Clinical Efficacy of Endovascular Abdominal Aortic Aneurysm Repair.
10.5090/kjtcs.2011.44.2.142
- Author:
Bong Su SON
1
;
Sung Woon CHUNG
;
Chungwon LEE
;
Hyo Yeong AHN
;
Sangpil KIM
;
Chang Won KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, Korea. chungsungwoon@hanmail.net
- Publication Type:Original Article
- Keywords:
Aneurysm;
Aorta, abdominal;
Endovascular surgery
- MeSH:
Aneurysm;
Aorta, Abdominal;
Aortic Aneurysm;
Aortic Aneurysm, Abdominal;
Aortic Rupture;
Comorbidity;
Endoleak;
Follow-Up Studies;
Humans;
Length of Stay;
Neck;
Postoperative Complications;
Retrospective Studies;
Risk Factors;
Survival Rate
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2011;44(2):142-147
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Endovascular aortic aneurysm repair (EVAR) has come into use and been widely extended because of the low complication rate and less-invasiveness. This article aimed to describe our experience in the treatment of abdominal aortic aneurysm with EVAR. MATERIALS AND METHODS: A retrospective review was conducted for the 22 patients who underwent EVAR in a single hospital December 2001 to June 2009. RESULTS: The mean age of the patients was 68.5+/-7.6 years. There were several risk factors and comorbidities in 20 patients (90.9%). The mean diameter of the aortic aneurysms was 61.2+/-12.9 mm. The mean length, diameter, and angle of the aneurysmal neck were 30.5+/-15.5 mm, 24.0+/-4.5 mm, and 43.9+/-16.0degrees, respectively. The mean follow-up period of the patients was 28.8+/-29.5 months. The 30-day postoperative mortality was none. Seven patients (31.8%) had endoleaks during the hospital stay and three patients (13.6%) had endoleaks during the follow-up period. One patient (4.5%) died due to a ruptured aortic aneurysm. The cumulative patient survival rates were 88.2%, 88.2%, and 70.6% at 1, 3, and 5 years of follow-up, respectively. CONCLUSION: EVAR is currently a safe, feasible procedure for high risk patients with abdominal aortic aneurysm because of low postoperative complication and mortality if patients are selected properly and followed up carefully.
