Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2018 , Vol 27 , Issue 1
Our clinical approach to the last five-year elective infrarenal abdominal aortic aneurysm: Short-term results
Hakkı Zafer İşcan1, Ertekin Utku Ünal1, Mehmet Cahit Sarıcaoğlu1, Bahadır Aytekin1, Başak Soran Türkcan1, Boğaçhan Akkaya1, Görkem Yiğit1, Hamdi Mehmet Özbek1, İsa Civelek1, Ufuk Tütün2, Cemal Levent Birincioğlu1
1Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara, Türkiye
2Bülent Ecevit Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Zonguldak, Türkiye
DOI : 10.9739/tjvs.2018.85 Objectives: In this study, we present our clinical approach to the last five-year elective infrarenal abdominal aortic aneurysm (iAAA) and our short-term results.

Patients and methods: Data of a total of 333 patients (308 males, 25 females: mean age 70.6±6.6 years; range, 54 to 87 years) who were intervened with the diagnosis of an elective iAAA in Cardiovascular Surgery clinic of our hospital between January 2012 and January 2017 were retrospectively analyzed. These patients were divided into two groups as Group 1 (endovascular aneurysm repair [EVAR] group; n=187) and Group 2 (open surgery [OS] group; n=146).

Results: The mean age was higher in Group 1, compared to Group 2 (p<0.001). Early postoperative mortality was 2.1% in Group 1, while it was 8.2% in Group 2 (p<0.001). While EVAR was applied to 39.4% of the patients in 2012, it became applicable to 82.3% of the patients within the last five years.

Conclusion: Our study results show that EVAR is effective and safe in the early term, compared to OS. Also, high technical success in the EVAR group and lack of conversion to OS in this group indicate that the patient selection and anatomical evaluation are correct. Keywords : Early mortality; endovascular procedure; open surgery

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