement and assessed them through phone calls. We used propensity score matching to adjust the baseline of the groups. Results Before propensity matching, 144 patients received AW and 91 patients underwent AR. Mean age was 64 ± 11.8 years. After propensity score matching and adjusting for significant differences in age, gender, body mass index, logistic EuroSCORE I, and left ventricular function, 69 patients in each group remained for further analysis. Rate of early reoperation due to tamponade, inhospital mortality, and survival rates did not differ. In both groups, the surgically treated aortic segment did not show enlargement, whereas the nontreated aortic arch showed comparable aneurysmatical progression. Conclusions AW is safe and feasible and can be used in elderly or frail patients in order to avoid an AR. Progression of the remaining native aortic segments occurs, thus requiring strict life-long follow-up to ensure an elective and thus safe approach for appropriate consecutive surgical measures, if required.

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Early and long-term results of open repair of inflammatory abdominal aortic aneurysms: Comparison with a propensity score-matched cohort

Journal of Vascular Surgery ◽

10.1016/j.jvs.2019.11.040 ◽

2020 ◽

Vol 72 (3) ◽

pp. 910-917 ◽

Cited By ~ 1

Author(s):

Slobodan Cvetkovic ◽

Igor Koncar ◽

Stefan Ducic ◽

Petar Zlatanovic ◽

Perica Mutavdzic ◽

...

Keyword(s):

Propensity Score ◽

Open Repair ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Long Term Results ◽

Matched Cohort ◽

Abdominal Aortic

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Endoscopic Versus Open Repair for Craniosynostosis in Infants Using Propensity Score Matching to Compare Outcomes

Anesthesia & Analgesia ◽

10.1213/ane.0000000000002454 ◽

2018 ◽

Vol 126 (3) ◽

pp. 968-975 ◽

Cited By ~ 22

Author(s):

Douglas R. Thompson ◽

David Zurakowski ◽

Charles M. Haberkern ◽

Paul A. Stricker ◽

Petra M. Meier ◽

...

Keyword(s):

Propensity Score ◽

Propensity Score Matching ◽

Open Repair

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A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms

Clinical Medicine Insights Cardiology ◽

10.4137/cmc.s23166 ◽

2015 ◽

Vol 9 ◽

pp. CMC.S23166 ◽

Cited By ~ 1

Author(s):

Takao Kato ◽

Seiko Ishida ◽

Shoichi Miyamoto ◽

Tamae Iura ◽

Yoko Ban ◽

...

Keyword(s):

Propensity Score ◽

Propensity Score Matching ◽

Transthoracic Echocardiography ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Comparable Efficacy ◽

Abdominal Ultrasonography ◽

Cross Sectional ◽

Propensity Score Matching Analysis ◽

Abdominal Aortic

Introduction We previously reported that the prevalence of abdominal aortic aneurysms (AAAs) was higher in patients undergoing scheduled transthoracic echocardiography (TTE) than in patients undergoing abdominal ultrasonography (AUS); however, intergroup patient backgrounds differed significantly in that report. Purpose We tested the hypothesis that TTE could detect AAA as effectively as AUS. Design A propensity score-matching analysis of a cross-sectional study was adopted as the design for this study. Methods We enrolled 7,619 and 15,433 patients scheduled to undergo TTE with additional evaluation of abdominal aorta at the end of the routine study and AUS, respectively, from 2009 to 2010 in our hospital, as reported. A propensity score for profiles of patients who underwent TTE or AUS was developed to adjust for potential confounding bias. Consequently, 4,388 patients in each group were matched for analyses. Results In propensity-matched patients, AAA was detected in 59 patients of the TTE group and in 48 patients of the AUS group; the prevalence of AAA detection did not differ significantly between TTE and AUS groups ( P = 0.331). Positive associations were observed between AAA detection and male sex (adjusted odds ratio [OR]: 3.25; 95% confidence interval [CI], 2.05-5.15; P < 0.001), older age (adjusted OR: 1.029; 95% CI: 1.01-1.04; P < 0.001), and the presence of ischemic heart disease (adjusted OR: 1.78; 95% CI: 1.04-3.03; P = 0.033) and hypertension (adjusted OR: 2.16; 95% CI: 1.38-3.37; P = 001). Conclusion TTE detected AAA with comparable efficacy as AUS in propensity-matched groups who underwent scheduled TTE and AUS.

