Clinical Efficacy of Endovascular Abdominal Aortic Aneurysm Repair
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 142-147, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-61787
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 ANDMETHODS:
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aorta Abdominal
/
Aneurisma Aórtico
/
Ruptura Aórtica
/
Complicações Pós-Operatórias
/
Comorbidade
/
Taxa de Sobrevida
/
Estudos Retrospectivos
/
Fatores de Risco
/
Seguimentos
/
Aneurisma da Aorta Abdominal
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo
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