The early- and mid-term results of our endovascular aneurysm repairs in thoracic aortic pathologies

Abstract

Aim: Endovascular therapy can be an alternative option to open surgical treatment in high-risk patients with dissecting or pureaneurysmal dilation of aorta. Endovascular therapy is associated with less complication rates, as well as shorter hospital stay andfavourable blood products need perioperatively when compared to those in open surgical treatment. Our study aims to present asingle center experience by evaluating the early and midterm follow-up results of thoracic endovascular aortic repairs (TEVAR).Material and Methods: Nineteen patients who underwent TEVAR procedure between March 2005 and March 2011 were evaluatedretrospectively. Pre- and postoperative blood samples and computerized tomography angiograpy (CTA) results were compared. Thetype of stent graft used, need for blood product, postprocedural complications were evaluated.Results: The patients’ mean length of hospital stay was 12,8±6.5 days. The mean age was 56.1±8.7 years. Two patients (10.5%) wereurgently taken to operation; one of these (5.2%) was exitus on the postoperative day 7. None of the patients developed thromboembolicor neurological complication. Three patients (15.7%) developed endoleaks in their early-term follow-up whereas none hadendoleaks in their mid-term follow-up. There was a statistically significant difference between the preoperative and postoperativehemoglobin and hematocrit values of the patients (p