Surgical Outcomes of Endovascular Aneurysmal Repairs of Aortic Aneurysms in Indian Population: A Single Centre Cohort Study

Availability of scarce Indian data on endovascular management of aortic aneurysms contrived this study which was aimed to assess and analyse the surgical outcomes of endovascular aortic aneurysm repair in the Indian population. Data of 180 patients of a single centre was analysed to ascertain surgical outcomes of this cohort. Aortic aneurysms showed a male predilection with majority of the cohort > 60 years old. Smoking was prevalent amongst patients (80%), and the two genders showed near identical smoking profile. Most of the patients had incidental presentation of the disease. On univariate logistic analysis, CAD ( OR = 6.22; 95% CI 1.00–38.70, p = 0.047) and pain with induration at the operated site ( OR = 27.82; 95% CI 2.97–260.37, p = 0.004) were significant independent predictors of 30-day mortality. Statistical analysis between number of existing comorbidities of the patient and post-operative pain and induration at the access site revealed a positive corelation (AAA: c2 value = 4.243; p value = 0.515; TAA: c2 value = 28.847; p value = 0.0001*) as did the analysis with SSI (AAA: c2 value = 2.732; p value = 0.741; TAA: c2 value = 14.653; p value = 0.012*). Incidence of surgical site infection was significantly higher in patients who had access site hematoma at 24 h ( p value 0.001). A well-defined institutional protocol can prevent development of spinal cord ischaemia and decrease morbidity and mortality associated with existing cardiac comorbidities which otherwise lead to a poorer outcome.