2Department of Cardiovascular Surgery İstanbul Memorial Hospital, İstanbul, Turkey
3İstanbul Memorial Hastanesi Anesteziyoloji Bölümü, İstanbul
4Department of Radiology, Cerrahpaşa Faculty of Medicine, İstanbul University, İstanbul
Abstract
Objective: Endovascular treatment of aortic aneurysms is getting popular in our country due to its less invasive nature and shortened hospital stay. The initial experience with endovascular stent-graft implantation procedures to treat abdominal aortic aneurysms and their results were evaluated retrospectively in this study. Materials and Methods: Eight patients with abdominal aortic aneurysms were treated with endovascular stent grafts. Seven patients were male and 1 was female with the mean age of 63.13±9.23 (48-72) years. Six patients were considered not proper for conventional surgical treatment. Results: The procedure was converted to conventional surgery in one patient due to traumatic rupture of the iliac artery during the intervention. Type I “endoleak” was detected in 1 patient in the first month and was treated successfully by balloon dilatation of the proximal neck. Type II “endoleak” in two patients resolved spontaneously in the postoperative follow-up. No mortality was occurred. The mean intensive care unit stay was 24.57±10.37 (20-48) hours, mean hospital stay was 4.00±1.83 (3-8) days, and mean use of blood and blood products was 456.25±722.81 ml, excluding the patient treated by conventional surgery. The mean follow-up period was 9.36±3.75 (4-15) months. Conclusion: Endovascular treatment of abdominal aortic aneurysms is a good therapeutic alternative with low morbitity even in complicated cases. More studies are needed to enlighten the safety, effectiveness and durability of this therapeutic modality