Endovascular abdominal aortic repair and concomitant intraprocedural endovascular interventions: Our single-center experience

Results: Seventy-three of the patients were male and eight were female, and their ages were between 51-89 (mean: 70.1±8.8) years. The largest aneurysm diameters varied between 53 and 110 (mean: 63.8±12.9) mm. Aneurysm neck lengths varied between 0-60 (mean: 24.1±12.4) mm. The angle between aneurysm neck and suprarenal aorta was between 17-90 (mean: 34.9±15.9) degrees. Of our patients, 75 were treated due to AAA and 6 were treated due to ruptured AAA. The mean time of discharge from the hospital was 4.54±3.6 (range, 2-24) days for patients treated electively. The mean time of discharge from the hospital was 10.2±8.7 (range, 3-25) days for the six patients operated due to ruptured AAA. Perioperative mortality (<30 days) was not detected in any of the patients treated electively and perioperative mortality rate (<30 days) in ruptured AAA group was 16.6%. Aneurysm-related mortality (<30 days) was not detected in any of the 81 patients. Although secondary endovascular interventions were required in 14 of 81 patients (17.2%) during the procedure, stent graft placement success rate was found to be 100%.

Conclusion: Our study results demonstrate that endovascular treatment is a method that may be performed safely with a high technical success rate, and decreases perioperative mortality rate, aneurysm-related mortality rate, and time to discharge. Concomitant interventions required during the procedure suggest that endovascular treatment must be performed by experienced teams with sufficient knowledge.

Keywords : Abdominal, aortic aneurysm, endovascular procedures