The Turkish Journal of Vascular Surgery

Yazarlar: Hakkı Zafer İşcan, Ertekin Utku Ünal, Mehmet Cahit Sarıcaoğlu, Bahadır Aytekin, Başak Soran Türkcan, Boğaçhan Akkaya, Görkem Yiğit, Hamdi Mehmet Özbek, İsa Civelek, Ufuk Tütün, Cemal Levent Birincioğlu

Konular:-

Anahtar Kelimeler:Early mortality; endovascular procedure; open surgery

Özet: Objectives: In this study, we present our clinical approach to the last five-year elective infrarenal abdominal aortic aneurysm (iAAA) and our short-term results. Patients and methods: Data of a total of 333 patients (308 males, 25 females: mean age 70.6±6.6 years; range, 54 to 87 years) who were intervened with the diagnosis of an elective iAAA in Cardiovascular Surgery clinic of our hospital between January 2012 and January 2017 were retrospectively analyzed. These patients were divided into two groups as Group 1 (endovascular aneurysm repair [EVAR] group; n=187) and Group 2 (open surgery [OS] group; n=146). Results: The mean age was higher in Group 1, compared to Group 2 (p<0.001). Early postoperative mortality was 2.1% in Group 1, while it was 8.2% in Group 2 (p<0.001). While EVAR was applied to 39.4% of the patients in 2012, it became applicable to 82.3% of the patients within the last five years. Conclusion: Our study results show that EVAR is effective and safe in the early term, compared to OS. Also, high technical success in the EVAR group and lack of conversion to OS in this group indicate that the patient selection and anatomical evaluation are correct.

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