Cardiothoracic & vascular anesthesia

Effects of Preoperative Low-dose Aspirin on the Incidence of Mesenteric Traction Syndrome in Open Abdominal Aortic Aneurysm Repair: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · Intraoperative MTSResult — go to the resultOdds ratio 0.300 95% CI 0.102–0.777

Authors' conclusion

Preoperative low-dose aspirin reduced the risk of MTS in patients undergoing open abdominal aortic aneurysm repair.

Study context

Population
Patients undergoing open repair of unruptured abdominal aortic aneurysm, academic medical center, July 2016–December 2022114 met inclusion criteria
Participants
147 patients
Exposure
Preoperative low-dose aspirin vs no aspirin
  • Aspirinn = 35
  • Nonaspirinn = 79reference
Outcome
Intraoperative MTS
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Odds ratio

0.300

95% CI 0.102–0.777

P = 0.012

By group

Aspirin vs Nonaspirin
OR 0.300 (95% CI 0.102–0.777); P = 0.012

Observational data: associations, not effects.

Further findings

MTS by timing of aspirin discontinuation (subgroup)

  • Mesenteric traction syndrome (MTS) by timing of aspirin discontinuation (subgroup): 26 and 9 patients, respectively

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effects of Preoperative Low-dose Aspirin on the Incidence of Mesenteric Traction Syndrome in Open Abdominal Aortic Aneurysm Repair: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 24 May 2025. doi:10.1053/j.jvca.2025.05.039

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