Name:Mohamad Ibrahim Ftyan
Email :Dr.Ftyan@hotmail.com
“Impact of Kidney Disease on Outcomes Following Endovascular Aneurysm Repair”
Abstract:
Endovascular aneurysm repair (EVAR) is a prevalent minimally invasive method for treating aortic aneurysms, providing lower perioperative morbidity and mortality rates compared to open surgical repair. Outcomes after EVAR differ markedly among patient populations, especially in those with chronic kidney disease (CKD). Chronic kidney disease (CKD) is linked to diminished physiological reserve, cardiovascular comorbidities, and heightened susceptibility to acute kidney injury (AKI), reliance on dialysis, and perioperative mortality. This study sought to assess the influence of chronic kidney disease (CKD) on outcomes after endovascular aneurysm repair (EVAR), examine the correlation between CKD and postoperative acute kidney injury (AKI), and identify perioperative strategies to alleviate negative effects. Employing a descriptive and quantitative methodology, data were extracted from patient medical records, categorised by CKD stage, and analysed utilising SPSS. The findings demonstrated that advanced chronic kidney disease markedly elevated the occurrence of acute kidney injury, prolonged hospitalisations, and intensified the requirement for dialysis, whereas enhanced perioperative management mitigated these risks. The results emphasise that the severity of CKD is a critical factor influencing both short- and long-term outcomes after EVAR, indicating the necessity for focused perioperative strategies to enhance patient prognosis.
Keywords: Endovascular aneurysm repair, chronic kidney disease, acute kidney injury, perioperative management, vascular surgery.
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