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- Title
Early outcome and complications of endovascular aortic repair for abdominal aortic aneurysm: a prospective single-centre experience.
- Authors
Shni, Hazim Mohammed; Hussein, Abdulameer M.; jabber, Sabah N.
- Abstract
Background: Medical literature has advanced knowledge and treatment of abdominal aortic aneurysms (AAAs) for millennia. AAA treatment has progressed from ancient Egyptian papyrus to endovascular methods. Endovascular aneurysm repair (EVAR) is a huge advancement, giving a less invasive alternative to open surgery. Aims of the study: This study aims to review the complications associated with EVAR and assess procedural outcomes in patients with infrarenal AAAs. Patients and Methods: Ghazi AL-haryri Hospital / Medical City conducted a prospective study of 30 elective EVAR patients for infrarenal AAAs from October 2021 to September 2023. Vascular surgeons conducted operations in the catheterization lab under spinal anaesthesia after analysing clinical and radiological data. The procedure involved bilateral femoral artery access, angiography, stent-graft placement, and CT angiography. Results: The patient sample was 90% male, averaged 69 years old, and had hypertension (70%) and diabetes (40%). Technical success was 100% with a 2.8-day hospital stay and 10% transfusion rates. Acute lower limb ischemia (6.6%), myocardial infarction (3.3%), and wound complications (6.6-10%) were consequences. Graft problems included Type I endoleak (3.3%), emphasising postoperative surveillance. Conclusion: AAA treatment has improved with EVAR, which has reduced procedural morbidity and mortality. Long-term patient outcomes depend on vigilantly monitoring and treating problems.
- Subjects
ENDOVASCULAR aneurysm repair; ABDOMINAL aortic aneurysms; ENDOVASCULAR surgery; FEMORAL artery; MYOCARDIAL infarction
- Publication
Revista Latinoamericana de Hipertension, 2024, Vol 19, Issue 4, p170
- ISSN
1856-4550
- Publication type
Article
- DOI
10.5281/zenodo.11261317