Rogier H J Kropman1, Andrea van Meurs2, Bram Fioole3, Jan Albert Vos4, Hjalmar C van Santvoort5, Marc van Sambeek6, Frans L Moll5, Jean-Paul P M de Vries2. 1. Department of Vascular Surgery, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands. Electronic address: r.kropman@antoniusziekenhuis.nl. 2. Department of Vascular Surgery, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands. 3. Department of Vascular Surgery, Maasstad Hospital Rotterdam, Rotterdam, The Netherlands. 4. Department of Radiology, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands. 5. Department of Vascular Surgery, University Medical Center, Utrecht, The Netherlands. 6. Department of Vascular Surgery, Catharina Hospital Eindhoven, The Netherlands.
Abstract
BACKGROUND: We compared initial and long-term outcomes between men and women after endovascular and open repair of popliteal artery aneurysms (PAAs). METHODS: Between January 1993 and July 2011, 202 patients (185 men [92%]), underwent open (n = 186) or endovascular (n = 16) repair of a PAA. Data were retrospectively analyzed. RESULTS: Significant differences in baseline characteristics were determined between men and women with regard to aneurysm diameter (men: 30 mm [range: 14-90]; women: 26 mm [range: 13-70]; P = 0.02) and age (men: 66 ± 10 years; women: 71 ± 9 years; P = 0.05). The 30-day mortality rate was 0% in both groups. No significant differences were determined concerning 30-day complications. The median follow-up was 55 months (range: 1-121 months) in men, compared with 35 months (range: 1-183 months) in women (P = 0.74). The primary patency rates at 1, 3, and 5 years were 88%, 82%, and 76% in men compared with 64%, 64%, and 48% in women, respectively (P = 0.007). The limb salvage rates in men at 1, 3, and 5 years were 97%, 97%, and 96%, and in women were 87%, 87%, and 87%, respectively (P = 0.07). When correcting for potential confounders with multivariable regression analysis, sex was independently associated with primary patency (hazard ratio: 2.98 [95% confidence interval: 1.39-6.42]; P = 0.005). CONCLUSIONS: No significant differences between men and women were observed in 30-day mortality and morbidity rates after PAA repair. In the long run, women are associated with lower primary patency rates and a trend toward lower limb salvage rates compared to men.
BACKGROUND: We compared initial and long-term outcomes between men and women after endovascular and open repair of popliteal artery aneurysms (PAAs). METHODS: Between January 1993 and July 2011, 202 patients (185 men [92%]), underwent open (n = 186) or endovascular (n = 16) repair of a PAA. Data were retrospectively analyzed. RESULTS: Significant differences in baseline characteristics were determined between men and women with regard to aneurysm diameter (men: 30 mm [range: 14-90]; women: 26 mm [range: 13-70]; P = 0.02) and age (men: 66 ± 10 years; women: 71 ± 9 years; P = 0.05). The 30-day mortality rate was 0% in both groups. No significant differences were determined concerning 30-day complications. The median follow-up was 55 months (range: 1-121 months) in men, compared with 35 months (range: 1-183 months) in women (P = 0.74). The primary patency rates at 1, 3, and 5 years were 88%, 82%, and 76% in men compared with 64%, 64%, and 48% in women, respectively (P = 0.007). The limb salvage rates in men at 1, 3, and 5 years were 97%, 97%, and 96%, and in women were 87%, 87%, and 87%, respectively (P = 0.07). When correcting for potential confounders with multivariable regression analysis, sex was independently associated with primary patency (hazard ratio: 2.98 [95% confidence interval: 1.39-6.42]; P = 0.005). CONCLUSIONS: No significant differences between men and women were observed in 30-day mortality and morbidity rates after PAA repair. In the long run, women are associated with lower primary patency rates and a trend toward lower limb salvage rates compared to men.