Clinical Efficacy of Endovascular Abdominal Aortic Aneurysm Repair
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 142-147, 2011.
Article
in En
| WPRIM
| ID: wpr-61787
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Aorta, Abdominal
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Aortic Aneurysm
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Aortic Rupture
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Postoperative Complications
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Comorbidity
/
Survival Rate
/
Retrospective Studies
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Risk Factors
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Follow-Up Studies
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Aortic Aneurysm, Abdominal
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2011
Type:
Article