Research Article
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Year 2023, Volume: 2 Issue: 4, 251 - 257, 02.10.2023
https://doi.org/10.5505/achmedj.2023.84803

Abstract

References

  • 1. Haque K, Bhargava P. Abdominal Aortic Aneurysm. Am Fam Physician. 2022; 106(2): 165-72.
  • 2. Aggarwal S, Qamar A, Sharma V, Sharma A. Abdominal aortic aneurysm: A comprehensive review. Exp Clin Cardiol. 2011; 16(1): 11-5.
  • 3. Nordon IM, Hinchliffe RJ, Loftus IM, Thompson MM. Pathophysiology and epidemiology of abdominal aortic aneurysms. Nat Rev Cardiol. 2011; 8(2): 92-102.
  • 4. Powell JT, Wanhainen A. Analysis of the Differences Between the ESVS 2019 and NICE 2020 Guidelines for Abdominal Aortic Aneurysm. Eur J Vasc Endovasc Surg. 2020; 60(1): 7-15.
  • 5. Volodos NL. Historical perspective: The first steps in endovascular aortic repair: how it all began. J Endovasc Ther. 2013; 20 Suppl 1: I3-23.
  • 6. van Rijswijk RE, Jebbink EG, Zeebregts CJ, Reijnen M. A systematic review of anatomic predictors of abdominal aortic aneurysm remodeling after endovascular repair. J Vasc Surg. 2022; 75(5): 1777-85.
  • 7. Yamanaka K, Hamaguchi M, Chomei S, Inoue T, Kono A, Tsujimoto T, et al. Japanese single-center experience of abdominal aortic aneurysm repair over 20 years: should open or endovascular aneurysm repair be performed first? Surg Today. 2023.
  • 8. Altobelli E, Rapacchietta L, Profeta VF, Fagnano R. Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2018; 15(12).
  • 9. Shuai T, Kan Y, Si Y, Fu W. High-risk factors related to the occurrence and development of abdominal aortic aneurysm. J Interv Med. 2020; 3(2): 80-82.
  • 10. Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018; 67(1): 2-77 e2.
  • 11. Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW. Endovascular treatment for ruptured abdominal aortic aneurysm. Cochrane Database Syst Rev. 2017; 5(5): CD005261.
  • 12. Karakisi SO, Ergene S, Hemsinli D, Kucuker SA. Our early and mid-term results for endovascular repair of abdominal aortic aneurysms. Turk Gogus Kalp Damar Cerrahisi Derg. 2019; 27(1): 29-34.
  • 13. Yang JH, Kim JW, Choi HC, Park HO, Jang IS, Lee CE, et al. Comparison of Clinical Outcomes between Surgical Repair and Endovascular Stent for the Treatment of Abdominal Aortic Aneurysm. Vasc Specialist Int. 2017; 33(4): 140-45.
  • 14. Lederle FA, Freischlag JA, Kyriakides TC, Matsumura JS, Padberg FT, Jr., Kohler TR, et al. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. N Engl J Med. 2012; 367(21): 1988-97.
  • 15. Gaffey AC, Damrauer SM. Evolving Concepts, Management, and Treatment of Type 1 Endoleaks after Endovascular Aneurysm Repair. Semin Intervent Radiol. 2020; 37(4): 395-404.
  • 16. Lo RC, Buck DB, Herrmann J, Hamdan AD, Wyers M, Patel VI, et al. Risk factors and consequences of persistent type II endoleaks. J Vasc Surg. 2016; 63(4): 895-901.
  • 17. Suliemeh Y, Bouabane M, Deershamarkha M, Benzirar A, El Mahi O. Type III Endoleak Leading to Aortic Rupture After Endovascular Repair. Cureus. 2022; 14(7): e26895.
  • 18. Mezes P, Sallam M, Diamantopoulos A, Taylor P, Ahmed I. Zenith Cook limb type IIIB endoleak causing aneurysm rupture five years after EVAR. Vascular. 2015; 23(3): 319-21.
  • 19. Harris PL, Vallabhaneni SR, Desgranges P, Becquemin JP, van Marrewijk C, Laheij RJ. Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. European Collaborators on Stent/graft techniques for aortic aneurysm repair. J Vasc Surg. 2000; 32(4): 739-49.
  • 20. Eng ML, Brewer MB, Rowe VL, Weaver FA. Treatment options for late type III endoleaks after endovascular aneurysm repair. Ann Vasc Surg. 2015; 29(3): 594 e5-9.
  • 21. Stoecker JB, Glaser JD. Review of Type III Endoleaks. Semin Intervent Radiol. 2020; 37(4): 371-76.
  • 22. Buth J, Harris PL, van Marrewijk C, Fransen G. The significance and management of different types of endoleaks. Semin Vasc Surg. 2003; 16(2): 95-102.
  • 23. Stather PW, Sayers RD, Cheah A, Wild JB, Bown MJ, Choke E. Outcomes of endovascular aneurysm repair in patients with hostile neck anatomy. Eur J Vasc Endovasc Surg. 2012; 44(6): 556-61.
  • 24. O’Donnell TFX, Corey MR, Deery SE, Tsougranis G, Maruthi R, Clouse WD, et al. Select early type IA endoleaks after endovascular aneurysm repair will resolve without secondary intervention. J Vasc Surg. 2018; 67(1): 119-25.
  • 25. Akansel S, Erdoğan SB, Sargın M, Sokullu O, Kurç E, Aka SA. Late surgical conversion after failed endovascular aortic repair: Our single-institutional experience. Cardiovascular Surgery and Interventions. 2023; 10(2): 079-88.
  • 26. Geraedts ACM, Mulay S, Vahl A, Wisselink W, Koelemay MJW, Balm R. Secondary Interventions and Long-term Follow-up after Endovascular Abdominal Aortic Aneurysm Repair. Ann Vasc Surg. 2021; 71: 381-91.
  • 27. Nordon IM, Karthikesalingam A, Hinchliffe RJ, Holt PJ, Loftus IM, Thompson MM. Secondary interventions following endovascular aneurysm repair (EVAR) and the enduring value of graft surveillance. Eur J Vasc Endovasc Surg. 2010; 39(5): 547-54.
  • 28. Zettervall SL, Tenorio ER, Schanzer A, Oderich GS, Timaran CH, Schneider DB, et al. Secondary interventions after fenestrated/branched aneurysm repairs are common and nondetrimental to long-term survival. J Vasc Surg. 2022; 75(5): 1530-38 e4.
  • 29. Silverberg D, Aburamileh A, Rimon U, Raskin D, Khaitovich B, Halak M. Secondary interventions after fenestrated and branched endovascular repair of complex aortic aneurysms. J Vasc Surg. 2020; 72(3): 866-72.
  • 30. Buth J, van Marrewijk CJ, Harris PL, Hop WC, Riambau V, Laheij RJ, et al. Outcome of endovascular abdominal aortic aneurysm repair in patients with conditions considered unfit for an open procedure: a report on the EUROSTAR experience. J Vasc Surg. 2002; 35(2): 211-21.
  • 31. Yavuz Ş, Özbudak E, Gümüştaş S, Kanko M, Çiftçi E, Berki T. Abdominal aort anevrizmalarında endovasküler stent greft uygulamaları: Orta ve uzun dönem sonuçlar. Turkish J Thorac Cardiovasc Surg. 2013; 21: 333-40.
  • 32. Akbulut M, Aksoy E, Kara İ, Çelik EC, Rabuş MB, Çekmecelioğlu D, et al. Abdominal aort anevrizma tamirinde açık cerrahi ve endovasküler stent greft onarım yöntemlerinin erken ve orta dönem sonuçlarının karşılaştırılması. Damar Cerrahi Dergisi. 2017; 26: 5-11.
  • 33. Ohmori T, Hiraoka A, Chikazawa G, Yoshitaka H. Mid-Term Outcomes of Late Open Conversion with Endograft Preservation for Sac Enlargement after Endovascular Abdominal Aortic Aneurysm Repair. Ann Vasc Surg. 2023; 88: 300-07.

