Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases

Piotr Kulig; Krzysztof Lewandowski; Bartłomiej Banaś; Piotr Piekorz; Andrzej Kostka; Maciej Zaniewski

doi:10.5114/wiitm.2018.73358

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abstract:

Original paper

Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases

Piotr Kulig

,

Krzysztof Lewandowski

,

Bartłomiej Banaś

,

Piotr Piekorz

,

Andrzej Kostka

,

Maciej Zaniewski

Videosurgery Miniinv 2018; 13 (2): 243–249

DOI: https://doi.org/10.5114/wiitm.2018.73358

Online publish date: 2018/02/07

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Introduction
Endovascular aneurysm repair as a minimally invasive alternative has become a commonly used surgical method for treating patients with abdominal aortic aneurysm (AAA).

Aim
To analyze short-term outcomes of endovascular treatment of AAA patients, including ruptured cases.

Material and methods
From 2010 to 2015, 247 patients with AAA were treated using the endovascular aneurysm repair technique. A short-term analysis was conducted – up to 30 days after surgery. It included 236 patients with planned surgery and 11 operated on in emergency mode, due to ruptured AAA.

Results
Rates of short-term mortality and re-interventions among patients undergoing planned surgery were 2.5% and 4.2%, respectively. Surgical complications occurred in 18 (7.6%) patients, with the most common being thrombosis and blockage of the stent graft (2.5%). Systemic complications were found in 19 (8%) planned cases, with the most common being arrhythmias (1.7%). In patients with ruptured AAA, short-term mortality was 36.4%, while re-interventions were performed in 3 (27.3%) patients. Rates of surgical and systemic complications for ruptured AAA were 45.4% and 72.7%, respectively.

Conclusions
The AAA patients undergoing endovascular aneurysm repair showed relatively low short-term mortality. However, larger groups of patients with ruptured AAA are required in order to assess the outcomes in this sub-population.

keywords:

Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases

Piotr Kulig , Krzysztof Lewandowski , Bartłomiej Banaś , Piotr Piekorz , Andrzej Kostka , Maciej Zaniewski

abdominal aortic aneurysm, short-term outcomes, endovascular aneurysm repair

Piotr Kulig

,

Krzysztof Lewandowski

,

Bartłomiej Banaś

,

Piotr Piekorz

,

Andrzej Kostka

,

Maciej Zaniewski