The risk factors for elevated serum amylase level in patients with abdominal aortic aneurysm after receiving endovascular aortic repair
10.3969/j.issn.1008-794X.2025.05.005
- VernacularTitle:腹主动脉瘤腔内修复术后患者血清淀粉酶增高的危险因素
- Author:
Xiaoyan XU
1
;
Zhifei HU
;
Feng LIU
;
Jianhan YIN
;
Wei GUO
Author Information
1. 100853 北京 中国人民解放军总医院第一医学中心血管外科
- Keywords:
endovascular repair of abdominal aortic aneurysm;
amylase elevation;
risk factor
- From:
Journal of Interventional Radiology
2025;34(5):473-476
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors for elevated serum amylase level in patients with abdominal aortic aneurysm(AAA)after receiving endovascular aortic repair(EVAR).Methods The clinical data of 162 patients with AAA,who received EVAR at the First Medical Center of Chinese PLA General Hospital of China from June 2020 to June 2021,were retrospectively analyzed.According to postoperative blood amylase level,the patients were divided into elevated amylase group(＞150 U/L)and non-elevated amylase group(≤150 U/L).Univariate analysis and multivariate logistic regression model were used to screen out the independent risk factors for elevated amylase.Results Of the 162 patients with AAA after receiving EVAR,54(33.3％,54/162)developed elevated blood amylase.Multivariate logistic regression analysis showed that after adjusting the age,systolic blood pressure,leukocyte,platelet,thrombin time,APTT,fibrinogen,D-dimer,creatinine,alanine aminotransferase,aspartate aminotransferase,operation time and amount of intraoperative blood loss,the preoperative urea level was well correlated with the postoperative blood amylase elevation(OR=1.69,95％CI=1.085-2.650).Conclusion Preoperative urea level is a risk factor for the postoperative blood amylase elevation in patients with AAA after receiving EVAR.