Early Period Results for Endovascular Stent Grafting in Abdominal Aortic Aneurysms: A Single-Center Experience

Year 2023, Volume: 2 Issue: 4, 251 - 257, 02.10.2023
https://doi.org/10.5505/achmedj.2023.84803

Abstract

Introduction: In the management of abdominal aortic aneurysm (AAA), endovascular aneurysm repair (EVAR) presents as a superior alternative to conventional surgery, especially for elderly patients with elevated surgical risks and accompanying comorbidities. This study aimed to examine the early outcomes of AAA patients who underwent EVAR.
Methods: A total of 33 patients diagnosed with AAA who underwent EVAR were evaluated retrospectively. In every patient, the indication for the EVAR procedure was an abdominal aorta diameter exceeding 5.5 cm or over 5 cm when accompanied by additional comorbid factors. During the 1-year follow-up period for the patients, data on early-phase outcomes, lengths of stays in ICU and the hospital, and post-procedure complications were collected.
Results: In 5 of the patients who underwent EVAR, both iliac artery aneurysm and AAA were present, while in 28, only AAA existed. The median length of ICU stay was 13 hr, and the median length of hospital stay was 3 days. In 12% of the patients, Type I-III endoleak was detected. In the follow-ups examinations, two patients without detected endoleaks manifested lower extremity ischemia or rupture. The total complication rate was 21.2%. There were no mortality cases during the early follow-up period.
Conclusion: EVAR, in older patients with coexisting comorbidities, offers advantages in diminishing durations in intensive care and hospital stays, potentially boosting early survival outcomes. However, the results from our single-center study indicated that a substantial fraction of patients are susceptible to complications during the early postoperative period.