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Long-term Outcomes of Intervention between Open Repair and Endovascular Aortic Repair for Descending Aortic Syndrome: A Propensity-Matched Analysis

10.21203/rs.3.rs-46690/v1 ◽

2020 ◽

Author(s):

Shin-Ah Son ◽

Hanna Jung ◽

Joon Yong Cho

Keyword(s):

Propensity Score ◽

Hospital Mortality ◽

Propensity Score Matching ◽

Open Repair ◽

Endovascular Aortic Repair ◽

Long Term Outcomes ◽

Short Term ◽

End Points ◽

Repair Group

Abstract Background The long-term complication rates of open repair and thoracic endovascular aortic repair (TEVAR) have not yet been determined. Therefore, this study aimed to compare long-term outcomes and aortic reintervention rates between open repair and TEVAR in patients with descending thoracic aortic diseases. Methods Between January 2002 and December 2017, 230 patients with descending thoracic aortic disease underwent surgery. Among them, 45 patients underwent open repair and 91 underwent TEVAR treatment at Kyungpook National University Hospital. The primary end points were in-hospital mortality, and short-term complications. The secondary end points were long-term mortality and reintervention rates. Based on the propensity score matching, 35 patients who underwent open repair were matched to 35 patients who underwent TEVAR (ratio = 1:1). Results The mean follow-up period was 70.2 ± 51.9 months. Shorter intensive care unit and hospital stay were seen in the TEVAR group than in the open repair group (p < 0.001 and p < 0.001, respectively). However, in-hospital mortality, and spinal cord ischemia were not significantly different among the two groups (p = 0.068 and p = 0.211 before matching, p = 0.303 and p = 0.314 after matching, respectively). The cumulative all-cause death and aorta-related death showed no significant difference (p = 0.709 and p = 0.734 before matching, p = 0.888 and p = 0.731 after matching, respectively). However, aortic reintervention rates were higher in the TEVAR group than in the open repair group before and after propensity score matching (p = 0.006 and p = 0.013, respectively). Conclusion The TEVAR group was superior in short-term recovery results but had higher reintervention rates compared to the open repair group. However, there was no significant differences between the groups in long-term survival.

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Outcomes of open versus single-incision laparoscopic totally extraperitoneal inguinal hernia repair using propensity score matching: A single institution experience

PLoS ONE ◽

10.1371/journal.pone.0246189 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0246189

Author(s):

Kanghee Lee ◽

Jin Ho Lee ◽

Soomin Nam ◽

Jae Uk Chong ◽

Hyung Soon Lee

Keyword(s):

Inguinal Hernia ◽

Propensity Score ◽

Hernia Repair ◽

Propensity Score Matching ◽

Inguinal Hernia Repair ◽

Open Repair ◽

Single Incision ◽

Operation Time ◽

Open Group ◽

Totally Extraperitoneal

Purpose The aim of the current study was to compare the outcomes between open and single-incision laparoscopic totally extraperitoneal (SILTEP) inguinal hernia repair. Methods To compare the outcomes between the open and SILTEP groups, we performed propensity score matching to adjust for significant differences in patient characteristics. The outcomes were compared between the matched groups. Results Record review identified 477 patients who had undergone inguinal hernia repair from November 2016 to November 2018. Seventy-one patients were excluded from the propensity score matching because of age <18, femoral hernia, conventional 3-port laparoscopic repair, incarcerated hernia, and combined operation. SILTEP in 142 and open repair in 264 patients were identified. After propensity score matching, these individuals were grouped into 82 pairs. Spinal anesthesia was administered more often in the open group than in the SILTEP group. Operation time was significantly longer in the SILTEP group than in the open group (49.6 ± 17.4 vs. 64.8 ± 28.4 min, p < 0.001). However, urinary retention rates of the open group were significantly higher than that of the SILTEP group (11.0% vs. 0%, p = 0.003). The SILTEP group showed significantly lower pain scores at postoperative 6, 12, and 24 hours, and significantly lower rates of intravenous analgesic requirements through postoperative day 1 (30.5% vs. 13.4%, p = 0.008) compared with the open group. Conclusion The outcomes of SILTEP repair were comparable to those of open repair. SILTEP repair may have advantages over open repair for reducing immediate postoperative pain (≤24 hours).

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