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

Turkish Journal of Vascular Surgery 2015 , Vol 24 , Issue 1
Our Initial Clinical Experience and Early Results in Endovascular Stent Grafting
Orhan FINDIK1, Özgür BARIŞ1, Çağrı DÜZYOL1, Hakan PARLAR1, Ufuk AYDIN2, Canan BALCI3, L. Ahmet ORHAN4, Atike TEKELİ KUNT1, Uğur KOÇOĞULLARI5
1Kalp ve Damar Cerrahisi Kliniği, Kocaeli Derince Eğitim ve Araştırma Hastanesi, Kocaeli
2Kalp ve Damar Cerrahisi Kliniği, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Bursa
3Anesteziyoloji ve Reanimasyon Kliniği, Kocaeli Derince Eğitim ve Araştırma Hastanesi, Kocaeli
4Türkiye Kamu Hastaneleri Kurumu İstanbul İli Anadolu Güney Kamu Hastaneleri Birliği Genel Sekreterliği,
5Kalp ve Damar Cerrahisi Kliniği, Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbul
DOI : 10.9739/uvcd.2015-44185 Objective: In this study, the early results of endovascular interventions for thoracic and abdominal aortic aneurysms performed in our clinic were evaluated.

Material and Methods: Patients who were implanted endovascular stent grafts between April 2013 and July 2014 were analyzed retrospectively. Computerized tomography, coronary and peripheral angiographies were performed in all patients. Taking the probability of need for an open surgery into account, all detailed laboratory studies were done. All patients were consulted to Anesthesiology clinic for an endovascular procedure.

Results: We performed endovascular procedures in 19 patients (17 endovascular aneurysm repairs, 2 endovascular aneurysm repairs+thoracic endovascular aortic/aneurysm repairs) in a period of 15 months. First 13 patients were operated in the angiography unit, and the rest were operated in the hybrid operating room. Endoleak was found in 6 patients perioperatively, but there was no endoleak at the end of procedure in 5 of those patients. One patient was found not to have endoleak in the first postoperative month. One patient was operated for femorofemoral bypass, and the other was operated for femoral endarterectomy and distal arterial embolectomy at the end of the procedure. One patient with hypovolemic shock and operated emergently died intraoperatively. Mean follow up period was 14.5 months (range 6 - 22 months). Conclusion: As a newly founded clinic, we find the early term results of our endovascular interventions promising for the future. We think that, performing endovascular interventions in a hybrid environment is safer and more comfortable both regarding the probability of conversion into an open procedure and for possible complications of the procedure. Keywords : Abdominal aortic aneurysm; thoracic aortic aneurysm; endovascular procedures

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