References

  • 1. Haque K, Bhargava P. Abdominal Aortic Aneurysm. Am Fam Physician. 2022; 106(2): 165-72.
  • 2. Aggarwal S, Qamar A, Sharma V, Sharma A. Abdominal aortic aneurysm: A comprehensive review. Exp Clin Cardiol. 2011; 16(1): 11-5.
  • 3. Nordon IM, Hinchliffe RJ, Loftus IM, Thompson MM. Pathophysiology and epidemiology of abdominal aortic aneurysms. Nat Rev Cardiol. 2011; 8(2): 92-102.
  • 4. Powell JT, Wanhainen A. Analysis of the Differences Between the ESVS 2019 and NICE 2020 Guidelines for Abdominal Aortic Aneurysm. Eur J Vasc Endovasc Surg. 2020; 60(1): 7-15.
  • 5. Volodos NL. Historical perspective: The first steps in endovascular aortic repair: how it all began. J Endovasc Ther. 2013; 20 Suppl 1: I3-23.
  • 6. van Rijswijk RE, Jebbink EG, Zeebregts CJ, Reijnen M. A systematic review of anatomic predictors of abdominal aortic aneurysm remodeling after endovascular repair. J Vasc Surg. 2022; 75(5): 1777-85.
  • 7. Yamanaka K, Hamaguchi M, Chomei S, Inoue T, Kono A, Tsujimoto T, et al. Japanese single-center experience of abdominal aortic aneurysm repair over 20 years: should open or endovascular aneurysm repair be performed first? Surg Today. 2023.
  • 8. Altobelli E, Rapacchietta L, Profeta VF, Fagnano R. Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2018; 15(12).
  • 9. Shuai T, Kan Y, Si Y, Fu W. High-risk factors related to the occurrence and development of abdominal aortic aneurysm. J Interv Med. 2020; 3(2): 80-82.
  • 10. Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018; 67(1): 2-77 e2.
  • 11. Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW. Endovascular treatment for ruptured abdominal aortic aneurysm. Cochrane Database Syst Rev. 2017; 5(5): CD005261.
  • 12. Karakisi SO, Ergene S, Hemsinli D, Kucuker SA. Our early and mid-term results for endovascular repair of abdominal aortic aneurysms. Turk Gogus Kalp Damar Cerrahisi Derg. 2019; 27(1): 29-34.
  • 13. Yang JH, Kim JW, Choi HC, Park HO, Jang IS, Lee CE, et al. Comparison of Clinical Outcomes between Surgical Repair and Endovascular Stent for the Treatment of Abdominal Aortic Aneurysm. Vasc Specialist Int. 2017; 33(4): 140-45.
  • 14. Lederle FA, Freischlag JA, Kyriakides TC, Matsumura JS, Padberg FT, Jr., Kohler TR, et al. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. N Engl J Med. 2012; 367(21): 1988-97.
  • 15. Gaffey AC, Damrauer SM. Evolving Concepts, Management, and Treatment of Type 1 Endoleaks after Endovascular Aneurysm Repair. Semin Intervent Radiol. 2020; 37(4): 395-404.
  • 16. Lo RC, Buck DB, Herrmann J, Hamdan AD, Wyers M, Patel VI, et al. Risk factors and consequences of persistent type II endoleaks. J Vasc Surg. 2016; 63(4): 895-901.
  • 17. Suliemeh Y, Bouabane M, Deershamarkha M, Benzirar A, El Mahi O. Type III Endoleak Leading to Aortic Rupture After Endovascular Repair. Cureus. 2022; 14(7): e26895.
  • 18. Mezes P, Sallam M, Diamantopoulos A, Taylor P, Ahmed I. Zenith Cook limb type IIIB endoleak causing aneurysm rupture five years after EVAR. Vascular. 2015; 23(3): 319-21.
  • 19. Harris PL, Vallabhaneni SR, Desgranges P, Becquemin JP, van Marrewijk C, Laheij RJ. Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. European Collaborators on Stent/graft techniques for aortic aneurysm repair. J Vasc Surg. 2000; 32(4): 739-49.
  • 20. Eng ML, Brewer MB, Rowe VL, Weaver FA. Treatment options for late type III endoleaks after endovascular aneurysm repair. Ann Vasc Surg. 2015; 29(3): 594 e5-9.
