Gender-specific risk factors for mortality in patients after TEVAR

• Published in: The Thoracic and Cardiovascular Surgeon
• Main Authors: Czerny, M, Hoebartner, M, Gottardi, R, Juraszek, A, Dziodzio, T, Funovics, M, Schoder, M, Holfeld, J, Lammer, J, Laufer, G, Grimm, M
• Format: Conference Proceeding
• Language: English
• Published: 01.02.2010
• ISSN: 0171-6425; 1439-1902
• DOI: 10.1055/s-0029-1246684

Objectives: Gender-specific risk factors for mortality in patients after thoracic endovascular aortic repair (TEVAR) are not known. Methods: We retrospectively analyzed 227 consecutive patients undergoing TEVAR at our institution during a 12-year period (% female 28, median age 67a). Clinical risk factors according to EuroSCORE stratification as well as suitability for open repair according to institutional standards were recorded. Follow-up data were available in all patients. Results: Gender did not affect mortality in patients after TEVAR (p=0.452, OR 1.48, CI 0.75–2.91). Age turned out to be an independent risk factor in females (p=0.002, OR 3.74, CI 1.62–8.65) whereas suitability for open repair was an independent risk factor in males (p=0.005, OR 0.22, CI 0.078–0.64). Chronic pulmonary disease was a gender-independent risk factor (p=0.036, OR 4.31, CI 1.01–16.88). Conclusions: Gender per se has no influence on mortality in patients after TEVAR. However, age is an independent predictor of mortality in females. Suitability for conventional open repair is associated with improved survival in males. Finally, severe chronic pulmonary disease is clearly related to higher mortality in both sexes after TEVAR.