Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 2018 , Vol 27 , Issue 2
Short-term results of endovascular intervention with bifurcation graft in elective infrarenal abdominal aortic aneurysm
Hakkı Zafer İşcan1, Ertekin Utku Ünal1, Bahadır Aytekin1, Mehmet Cahit Sarıcaoğlu1, Onur Karahasanoğlu1, Erman Kiriş1, Boğaçhan Akkaya1, Veysel Başar2, Mehmet Hamdi Özbek1, İsa Civelek1, Ufuk Tütün3
1Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara, Türkiye
2İstanbul Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara, Türkiye
3Bülent Ecevit Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Kliniği, Ankara, Türkiye
DOI : 10.9739/tjvs.2018.118 Objectives: The aim of this study is to provide a more effective and safer treatment for high-risk patient group and to shed light on the selection of the most appropriate endovascular graft for each patient.

Patients and methods: Between January 2012 and January 2017, data of 63 consecutive and elective patients (60 males, 3 females; mean age: 68.2±7.2 years; range, 57 to 87 years) with the diagnosis of an infrarenal abdominal aortic aneurysm (IAAA) who were treated with AFX® (Endologix, Inc., Irvine, CA, USA - Bifurcated Endograft System) graft were retrospectively analyzed. Data of the patients were evaluated in three stages: preoperatively, intraoperatively, and postoperatively.

Results: Hypertension (63.5%) and coronary artery disease (57.1%) were the most common comorbidities and 34 patients (53.9%) underwent an intervention under local anesthesia. The mean duration of the procedure was 131.3±25.4 min, the duration of the scopy was 17.8±4.0 min, and the amount of opaque used was 67.0±16.9 mL. No mortality, renal complications, and myocardial infarction were observed in any of the patients in the early postoperative period. The mean length of hospital stay was 2.3±1.4 days. No conversion to open surgery was needed in any patients. The technical success rate of the procedure was found to be 100%.

Conclusion: The results of our study show that the Endologix AFX® graft is effective and safe in the short-term. Keywords : Bifurcation graft; endoleak; reintervention