  • 21. Stoecker JB, Glaser JD. Review of Type III Endoleaks. Semin Intervent Radiol. 2020; 37(4): 371-76.
  • 22. Buth J, Harris PL, van Marrewijk C, Fransen G. The significance and management of different types of endoleaks. Semin Vasc Surg. 2003; 16(2): 95-102.
  • 23. Stather PW, Sayers RD, Cheah A, Wild JB, Bown MJ, Choke E. Outcomes of endovascular aneurysm repair in patients with hostile neck anatomy. Eur J Vasc Endovasc Surg. 2012; 44(6): 556-61.
  • 24. O’Donnell TFX, Corey MR, Deery SE, Tsougranis G, Maruthi R, Clouse WD, et al. Select early type IA endoleaks after endovascular aneurysm repair will resolve without secondary intervention. J Vasc Surg. 2018; 67(1): 119-25.
  • 25. Akansel S, Erdoğan SB, Sargın M, Sokullu O, Kurç E, Aka SA. Late surgical conversion after failed endovascular aortic repair: Our single-institutional experience. Cardiovascular Surgery and Interventions. 2023; 10(2): 079-88.
  • 26. Geraedts ACM, Mulay S, Vahl A, Wisselink W, Koelemay MJW, Balm R. Secondary Interventions and Long-term Follow-up after Endovascular Abdominal Aortic Aneurysm Repair. Ann Vasc Surg. 2021; 71: 381-91.
  • 27. Nordon IM, Karthikesalingam A, Hinchliffe RJ, Holt PJ, Loftus IM, Thompson MM. Secondary interventions following endovascular aneurysm repair (EVAR) and the enduring value of graft surveillance. Eur J Vasc Endovasc Surg. 2010; 39(5): 547-54.
  • 28. Zettervall SL, Tenorio ER, Schanzer A, Oderich GS, Timaran CH, Schneider DB, et al. Secondary interventions after fenestrated/branched aneurysm repairs are common and nondetrimental to long-term survival. J Vasc Surg. 2022; 75(5): 1530-38 e4.
  • 29. Silverberg D, Aburamileh A, Rimon U, Raskin D, Khaitovich B, Halak M. Secondary interventions after fenestrated and branched endovascular repair of complex aortic aneurysms. J Vasc Surg. 2020; 72(3): 866-72.
  • 30. Buth J, van Marrewijk CJ, Harris PL, Hop WC, Riambau V, Laheij RJ, et al. Outcome of endovascular abdominal aortic aneurysm repair in patients with conditions considered unfit for an open procedure: a report on the EUROSTAR experience. J Vasc Surg. 2002; 35(2): 211-21.
  • 31. Yavuz Ş, Özbudak E, Gümüştaş S, Kanko M, Çiftçi E, Berki T. Abdominal aort anevrizmalarında endovasküler stent greft uygulamaları: Orta ve uzun dönem sonuçlar. Turkish J Thorac Cardiovasc Surg. 2013; 21: 333-40.
  • 32. Akbulut M, Aksoy E, Kara İ, Çelik EC, Rabuş MB, Çekmecelioğlu D, et al. Abdominal aort anevrizma tamirinde açık cerrahi ve endovasküler stent greft onarım yöntemlerinin erken ve orta dönem sonuçlarının karşılaştırılması. Damar Cerrahi Dergisi. 2017; 26: 5-11.
  • 33. Ohmori T, Hiraoka A, Chikazawa G, Yoshitaka H. Mid-Term Outcomes of Late Open Conversion with Endograft Preservation for Sac Enlargement after Endovascular Abdominal Aortic Aneurysm Repair. Ann Vasc Surg. 2023; 88: 300-07.
There are 33 citations in total.

Details

Primary Language English
Subjects Traditional, Complementary and Integrative Medicine (Other)
Journal Section Research Articles
Authors

Erhan Renan Uçaroğlu 0000-0003-3655-1595

Ufuk Turan Kürşat Kormaz 0000-0002-6107-2943

Yusuf Velioğlu 0000-0003-4709-4705

Kemalettin Erdem 0000-0002-5330-920X

Publication Date October 2, 2023
Published in Issue Year 2023 Volume: 2 Issue: 4

Cite

EndNote Uçaroğlu ER, Kormaz UTK, Velioğlu Y, Erdem K (October 1, 2023) Early Period Results for Endovascular Stent Grafting in Abdominal Aortic Aneurysms: A Single-Center Experience. ACH Medical Journal 2 4 251–257.