Risk Factors and Outcomes for Colonic Ischemia after Abdominal Aortic Aneurism Repair

Abstract

Mric ischemia remains a major adverse event following abdominal aorticesente aneurysm (AAA) repair associated with a high mortality (Saskia et al., 2019). The incidence of clinically significant Mesenteric ischemia is in the range of 1 to 3% after elective surgery and 10% in case of rupture. When routine postoperative colonoscopy is performed, the incidence is higher (Djavani et al., 2009). Mesenteric ischemia after AAA repair has a multifactorial origin leading to hypo perfusion of the intestines. Patient-dependent variables are age, renal impairment, and smoking. These variables are also associated with the development of atherosclerosis leading to a higher risk of mesenteric ischemia (Neary