BACKGROUND: The endovascular treatment of thoraco @entity1028 (TAAA) is a minimally invasive solution. However, @entity1 selection remains a major problem. We have analysed our experience to identify the risk factors for post-operative morbidity and mortality and to construct a scoring system to identify those @entity1 likely to benefit from this treatment. METHODS: We have analysed a consecutive cohort of @entity1 treated electively for TAAA using endovascular techniques between 2006 and October 2012. All data were collected prospectively. The risk factors associated with @entity2759 ( @entity2759 ), the need for post-operative dialysis and 30 day mortality were determined using multivariate statistical techniques and a logistic regression model including all variables that were significant on univariate analysis (p < 0.05). A predictive score was calculated using a Received Operating Characteristic (ROC) curve, defining best specificity and sensibility. RESULTS: We analysed the data from 123 @entity1 (median age 70 years). The 30 day mortality rate was 8% (10 @entity1 ). The @entity2759 rate was 6% (7 @entity1 ). One @entity1 (1%) required long-term dialysis after the aortic procedure. The cumulative  early mortality, @entity2759 and permanent dialysis rate was 14% (17 @entity1 ). In multivariate analysis, adverse outcome was associated with advanced age (OR = 1.110 ; p = 0.022), and Crawford type I or II or III (OR = 9.292 ; p = 0.002) as compared with Crawford type IV. Pre-operative beta blocker (BB) treatment was a protective factor (OR = 0.099 ; p = 0.005). A predictive score was then constructed : Score = -10.060 + 0.104x(A) +2.229x(B) -2.315x(C) (A = @entity1 age ; B = 1 if TAAA Crawford type 1, 2 or 3, 0 if TAAA type 4 ; C = 1 if on-going BB treatment (30 days pre-surgery minimum), 0 if none). Its sensitivity and specificity were 88% and 89% respectively. CONCLUSIONS: We propose a simple predictive scoring system. This tool is useful in predicting the most feared complications after endovascular TAAA repair and has potential use in the identification and counselling of vulnerable @entity1 being considered for surgery. More data are needed to refine the prediction of individual operative risks.

A new score to predict post operative complications after endovascular treatment of thoraco XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2759 :: ('MESH:D020760', 'Disease') :: ['SCI', 'spinal cord ischemia'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysms']
@entity1028 :: (MESH:D017544,Disease) :: ['abdominal aortic aneurysms']
