Endovascular repair with percutanous non-surgical approach in aortic aneurysm

Conclusion: Percutanous EVS-G can be performed successfully in experienced centers in cases that have been found appropriate for the femoral arter structure and no vascular access problems were occured.

📌 3 Key Takeaways

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Objective & Hypothesis:Percutaneus trans-femoral endovascular stent graft (EVS-G) implantation is used in growing numbers in recent years.

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Key Findings & Data:Currently endovascular stent greft with repair (EVS-G) is performed in approximately 60 % of the abdominal aortic aneurysm cases.

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Conclusion & Impact:Conclusion: Percutanous EVS-G can be performed successfully in experienced centers in cases that have been found appropriate for the femoral arter structure and no vascular access problems were occured.

🔬Design:Research Article

📍Scope:2006 Verileri

⚙️Variables:Domain Parameters

Abstract

Percutaneus trans-femoral endovascular stent graft (EVS-G) implantation is used in growing numbers in recent years. The conventional approach of an EVAR involves bilateral groin incisions to expose the femoral arteries. Currently endovascular stent greft with repair (EVS-G) is performed in approximately 60 % of the abdominal aortic aneurysm cases. As technology tends to be less invasive and the size of the sheat is smaller, percutanous EVAR has been performed more frequently. It is aimed to evaluate the cases that have been treated with percutan EVAR in this study. Material and Method: Seven cases in which percutan EVS-G was performed from January 2006 to December 2006 have been evaluated prospectively. Results: All of the 7 cases in which percutan EVS-G was performed were males. The mean age was 72.4 years (range 62-85). Six of the cases had AAA, one of them had TAA. Mean size of the aneurysm was 8.2 cm (range 6.3-9.7cm). There was no problem was detected in short or long term follow-up. Conclusion: Percutanous EVS-G can be performed successfully in experienced centers in cases that have been found appropriate for the femoral arter structure and no vascular access problems were occured.

Özet

Yeni bir tedavi girişimi olarak perkütan, trans-femoral yolla Endovasküler Stent-Greft (EVS-G) yerleştirilmesi giderek artan sayıda uygulanmaktadır. EVAR'ın geleneksel yaklaşımı femoral arterlerin açığa çıkarılması için bilateral kasık insizyonu şeklindedir. Günümüzde Abdominal Aort Anevrizması (AAA) olgularının yaklaşık %60'ının tedavisinde endovasküler stent greft ile onarım (EVS-G) uygulanmaktadır. Teknoloji daha az invasiv metodlara eğildikçe ve sheath boyutları küçüldükçe total perkutan EVS-G daha sık kullanılır hale gelmektedir. Bu çalışmada merkezimizde perkütan EVS-G ile tedavi edilen olguların değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 2006- Aralık 2006 tarihleri arasında perkutanöz yaklaşımla gerçekleştirilen 7 olguda EVS-G uygulama sonuçları prospektif olarak erken ve geç dönem komplikasyonlar açısından değerlendirilmiştir. Bulgular: Perkutan EVS-G uygulanan 7 olgunun tümü erkek ve yaş ortalaması 72.4 (62-85) idi. Olguların 6'sında AAA, 1'inde Torakal Aort Anevrizması (TAA) vardı. Ortalama anevrizma çapları 8,2cm (6,3-9,7) idi. Beş hastada Koroner Arter Hastalığı (KAH), 4 hastada Kronik Obstrüktif Akci¤er Hastalığı (KOAH) vardı. Olguların hiçbirinde komplikasyon izlenmedi ve izlem süresinde AAA'sı ile birlikte girişim yerine ait herhangi bir sorunla karşılaşılmadı. Sonuç: Perkütan EVS-G deneyimli merkezlerde femoral arter yapısı uygun olan ve vasküler erişim sorunu bulunmayan olgularda herhangi bir cerrahi insizyona gerek duyulmadan başarı ile uygulanabilir.

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Cite This Article

GÖKTAY, Y., AÇIKEL, Ü., KARABAY, Ö., KARAARSLAN, K., KAVALA, A., KUSERLİ, Y., GENCEL, Ö. (2022). Endovascular repair with percutanous non-surgical approach in aortic aneurysm. Damar Cerrahi Dergisi, Cilt: 16 - Sayı: 3, 37–42. https://ajindex.com/articles/486813

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