Evidence map›Paper›PMID 39406869›Full record

ArticleCardiovascular and interventional radiology2024

Effects of Chronic Obstructive Pulmonary Disease on the Outcomes of Fenestrated-Branched Endovascular Aortic Aneurysm Repair.

Felipe L Pavarino, Mira T Tanenbaum, Andres V Figueroa, Carla K Scott, Alejandro Pizano, Jesus Porras-Colon, Anna L Driessen, Gerardo G Guardiola, Mirza S Baig, Carlos H Timaran

Abstract read
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In one paragraph

Article in Cardiovascular and interventional radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Felipe L Pavarino *Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Mira T Tanenbaum *Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Andres V FigueroaDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Carla K ScottDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Alejandro PizanoDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Jesus Porras-ColonDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Anna L DriessenDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Gerardo G GuardiolaDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Mirza S BaigDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA.
Carlos H TimaranDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd., POB 1, Suite 620, Dallas, TX, 75390-9157, USA. carlos.timaran@utsouthwestern.edu.ORCID http://orcid.org/0000-0001-5251-0633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic obstructive pulmonary disease (COPD) is common in patients with aortic aneurysms. Severe COPD is associated with an increased risk of aneurysm rupture and perioperative complications. This study assesses the outcomes of COPD and non-COPD patients after fenestrated-branched endovascular aortic aneurysm repair (FBEVAR). MATERIALS AND

methodsA single institution, retrospective study of FBEVAR patients between 2011 and 2020 compared outcomes between COPD and non-COPD patients. COPD patients were stratified by Global Initiative for Chronic Obstructive Lung Disease criteria and oxygen dependence. Outcome measures included 30-day mortality, pulmonary complications, major adverse events (MAE), and mid-term survival.

results387 patients (71% male, age 72 years, interquartile range [68-79]) underwent FBEVAR. 181 patients (47%) had COPD. Smoking history was more frequent in COPD patients (P = .022). Among COPD patients, 20.4% were oxygen-dependent. Technical success, defined as successful delivery of the main aortic endograft and all intended side branches, was 98.4%. 30-day mortality (P = .83) and MAE rates (P = .87) were similar between groups. While not statistically significant, COPD patients had more frequent pulmonary complications (6.1% vs. 2.4%, P = .13) and were more frequently discharged on oxygen (P = .002). There were no differences in intensive care unit or hospital length of stay between groups (P = .29; P = .85, respectively). 5-year survival was similar between groups (P = .10). Oxygen-dependent COPD and severe-very severe COPD were associated with decreased mid-term survival (Hazard Ratio 2.39, P = .048).

conclusionsFBEVAR is safe and effective for treating complex aortic pathology in COPD patients, including oxygen-dependent patients. Patients with more severe COPD were more frequently discharged on oxygen. Mid-term survival was slightly reduced in patients with oxygen-dependent and severe-very severe COPD. LEVEL OF EVIDENCE: Level 3, non-randomized controlled cohort/follow-up study.

Indexed as

Blood Vessel Prosthesis ImplantationEndovascular ProceduresPostoperative ComplicationsPulmonary Disease, Chronic ObstructiveAgedAortic Aneurysm, AbdominalFemaleHumansMaleRetrospective StudiesRisk FactorsTreatment OutcomeAortic aneurysmChronic obstructive pulmonary diseaseEndovascularRisk factorsThoracoabdominal aneurysm

Identifiers

PMID39406869

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.