Outcomes of standard endovascular aneurysm repair for abdominal aortic aneurysm with complex neck anatomical features / 中华普通外科杂志
Chinese Journal of General Surgery
; (12): 677-680, 2021.
Article
in Zh
| WPRIM
| ID: wpr-911602
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WPRO
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.
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WPRIM
Language:
Zh
Journal:
Chinese Journal of General Surgery
Year:
2021
Type:
Article