Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis

Cirugia espanola Pub Date : 2025-05-01 DOI:10.1016/j.cireng.2024.11.019

Del Río-Solá M.ª Lourdes , Romero-Estrella M.ª Rosario , Roedan-Oliver Joan , Asensio-Rodriguez Sergio , Pérez-Fernández Sandra , Rial-Horcajo Rodrigo

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Abstract

Introduction

The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.

Methods

A meta-analysis was conducted of 8 studies involving 26 473 patients, evaluating 30-day mortality rates by comparing open surgical repair with endovascular repair and stratifying results by sex.

Results

The 30-day mortality rate was 23.0% in women versus 13.0% in men, with an odds ratio (OR) of 2.05. Women had higher rates of postoperative complications, such as stroke (6.0% vs. 4.0%) and renal failure (8.0% vs. 5.0%), as well as prolonged ICU stay (12.3 ± 6.4 days vs. 10.2 ± 5.7 days).

Conclusion

These findings highlight the importance of adjusting surgical approaches to improve outcomes in women with R-AAA. Continued prospective studies are recommended to optimize treatment protocols.

查看原文本刊更多论文

女性腹主动脉瘤破裂手术修复的策略管理和结果：系统回顾和荟萃分析。

简介：腹主动脉瘤破裂（R-AAA）的修复具有很高的死亡率。本研究旨在分析术后预后的差异。方法：对8项研究进行荟萃分析，纳入26473例患者，通过比较开放手术修复与血管内修复的30天死亡率，并按性别对结果进行分层。结果：30天死亡率女性为23.0%，男性为13.0%，优势比（OR）为2.05。女性术后并发症发生率较高，如卒中（6.0%比4.0%）和肾衰竭（8.0%比5.0%），ICU住院时间延长（12.3±6.4天比10.2±5.7天）。结论：这些发现强调了调整手术入路以改善R-AAA女性预后的重要性。建议继续进行前瞻性研究以优化治疗方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cirugia espanola

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