Single center experience in endovascular aortic repair: review of technical and clinical aspects

• Main Authors: Sinan Demirtaş, Osman Tiryakioğlu, Ahmet Çalışkan, Orkut Güçlü, Gündüz Yümün, Celal Yavuz, Orhan Tezcan, Oğuz Karahan
• Format: Article
• Language: English
• Published: Dicle University Medical School 2014-09-01
• Series: Dicle Medical Journal
• Subjects: Aortic patologies; EVAR; TEVAR; clinical outcomes
• Online Access: http://www.diclemedj.org/upload/sayi/33/Dicle%20Med%20J-02148.pdf
• ISSN: 1300-2945; 1308-9889

Objective: The aim of this study is sharing of our endovascular aortic repair experiments in patients with high risk for surgery and contributing to literature with comparing previous report according to mortality complicationsand additional operations. Methods:Patients with endovascular aortic repair application were evaluated retrospectively. Perioperative one month mortality, additional applications during procedure, occurred complications, endoleak types, approaching anesthetical technique, diagnosis of disease, comorbid factors and demographical data registered. Results were compared with data in the literature Results: Abdominal endovascular aortic repair (EVAR) applicated into 19 patients. Thoracic endovascular aor tic repair (TEVAR) applicated into 11 patients. EVAR patients were operated with diagnosis of abdominal aortic aneurysm. Nine of these patients were emergely operated due to rupture. TEVAR applicated 8 patients were operated due to Type 3 Aortic Dissection and 1 patient was operated due to transsection. One month mortality of all patients were found as 10% (three atients). Endoleaks were occurred 6 patients: Three of them were Type 1a, two of them were Type1b and one of them was Type2. Balloon angioplasty applicated in two patients due to Type 1a endoleak and, in one patient due to Type 1b endoleak. Chronic renal failure was developed in one patient (3.3%) due to contrast nephropathy. Reexploration was applicated in two patients (6.7%) due to hematoma. Conclusion: Endovascular techniques are become frequently preferred treatment modality with the developing technology. We believed that endovascular approaches are safely preferable alternative in patients with high surgical risk as our series.