Outcomes after EVAR in females are similar to males

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dc.authoridUnal, Ertekin Utku / 0000-0002-1144-8906
dc.authorwosidUnal, Ertekin Utku / G-2728-2013
dc.contributor.authorTumer, Naim Boran
dc.contributor.authorAskin, Goktan
dc.contributor.authorAkkaya, Bekir Bogachan
dc.contributor.authorCivelek, Isa
dc.contributor.authorUnal, Ertekin Utku
dc.contributor.authorIscan, Hakki Zafer
dc.date.accessioned2021-11-01T15:05:35Z
dc.date.available2021-11-01T15:05:35Z
dc.date.issued2021
dc.department[Belirlenecek]
dc.description.abstractIntroductionWomen are less likely to develop infrarenal abdominal aortic aneurysm; however, when they do, it is almost always associated with challenging anatomy, more rapid aneurysmal growth rate and earlier rupture. Women generally have poorer outcomes following open aneurysm repair; and in this respect, the present study aims to evaluate if it is so after endovascular repair. MethodsA retrospective analysis of our database was performed for patients underwent endovascular aneurysm repair (EVAR) between January 2013-March 2020. 249 elective EVAR patients were evaluated. Patients were categorized according to gender and 26 patients (10.4%) were female. Demographics and pre-peri-postoperative findings were compared. Propensity score matching (ratio 1:1) was performed to reduce selection bias. ResultsIn the overall unmatched cohort, female population had more diabetes mellitus (p=0.016) and hypertension (p=0.005). However, coronary artery disease (p=0.005) and coronary artery bypass grafting (p=0.006) were more in male gender. Non-IFU implantation was higher in female group (38.5% vs. 11.5%, p=0.025). After propensity matching, even though it was not statistically significant, early mortality for female gender was higher when compared to male gender (7.7% and 0%, respectively, p=0.490). In the follow-up period, no difference in all-cause mortality, secondary interventions or complications have been observed between the genders.ConclusionChallenging anatomy and subsequently treated patients outside IFU may be the reasons for higher morbidity and mortality in women. However, despite these factors female and male patients revealed equivalent early and late results.
dc.identifier.doi10.1186/s12872-021-02114-2
dc.identifier.issn1471-2261
dc.identifier.issue1en_US
dc.identifier.pmid34130661
dc.identifier.scopus2-s2.0-85108006954
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/s12872-021-02114-2
dc.identifier.urihttps://hdl.handle.net/11491/7333
dc.identifier.volume21en_US
dc.identifier.wosWOS:000664592600002
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor[Belirlenecek]
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Cardiovascular Disorders
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFemale genderen_US
dc.subjectEVARen_US
dc.subjectElective iAAAen_US
dc.titleOutcomes after EVAR in females are similar to males
dc.typeArticle

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