Outcomes of standard endovascular aneurysm repair for abdominal aortic aneurysm with complex neck anatomical features
10.3760/cma.j.cn113855-20200203-00056
- VernacularTitle:标准腹主动脉瘤腔内修复手术治疗复杂瘤颈腹主动脉瘤疗效分析
- Author:
Wenrui LI
1
;
Qingle LI
;
Xiaoming ZHANG
;
Tao ZHANG
;
Changshun HE
;
Wei LI
;
Xuemin ZHANG
;
Yang JIAO
;
Zhibin HE
Author Information
1. 北京大学人民医院血管外科 100044
- Keywords:
Aortic aneurysm ,abdominal;
Vascular surgical procedures;
Complex neck anatomical features;
Endovascular repair
- From:
Chinese Journal of General Surgery
2021;36(9):677-680
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the outcomes of standard endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) with complex neck anatomical features.Methods:Clinical data of AAA patients received standard EVAR from Jan 2004 to Dec 2018 were retrospectively collected. Based on pre-operative computed tomography angiography (CTA) data, patients were divided into complex neck group and non-complex neck group to compare the results between them.Results:There were 88 patients (66.2%) in complex neck group and 45 patients (33.8%) in non-complex group. There was no significant difference in peri-operative characters (blood loss, contrast volume used, hospital stay time, technical success rate) and follow-up results (late re-intervention, late endoleak, aneurysm enlargement, survival rate),all P>0.05.Multivariant logistic regression analysis revealed neck diameter larger than 31 mm was related with late re-intervention ( OR=24.975, P=0.02). Conclusion:Standard EVAR for AAA with complex neck characters does not cause higher perioperative complications and less favorable long term survival rate.
