ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
İzole abdominal aortik anevrizmalarda endovasküler tamirin orta dönem sonuçları
Kaptanıderya Tayfur1, Melih Ürkmez1, Mihriban Yalçın1, Mehmet Şenel Bademci1, Eda Gödekmerdan1, Aydın Koç1, Ahmet Özmaden2, Hasan Öztürk3
1Ordu Devlet Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ordu, Türkiye
2Ordu Devlet Hastanesi, Anestezi ve Reanimasyon Kliniği, Ordu, Türkiye
3Ordu Devlet Hastanesi, Radyoloji Kliniği, Ordu, Türkiye
DOI : 10.5606/tgkdc.dergisi.2015.10624
Background: This retrospective study aims to evaluate early and mid-term results of endovascular aortic repair in abdominal aortic aneurysms.

Methods: The study included consecutive 92 patients (76 males, 16 females; mean age 70.5±9.3 years; range 48 to 92 years) with isolated abdominal aortic aneurysms who were performed aortic stent grafting with endovascular technique between July 2010 and August 2013. Treatment indications were fusiform aneurysms in 79 patients (85.8%), and saccular aneurysms in 13 patients (14.1%). Polytetrafluoroethylene covered stent grafts were used in all patients. Computed tomographic angiography was used for follow-up.

Results: Patients’ mean diameter of aneurysm was 61.5±12.2 mm. Aortobiiliac stent grafts were successfully placed in all patients. General anesthesia was performed in 66 (71.7%) and spinal anesthesia in 26 (28.2%) patients. There was no mortality during the procedures. As additional procedure, chimney grafting to renal arteries was performed in five patients and embolization of the internal iliac artery in two patients. No blood transfusions were required and all patients were discharged on postoperative first day. In early postoperative period, type 1 endoleak was observed in five patients (5.43%) and type 2 endoleak in five patients (5.43%). In follow-up, proximal aortic extensions were placed in five patients due to type 1 endoleak as an additional endovascular procedure. Type 2 endoleaks disappeared in mid-term spontaneously.

Conclusion: Endovascular treatment of isolated abdominal aortic aneurysms remarkably decreases mortality and morbidity, need for intensive care and blood transfusion, and duration of hospital stay. Endoleaks, which are the most important problems, can also be handled with endovascular methods.

Keywords : Abdominal aortic aneurysm; aortic stent graft; endovascular aortic repair
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