2018, Number 1
Revista Cubana de Angiología y Cirugía Vascular 2018; 19 (1)
García LML, Pentón BB, Musenden OE, Peguero BY, Díaz HO, Hidalgo CT
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ABSTRACTIntroduction: The metabolic syndrome is related to the increase of the morbidity and the mortality of diseases.
Objective: To determine the influence of the metabolic syndrome on the results of the revascularization surgery performed in the aortic-iliac sector.
Methods: A two-phase descriptive study was conducted in 114 patients, who were diagnosed with infrarenal aortic aneurysm or steno-occlusive aortic-iliac disease and treated in "Hermanos Ameijeiras" hospital from 2010-2014. The study variables were presence of metabolic syndrome and type of positive criteria of the same, disease on admission, postoperative complications, patient´s condition on discharge (alive/dead) and hospital length of stay at hospital. The corresponding statistical analysis was made.
Results: Sixty four percent presented with the metabolic syndrome (p= 0.004), predominating in steno-occlusive disease (48.2%) and the infrarenal abdominal aorta aneurysm (15.8 %) without significant differences between the two conditions (P= 0.466). In the group, 43.8 % showed four positive criteria, being hypertension the most common (94.5 %). Post-surgical complications (related to surgery and respiratory problems) occurred in 64.4 %. There were five deaths (5.3%) due to cardiovascular disease and peripheral vascular diseases. The 50.7% of patients with complicated metabolic syndrome had stayed more than 10 days at hospital after surgery.
Conclusions: The metabolic syndrome has negative impact on the results of the revascularization surgery of the aortic-iliac sector in patients with infrarenal abdominal aorta aneurysm or with aortic-iliac-femoral steno-occlusive disease, due to increased frequency of postoperative complications.