TY - JOUR
T1 - Impact of gender on the outcome of endovascular aortic aneurysm repair using the zenith stent-graft
T2 - Midterm results
AU - Hugl, Beate
AU - Hakaim, Albert G.
AU - Biebl, Matthias
AU - Oldenburg, W. Andrew
AU - McKinney, J. Mark
AU - Nolte, Lorraine A.
AU - Greenberg, Roy K.
AU - Chuter, Timothy A.M.
PY - 2007/4
Y1 - 2007/4
N2 - Purpose: To analyze the 2-year outcomes of female patients after endovascular aortic aneurysm repair (EVAR) with the Zenith AAA Endovascular Graft. Methods: A retrospective analysis was conducted of data from the US Zenith multicenter trial and the Zenith female registry on 40 women (10.9%, study group) and 326 men (89.1%, control group) enrolled. All patients had completed their 2-year follow-up. Primary study endpoints were survival, aneurysm rupture, and conversion rate. Significance was assumed if p<0.05. Results: Overall rates of mortality (12.5% for women versus 13.2% for men, p=0.94) and aneurysm rupture (2.5% for women versus 0% for men, p=0.11) were comparable between groups. Conversion to open repair within 2 years was significantly more frequent in women compared to men (7.5% versus 0.6%, p=0.01). The incidence of endoleaks of any type was equivalent between groups at 2 years (13.3% for women versus 6.9% for men, p=0.30). No difference was observed in the need for secondary interventions (15% for women versus 13.5% for men, p=0.81) or aneurysm dilatation >5 mm (10.5% for women versus 2.3% for men, p=0.10). None of the patients developed device migration >10 mm or required intervention for migration. Conclusion: While women underwent conversion to open repair more frequently compared to men at 2 years post EVAR, there was no difference in survival, freedom from aneurysm rupture, or need for secondary interventions between groups. As in men, the Zenith AAA Endovascular Graft provides reliable protection from aneurysm rupture and aneurysm-related death in women in a midterm follow-up.
AB - Purpose: To analyze the 2-year outcomes of female patients after endovascular aortic aneurysm repair (EVAR) with the Zenith AAA Endovascular Graft. Methods: A retrospective analysis was conducted of data from the US Zenith multicenter trial and the Zenith female registry on 40 women (10.9%, study group) and 326 men (89.1%, control group) enrolled. All patients had completed their 2-year follow-up. Primary study endpoints were survival, aneurysm rupture, and conversion rate. Significance was assumed if p<0.05. Results: Overall rates of mortality (12.5% for women versus 13.2% for men, p=0.94) and aneurysm rupture (2.5% for women versus 0% for men, p=0.11) were comparable between groups. Conversion to open repair within 2 years was significantly more frequent in women compared to men (7.5% versus 0.6%, p=0.01). The incidence of endoleaks of any type was equivalent between groups at 2 years (13.3% for women versus 6.9% for men, p=0.30). No difference was observed in the need for secondary interventions (15% for women versus 13.5% for men, p=0.81) or aneurysm dilatation >5 mm (10.5% for women versus 2.3% for men, p=0.10). None of the patients developed device migration >10 mm or required intervention for migration. Conclusion: While women underwent conversion to open repair more frequently compared to men at 2 years post EVAR, there was no difference in survival, freedom from aneurysm rupture, or need for secondary interventions between groups. As in men, the Zenith AAA Endovascular Graft provides reliable protection from aneurysm rupture and aneurysm-related death in women in a midterm follow-up.
KW - Abdominal aortic aneurysm
KW - Aneurysm rupture
KW - Conversion
KW - Endovascular repair
KW - Female gender
KW - Gender-specific outcomes
KW - Mortality
UR - http://www.scopus.com/inward/record.url?scp=34248668749&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34248668749&partnerID=8YFLogxK
U2 - 10.1583/1545-1550(2007)14[115:IOGOTO]2.0.CO;2
DO - 10.1583/1545-1550(2007)14[115:IOGOTO]2.0.CO;2
M3 - Article
C2 - 17484525
AN - SCOPUS:34248668749
SN - 1526-6028
VL - 14
SP - 115
EP - 121
JO - Journal of Endovascular Therapy
JF - Journal of Endovascular Therapy
IS - 2
ER -