Effect on post 30d outcomes of CKD and statin Rx on juxtarenal open AAA repairs, by Sivaram Premnath

CKD and statin talk

Premnath

Staff grade at Derby

Long term survival outcomes after open repair of JAAA

2011-22

juxta AAA defined as neck less than 10 mm

CKD as less than eGFR 60

looked at AKI post op too

Analysis Outcomes:

MACE looked at

77 patients

81% male

18% had underlyng CKD

39% were emergency repair

No difference in LTS between planned and emergency repair (THE ANALYSIS EXCLUDED ALL MORTALITY WITHIN 30 DAYS)

In terms of MACE as well, no difference between elective and emergency groups

Long Term Survival

big difference between yes and no CKD in terms survival

Those who had post op AKI as well, big diff between these on survival

big difference in LTS favouring those who were on pre op statin therapy

Qn:

what about cross clamp

Only 30% had supra renal clamp

The remainder had inter renal or angulated clamp

Those who had supra renal clamp had higher 30d M

however all those with 30D mortality were removed from this analysis!