Outcome Analysis of Speed Gate Cannulation during Standard Infrarenal Endovascular Aneurysm Repair
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Unmatched Cohort | Matched Cohort | ||||||
---|---|---|---|---|---|---|---|
Variables | SGC (89) | STD (83) | p | SGC (78) | STD (78) | SE Diff | p |
Age, y, (SD) | 78 [±8] | 81 [±9] | 0.16 | 78 [±8] | 81 [±9] | −6.4 | 0.21 |
Male gender, n (%) | 63 (70.8) | 67 (80.7) | 0.94 | 62 (79.5) | 63 (80.8) | 0.12 | 1 |
Associated comorbidities | |||||||
Hypertension, n (%) | 81 (91) | 67 (80.7) | <0.001 | 65 (83.3) | 59 (75.6) | 0.07 | 0.66 |
Ever smoker, n (%) | 48 (53.9) | 49 (59) | 0.9 | 47 (60.2) | 46 (59) | 0.11 | 0.9 |
COPD, n (%) | 11 (12.3) | 15 (18.1) | 0.6 | 10 (12.8) | 10 (12.8) | 0.12 | 0.77 |
CVD, n (%) | 8 (9) | 7 (8.4) | 0.4 | 6 (7.7) | 6 (7.7) | 0.14 | 0.75 |
PAD, n (%) | 11 (12.3) | 17 (20.5) | <0.001 | 10 (12.8) | 11 (14.1) | 0.12 | 0.74 |
Diabetes, n (%) | 41 (46.1) | 48 (57.8) | 0.2 | 35 (44.9) | 27 (34.6) | 0.13 | 0.55 |
Lipid Disorder, n (%) | 63 (70.8) | 55 (66.3) | <0.001 | 57 (73.1) | 54 (69.2) | 0.15 | 0.42 |
CAD, n (%) | 44 (49.4) | 42 (50.6) | 0.3 | 35 (44.9) | 41 (52.6) | 0.11 | 0.58 |
Previous CI, n (%) | 21 (23.6) | 27 (32.5) | 0.5 | 17 (21.8) | 18 (23.1) | 0.05 | 0.66 |
Preop GFR < 60 mL/min, n (%) | 10 (11.2) | 12 (14.4) | 0.4 | 9 (11.5) | 9 (11.5) | 0.11 | 0.71 |
LVEF < 50%, n (%) | 13 (14.6) | 15 (18.1) | 0.4 | 12 (15.4) | 13 (16.7) | 0.15 | 0.75 |
Preoperative NYHA classification | |||||||
I, n (%) | 69 (77.5) | 57 (68.7) | 0.5 | 60 (76.9) | 56 (71.8) | 0.09 | 0.89 |
II, n (%) | 12 (13.5) | 16 (19.3) | 0.6 | 11 (14.1) | 14 (18) | 0.11 | 0.71 |
III, n (%) | 5 (5.6) | 6 (7.2) | <0.001 | 4 (5.1) | 5 (6.4) | 0.13 | 0.77 |
IV, n (%) | 3 (3.4) | 4 (4.8) | 0.3 | 3 (3.8) | 3 (3.8) | 0.08 | 0.91 |
ASA classification | |||||||
I, n (%) | 0 | 0 | 1 | 0 | 0 | - | 1 |
II, n (%) | 0 | 0 | 1 | 0 | 0 | - | 1 |
III, n (%) | 63 (70.8) | 61 (73.5) | 0.4 | 59 (75.7) | 58 (74.4) | 0.13 | 0.66 |
IV, n (%) | 26 (29.2) | 22 (26.5) | 0.5 | 19 (24.3) | 20 (25.6) | 0.11 | 0.74 |
Aneurysm behavior | |||||||
MATD, mm [IQR] | 64 [55–71] | 66 [55–77] | 0.42 | 65 [55–69] | 65 [55–70] | 3.7 | 0.35 |
Neck length, mm [IQR] | 13 [10–19] | 15 [11–22] | 0.12 | 14 [10–19] | 15 [11–21] | 6.8 | 0.18 |
Neck angle, ° [IQR] | 43 [25–55] | 34 [22–41] | 0.05 | 38 [23–40] | 39 [24–40] | 4.8 | 0.37 |
Neck diameter, mm [IQR] | 26 [22–29] | 24 [20–27] | 0.6 | 24 [21–28] | 24 [20–28] | 7.2 | 0.36 |
Right CIA involvement, n (%) | 17 (19.1) | 13 (15.7) | 0.73 | 15 (19.2) | 12 (15.4) | 0.11 | 0.42 |
Left CIA involvement, n (%) | 7 (7.9) | 9 (10.8) | 0.65 | 6 (7.7) | 8 (10.2) | 0.12 | 0.39 |
Fusiform Shape, n (%) | 63 (70.8) | 59 (71.1) | 0.8 | 58 (74.4) | 55 (70.5) | 0.3 | 0.71 |
Unmatched Cohort | Matched Cohort | ||||||
---|---|---|---|---|---|---|---|
Variables | SGC (89) | STD (83) | p | SGC (78) | STD (78) | SE Diff | p |
Stents graft fabric | |||||||
