ISSN 2149-2263 | E-ISSN 2149-2271
Endovascular Treatment of Abdominal Aortic Aneurysms [Anatol J Cardiol]
Anatol J Cardiol. 2003; 3(2): 115-121

Endovascular Treatment of Abdominal Aortic Aneurysms

Harun Arbatlı1, Naci Yağan1, Ergun Demirsoy1, Mehmet Ünal2, Serap Tekin3, Füruzan Numan4, Bingür Sönmez1
1İstanbul Memorial Hastanesi Kalp ve Damar Cerrahisi Bölümü, İstanbul
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

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. 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

Keywords: Abdominal aort anevrizması, endovasküler stent-greft

Harun Arbatlı, Naci Yağan, Ergun Demirsoy, Mehmet Ünal, Serap Tekin, Füruzan Numan, Bingür Sönmez. Endovascular Treatment of Abdominal Aortic Aneurysms. Anatol J Cardiol. 2003; 3(2): 115-121
Manuscript Language: English

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