Journal of Vascular Surgery
Volume 50, Issue 4 , Pages 749-754 , October 2009

Perioperative asymptomatic cardiac damage after endovascular abdominal aneurysm repair is associated with poor long-term outcome

Parts of this article were presented at the Vascular Annual Meeting 2009, Denver, Colo, June 11-13, 2009.

  • Tamara A. Winkel, MD

      Affiliations

    • Department of Vascular Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
  • ,
  • Olaf Schouten, MD

      Affiliations

    • Department of Vascular Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
  • ,
  • Jan-Peter van Kuijk, MD

      Affiliations

    • Department of Anesthesiology, Erasmus Medical Center, Rotterdam, The Netherlands
  • ,
  • Hence J.M. Verhagen, MD

      Affiliations

    • Department of Vascular Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
  • ,
  • Jeroen J. Bax, MD

      Affiliations

    • Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
  • ,
  • Don Poldermans, MD

      Affiliations

    • Department of Anesthesiology, Erasmus Medical Center, Rotterdam, The Netherlands
    • Corresponding Author InformationCorrespondence: Prof. Dr. Don Poldermans, Department of Vascular Surgery, Room H 805, Erasmus MC, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

Received 12 March 2009 ,Accepted 30 April 2009.

References 

  1. Abraham N, Lemech L, Sandroussi C, Sullivan D, May J. A prospective study of subclinical myocardial damage in endovascular versus open repair of infrarenal abdominal aortic aneurysms. J Vasc Surg. 2005;41:377–380discussion 80-1
  2. Schouten O, Dunkelgrun M, Feringa HH, Kok NF, Vidakovic R, Bax JJ, et al. Myocardial damage in high-risk patients undergoing elective endovascular or open infrarenal abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2007;33:544–549
  3. Le Manach Y, Perel A, Coriat P, Godet G, Bertrand M, Riou B. Early and delayed myocardial infarction after abdominal aortic surgery. Anesthesiology. 2005;102:885–891
  4. Blankensteijn JD, de Jong SE, Prinssen M, van der Ham AC, Buth J, van Sterkenburg SM, et al Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2005;352:2398–2405
  5. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet. 2005;365:2179–2186
  6. Schouten O, van Waning VH, Kertai MD, Feringa HH, Bax JJ, Boersma E, et al. Perioperative and long-term cardiovascular outcomes in patients undergoing endovascular treatment compared with open vascular surgery for abdominal aortic aneurysm or iliaco-femoro-popliteal bypass. Am J Cardiol. 2005;96:861–866
  7. Schouten O, Lever TM, Welten GM, Winkel TA, Dols LF, Bax JJ, et al. Long-term cardiac outcome in high-risk patients undergoing elective endovascular or open infrarenal abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2008;36:646–652
  8. Korff S, Katus HA, Giannitsis E. Differential diagnosis of elevated troponins. Heart (British Cardiac Society). 2006;92:987–993
  9. Poldermans D, Bax JJ, Schouten O, Neskovic AN, Paelinck B, Rocci G, et al. Should major vascular surgery be delayed because of preoperative cardiac testing in intermediate-risk patients receiving beta-blocker therapy with tight heart rate control?. J Am Coll Cardiol. 2006;48:964–969
  10. Boersma E, Poldermans D, Bax JJ, Steyerberg EW, Thomson IR, Banga JD, et al. Predictors of cardiac events after major vascular surgery: role of clinical characteristics, dobutamine echocardiography, and beta-blocker therapy. JAMA. 2001;285:1865–1873
  11. Hertzer NR, Beven EG, Young JR, O'Hara PJ, Ruschhaupt WF, Graor RA, et al. Coronary artery disease in peripheral vascular patients (A classification of 1000 coronary angiograms and results of surgical management). Ann Surg. 1984;199:223–233
  12. Feringa HH, Karagiannis S, Vidakovic R, Noordzij PG, Brugts JJ, Schouten O, et al. Comparison of the incidences of cardiac arrhythmias, myocardial ischemia, and cardiac events in patients treated with endovascular versus open surgical repair of abdominal aortic aneurysms. Am J Cardiol. 2007;100:1479–1484
  13. Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–1618
  14. Landesberg G, Shatz V, Akopnik I, Wolf YG, Mayer M, Berlatzky Y, et al. Association of cardiac troponin, CK-MB, and postoperative myocardial ischemia with long-term survival after major vascular surgery. J Am Coll Cardiol. 2003;42:1547–1554
  15. Kertai MD, Boersma E, Klein J, Van Urk H, Bax JJ, Poldermans D. Long-term prognostic value of asymptomatic cardiac troponin T elevations in patients after major vascular surgery. Eur J Vasc Endovasc Surg. 2004;28:59–66
  16. de Virgilio C, Tran J, Lewis R, Donayre C, Dauphine C, White R, et al. Factors affecting long-term mortality after endovascular repair of abdominal aortic aneurysms. Arch Surg. 2006;141:905–909discussion 9-10
  17. Azizzadeh A, Sanchez LA, Miller CC, Marine L, Rubin BG, Safi HJ, et al. Glomerular filtration rate is a predictor of mortality after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2006;43:14–18
  18. Freda BJ, Tang WH, Van Lente F, Peacock WF, Francis GS. Cardiac troponins in renal insufficiency: review and clinical implications. J Am Coll Cardiol. 2002;40:2065–2071
  19. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg. 2007;45(suppl S):S5–S67
  20. Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, et al. ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. J Am Coll Cardiol. 2006;47:1239–1312
  21. Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE, et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. J Am Coll Cardiol. 2007;50:e1–e157

 This work was supported by unrestricted research grants from ZonMw, the Netherlands Organization for Health Research and Development (#92003340) to Dr Schouten, and Lijf & Leven Foundation, Rotterdam, the Netherlands, to Dr Winkel.

 Competition of interest: none.

PII: S0741-5214(09)01012-X

doi: 10.1016/j.jvs.2009.04.069

Journal of Vascular Surgery
Volume 50, Issue 4 , Pages 749-754 , October 2009