Endurant, n (%) | 64 (71.9) | 63 (75.9) | 0.42 | 58 (74.4) | 59 (75.6) | 0.12 | 1 |
Endologix, n (%) | 16 (18) | 13 (15.7) | 0.5 | 13 (16.7) | 12 (15.4) | 0.12 | 1 |
Zenith, n (%) | 5 (5.6) | 4 (4.8) | 0.3 | 4 (5.1) | 4 (5.1) | 0.15 | 1 |
Excluder, n (%) | 4 (4.5) | 3 (3.6) | 0.3 | 3 (3.8) | 3 (3.8) | 0.13 | 1 |
Number of components, n [IQR] | 2 [1–3] | 3 [1–4] | 0.16 | 2 [1–3] | 3 [1–3] | 1 | 0.8 |
“Ballerina” configuration, n (%) | 48 (54) | 42 (50.6) | 0.54 | 41 (52.6) | 41 (52.6) | 0.21 | 0.71 |
Operative time, min [IQR] | 66 [60–75] | 79 [68–85] | 0.73 | 73 [67–85] | 77 [74–86] | 2.1 | 0.07 |
CGC time, min [IQR] | 3 [1–5] | 12 [7–17] | <0.001 | 4 [1–6] | 8 [6–14] | 1.2 | 0.001 |
Mean contrast medium, mL [IQR] | 55 [45–72] | 81 [77–93] | <0.001 | 61 [50–72] | 77 [71–92] | 1.3 | 0.03 |
Fluoroscopy time, min [IQR] | 11 [8–14] | 21 [13–23] | <0.001 | 12 [9–16] | 17 [12–25] | 1.4 | 0.001 |
DAP, G*cm2 [IQR] | 14 [9–18] | 32 [28–36] | <0.001 | 15 [9–21] | 26 [16–34] | 0.1 | <0.001 |
CGC Fluoroscopy time, sec [IQR] | 45 [27] | 96 [32] | <0.001 | 45 [26–65] | 96 [70–133] | 1 | 0.001 |
CGC Time | |||||
---|---|---|---|---|---|
Aneurysm Behavior | Stents Graft Fabric | ||||
MATD | Correlation | −0.108 | Endurant | Correlation | −0.043 |
Sig (2-t) | 0.48 | Sig (2-t) | 0.777 | ||
Neck length | Correlation | −0.139 | Endologix | Correlation | 0.164 |
Sig (2-t) | 0.161 | Sig (2-t) | 0.281 | ||
Neck angle | Correlation | −0.347 | Zenith | Correlation | −0.1 |
Sig (2-t) | 0.02 | Sig (2-t) | 0.513 | ||
Neck diameter | Correlation | 0.05 | Excluder | Correlation | −0.144 |
Sig (2-t) | 0.744 | Sig (2-t) | −0.344 | ||
Right CIA involvement | Correlation | 0.1 | Number of components | Correlation | −0.22 |
Sig (2-t) | 0.513 | Sig (2-t) | 0.146 | ||
Left CIA involvement | Correlation | 0.154 | “Ballerina” configuration | Correlation | −0.093 |
Sig (2-t) | 0.312 | Sig (2-t) | 0.544 | ||
Sacciform Shape | Correlation | 0.387 | Operative time | Correlation | −0.071 |
Sig (2-t) | 0.04 | Sig (2-t) | 0.644 |
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Mirabella, D.; Evola, S.; Dinoto, E.; Setacci, C.; Pakeliani, D.; Setacci, F.; Annicchiarico, P.; Pecoraro, F. Outcome Analysis of Speed Gate Cannulation during Standard Infrarenal Endovascular Aneurysm Repair. J. Clin. Med. 2023, 12, 6263. https://doi.org/10.3390/jcm12196263
Mirabella D, Evola S, Dinoto E, Setacci C, Pakeliani D, Setacci F, Annicchiarico P, Pecoraro F. Outcome Analysis of Speed Gate Cannulation during Standard Infrarenal Endovascular Aneurysm Repair. Journal of Clinical Medicine. 2023; 12(19):6263. https://doi.org/10.3390/jcm12196263
Chicago/Turabian StyleMirabella, Domenico, Salvatore Evola, Ettore Dinoto, Carlo Setacci, David Pakeliani, Francesco Setacci, Paolo Annicchiarico, and Felice Pecoraro. 2023. "Outcome Analysis of Speed Gate Cannulation during Standard Infrarenal Endovascular Aneurysm Repair" Journal of Clinical Medicine 12, no. 19: 6263. https://doi.org/10.3390/jcm12196263