Selen Öztürk1, İlyas Kayacıoğlu1, İbrahim Öztürk2
1Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
2Department of Anesthesiology and Reanimation, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
Keywords: Aortic aneurysm, elderly, endovascular repair, open repair
Objectives: In this study, we aimed to compare open surgery and endovascular aneurysm repair in terms of renal failure development in patients over 80 years of age.
Materials and methods: The literature search was carried out in PubMed, Ovid, Web of Science, and Scopus electronic databases without publication date and language restriction. Clinical studies involving the group of patients over 80 years old, comparing open surgery and endovascular aneurysm repair, including post-procedural renal failure rates, were included in the analysis. The results of the studies were evaluated according to the presence of heterogeneity (I2>25%) by the random or fixed effect model.
Results: A total of 7,845 articles were reached. After reviewing the article titles and abstracts, 10 articles including 9,027 patients were included in the analysis. As a result of the analysis, there was a significant difference between open surgery and endovascular aneurysm repair in terms of renal failure development (odds ratio [OR]: 0.378, 95% confidence interval [CI]: 0.187-0.765 and p=0.007). Studies were observed to be heterogeneous (I2=83.8%). Possible publication bias results were not significant using the Begg test (tau2=0.70).
Conclusion: Our study results suggest that aortic aneurysm repair with both techniques carries serious risks for renal failure, and the risk
is higher with open surgical technique in patients over the age of 80.