Unknown

Dataset Information

0

Platelet Count Recovery after Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm.


ABSTRACT: Objective: To find a new predictor of endoleak (EL) and aneurysm sac expansion after endovascular aneurysm repair (EVAR), we evaluated the platelet count recovery (PCR) process after EVAR. Materials and Methods: Two hundred five patients treated with elective EVAR from 2007 to 2015 were retrospectively analyzed. We compared the platelet count ratio until postoperative day (POD) 7 to the presurgical baseline between patients with and without persistent EL (≥ 6 months). Subsequently, we calculated the optimal platelet count ratio for distinguishing persistent EL using receiver-operating characteristics analysis. A platelet count ratio on POD7 ≥118% was defined as the PCR. We evaluated the PCR's influence on the cumulative aneurysm sac expansion rate. Results: The average platelet count ratio on POD7 rose above baseline (112%), and the ratio was attenuated by persistent EL (103%). Of 205 patients, 126 (61%) were assigned to the disturbed PCR group (PCR(-) group). Cumulative aneurysm sac expansion rate was higher in the PCR(-) group than the PCR(+) group (34.4% vs. 12.8% in 5 years, p=0.01). Conclusion: Disturbed PCR after EVAR may be associated with ELs and eventual aneurysm sac expansion.

SUBMITTER: Inoue K 

PROVIDER: S-EPMC7991710 | biostudies-literature |

REPOSITORIES: biostudies-literature

Similar Datasets

| S-EPMC10749584 | biostudies-literature
| S-EPMC5548202 | biostudies-other
| S-EPMC6519219 | biostudies-literature
| S-EPMC4550486 | biostudies-literature
| S-EPMC7961355 | biostudies-literature
| S-EPMC7333089 | biostudies-literature
| S-EPMC4276501 | biostudies-literature
| S-EPMC4762122 | biostudies-other
| S-EPMC4884140 | biostudies-literature
| S-EPMC7042040 | biostudies-literature