Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan

Kristi E. Janho; 박용휘; 한주엽; 양동헌; 서영배; 박헌식; 조용근; 채성철; 전재은; 박의현

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자료유형: 학술저널

저자정보: Kristi E. Janho (King Hussin Medical Center at Royal Medical Services Amman) 박용휘 (경북의대) 한주엽 (경북의대) 양동헌 (경북의대) 서영배 (경북의대) 박헌식 (경북의대) 조용근 (경북의대) 채성철 (경북의대) 전재은 (경북의대) 박의현 (경북의대)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.35 No.4

발행연도: 2019.1

수록면: 202 - 208 (7page)

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Purpose: The outcomes of endovascular aneurysmal repair (EVAR) for infrarenal abdominal aortic aneurysms (AAAs) in the Middle East have rarely been reported. We analyzed the outcomes of EVAR in a Jordanian population. Materials and Methods: We conducted a retrospective review of the medical records of patients with infrarenal AAA who were treated with elective EVAR between January 2004 and January 2017 at a single center in Jordan. Patient characteristics, anatomical characteristics, procedural details, and early and late postoperative outcomes were analyzed. Results: A total of 288 patients (mean age, 70 years; 77.8% males) underwent EVAR for infrarenal AAA (median aneurysm size, 64 mm). Bifurcated endografts were used in 265 patients, and aorto-uni-iliac devices were used in 22 patients. Successful endograft deployment was achieved in all patients with no open conversion. Early complications included localized groin hematoma in 15, femoral artery dissection in 4, wound infection in 3, and seroma in 3 patients. With a mean follow-up of 60 months, 50 endoleaks were detected, including 9 type I, 38 type II, and 3 type III. Seven patients had unilateral graft limb occlusion. The 30-day mortality was 1.7%, and long-term mortality was 7.0%, mostly due to non-AAArelated causes. Conclusion: EVAR was safely performed in Jordanian patients with minimal complications. However, long-term surveillance is important due to the risk of endoleaks and consequent intervention.

#Endovascular #Stent graft #Abdominal aortic aneurysm #Endoleak

참고문헌 (30)

참고문헌 신청

United Kingdom EVAR Trial Investigators / 2010 / Endovascular versus open repair of abdominal aortic aneurysm / N Engl J Med 362:1863~1871

Hyoung Ook Kim / 2019 / Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm: A Comprehensive Review / Korean Journal of Radiology 20(8):1247~1265

1998 / Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. The UK Small Aneurysm Trial Participants / Lancet 352:1649~1655

Parodi JC / 1991 / Transfemoral intraluminal graft implantation for abdominal aortic aneurysms / Ann Vasc Surg 5:491~499

Greenhalgh RM / 2004 / Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial / Lancet 364:843~848

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