Risk Factors of Estrera et al for 30-Day Mortality Following Ascending and Transverse Aortic Arch Repair

Description

Estrera et al identified risk factors affecting survival following ascending and transverse aortic arch repair. These can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Texas at Houston and the Memorial Hermann Heart and Vascular Institute.

Outcome: 30-day mortality following surgery

Risk factors associated with a poor outcome on multivariate analysis:

(1) poor renal function as measured by the glomerular filtration rate (GFR)

(2) emergency surgery

(3) prolonged pump time during surgery

(4) poor retrograde cerebral perfusion

GFR	30-Day Mortality
> 100 mL per min	5%
56 to 99 mL per min	9 to 10%
< 55 mL per min	20%

Additional factors identified on univariate analysis:

(1) severe coronary artery disease

(2) acute dissection

(3) prolonged circulatory arrest

(4) advanced age

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty

ICD-10