Open abdominal aortic aneurysm repair in the endovascular era: Effect of clamp site on outcomes

Gregory Landry, Ignatius Lau, Timothy Liem, Erica Mitchell, Gregory (Greg) Moneta

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Abstract

Objective: To describe a contemporary series of open abdominal aortic aneurysm (AAA) repairs in patients not anatomically suitable for endovascular AAA repair. Methods: A prospectively maintained database including consecutive nonruptured open aneurysm repairs from March 1, 2000, through July 31, 2007, was reviewed. Patient demographic characteristics and perioperative outcomes were evaluated and stratified based on proximal aortic cross-clamp placement. Results: A total of 185 patients with AAA underwent 103 infrarenal and 82 suprarenal cross-clamp repairs. Overall, the complication rate was 37.0% with infrarenal and 61.0% with suprarenal cross-clamps (P=.001). The 30-day mortality was 2.9% with infrarenal and 6.1% with suprarenal cross-clamps (P=.18). Postoperative renal insufficiency (29.3% vs 7.8%; P

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ASJC Scopus subject areas

  • Surgery

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