Cardiothoracic & vascular anesthesia
Identifying Predictors of Postoperative Myocardial Infarction Following Repair of Abdominal Aortic Aneurysm Using a Retrospective Claims-Based Analysis
Authors' conclusion
Open AAA repair is linked to significantly greater odds of POMI compared to EVAR after multivariate analysis. A history of myocardial infarction was the most predictive risk factor for postoperative cardiac events.
Study context
- Population
- Patients who underwent abdominal aortic aneurysm (AAA) repair between 2010 and 2023, PearlDiver Mariner Database, US
- Participants
- 37,386 patients
- Exposure
- Open AAA repair vs endovascular aneurysm repair (EVAR)
- Outcome
- Incidence of postoperative MI (POMI)
- Follow-up
- 30 and 90 days
Methodological detailsnon-randomized, all-payer claims database, multivariable logistic regression
- Non-randomized
- All-payer claims database
- Multivariable logistic regression
Main finding
As reported in the abstract
POMI incidence (all patients)
Postoperative myocardial infarction (POMI) incidence at 30 days
2.7%
POMI incidence at 90 days
3.7%
Observational data: associations, not effects.
Further findings
Predictors of POMI (comorbidities) · 30 and 90 days
- Several comorbidities independently associated with increased POMI risk; prior MI showed the strongest association
Original publication
Identifying Predictors of Postoperative Myocardial Infarction Following Repair of Abdominal Aortic Aneurysm Using a Retrospective Claims-Based Analysis. J Cardiothorac Vasc Anesth. Published 17 September 2025. doi:10.
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