The risk factors of systemic inflammatory response syndrome after endovascular aortic repair of the aortic aneurysm

VernacularTitle:主动脉瘤腔内治疗术后全身炎症反应综合征的风险因素研究
Author: Tao ZHANG ; Jiang XIONG ; Xin JIA ; Senhao JIA ; Jie LIU ; Yingchun SONG ; Wei GUO
Publication Type:Journal Article
Keywords: Aortic aneurysm; Systemic inflammatory response syndrome; Endovascular aortic repair; Risk factors
From: Chinese Journal of General Surgery 2012;(12):992-995
CountryChina
Language:Chinese
Abstract: Objective To explore the relationship between the endovascular aortic repair (EVAR)in patients with abdominal aortic aneurysm (AAA) and postoperative systemic inflammatory response syndrome (SIRS).Methods In this study,93 AAA patients undergoing EVAR were enrolled.Analysis was performed to evaluate the incidence of SIRS during peri-operation period.Logistic multiple regression analysis was performed to determine the parameters predicting SIRS.Results The incidence of SIRS was 58.1％.Aneurysm size,mural thrombus,iliac artery lesion,number of stent,operating time,volume of contrast agent,blood loss and length of stay were all significantly correlated with SIRS (P ＜ 0.05).In a logistic regression model,history of kidney disease or operation,aneurysm size,ruptured aneurysm and number of stents were strongly and independently associated with SIRS.Conclusions SIRS is common in AAA patients after EVAR.Optimizing treatment strategies avoiding risk factors for SIRS benefits AAA patients.