Hospital Incidence and Treatment Outcomes of Patients with Aneurysms and Dissections of the Iliac Artery in...

Area of Science:

• Vascular Surgery
• Epidemiology
• Public Health

Background:

• Aneurysms and dissections of the iliac artery (ADIAs) are significant vascular conditions.
• Isolated iliac artery pathologies are rarely reported, despite their clinical importance.
• Understanding the epidemiology and treatment outcomes of ADIA is crucial for vascular health management.

Purpose of the Study:

• To investigate the epidemiology of ADIA in Switzerland.
• To determine the incidence of ADIA treatment.
• To analyze hospital outcomes, including mortality rates, for ADIA.

Main Methods:

• Retrospective analysis of diagnosis-related group (DRG) statistics in Switzerland from 2011 to 2018.
• Inclusion of ADIA cases, excluding those with concomitant aortic pathology treatment.
• Assessment of age-standardized incidence rates, treatment outcomes, and multivariable logistic regression for mortality factors.

Main Results:

• 1037 ADIA cases were hospitalized between 2011 and 2018.
• Elective ADIA treatment incidence was significantly higher in men (increasing from 1.5 to 2.4 per 100,000) than women (stable at ~0.2 per 100,000).
• Endovascular repair demonstrated significantly lower hospital mortality rates (0.8% elective, 6.7% emergency) compared to open repair (3.1% elective, 18.4% emergency).

Conclusions:

• Nationwide data reveal ADIA treatment incidence is substantially higher in men than women.
• Endovascular repair is associated with significantly reduced hospital mortality for ADIA compared to open repair.
• Hospital mortality rates for ADIA were comparable between men and women.