Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology.

Dilşad Amanvermez Şenarslan; Funda Yıldırım; Ömer Tetik

doi:10.34087/cbusbed.641171

Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology.

Abstract

Amaç:

Torasik endovasküler aort anevrizması tamiri (TEVAR), günümüzde dejeneratif anevrizmalar, sakküler anevrizmalar ve akut torasik aortik sendromların tedavisinde öncelikli tercih edilmektedir. Bu çalışmanın amacı son 3 yılda kliniğimizde uygulanan TEVAR girişimlerinin erken ve orta dönem sonuçlarını değerlendirmektir.

Gereç ve Yöntem:

Otuz hastaya (25 erkek, 5 kadın) Ocak 2015- Aralık 2018 arasında TEVAR işlemi uygulandı. Tüm hastalarda Valiant ™ Torasik Stent Greft Sistemi (Medtronic®) kullanıldı.

Bulgular:

Hastaların yaş ortalaması 60,4±18 idi. Hastaların %53,3'ünde dejeneratif anevrizma, %36,7'sinde akut aortik sendrom, %10'unda aort koarktasyonu ve eşlik eden poststenotik anevrizma mevcuttu. Hastaların %63,3'ü semptomatikti ve sırt veya göğüs ağrısı vardı.

İşlemlerin teknik başarısı %100 idi. Yoğun bakım ünitesinde ortalama kalış süresi 1 ± 2 gün, hastanede kalış süresi ortalama 3,2 ± 2 gündü. Hastane mortalitesi olmadı ve ilk 30 günlük dönemde bir hasta tip 2 diseksiyon nedeniyle öldü. İki hastada tip II endoleak görüldü ve endoleak'ler kendiliğinden düzeldiği için ikincil bir müdahaleye ihtiyacımız olmadı. Subklaviyan arterin 3 hastada kapatılması gerekti ve hastalarda sol üst ekstremitede iskemisi gelişmedi. Yeterli hidrasyona rağmen, postoperatif erken dönemde 2 hastanın kreatinin düzeylerinde artış vardı ve izlemde normal değerlere geriledi. Ortalama takip süresi 6 ± 9 aydı ve uzun vadede 2 mortalite vardı. Bir hasta akciğer kanserinden öldü, ikincisi ise anevrizmal hastalıktan bağımsız olarak mezenterik iskemi nedeniyle öldü.

Sonuç:

TEVAR, torasik aort anevrizmaları veya akut aortik sendromların tedavisinde, anatomik olarak uygun hastalarda ilk tedavi seçeneğidir. TEVAR, konvansiyonel cerrahiye kıyasla düşük morbidite ve mortalite oranlarıyla, güvenle uygulanabilir.

Keywords

Aortic aneurysm,dissecting aneurysm,endovascular procedure

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Details

Primary Language

English

Subjects

Cardiovascular Surgery

Journal Section

Research Article

Authors

Dilşad Amanvermez Şenarslan ^*
0000-0002-3316-6707
Türkiye

Funda Yıldırım
0000-0002-1577-0281
Türkiye

Ömer Tetik
0000-0002-6683-5663
Türkiye

Publication Date

December 31, 2019

Submission Date

November 1, 2019

Acceptance Date

November 27, 2019

Published in Issue

Year 2019 Volume: 6 Number: 4

DOI

https://doi.org/10.34087/cbusbed.641171

IZ

https://izlik.org/JA22UL82AW

Cite

RIS / Bibtex

APA

Amanvermez Şenarslan, D., Yıldırım, F., & Tetik, Ö. (2019). Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, 6(4), 283-288. https://doi.org/10.34087/cbusbed.641171

AMA

1.Amanvermez Şenarslan D, Yıldırım F, Tetik Ö. Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2019;6(4):283-288. doi:10.34087/cbusbed.641171

Chicago

Amanvermez Şenarslan, Dilşad, Funda Yıldırım, and Ömer Tetik. 2019. “Evaluation of Early and Mid-Term Results of TEVAR Procedures With Various Etiology”. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal 6 (4): 283-88. https://doi.org/10.34087/cbusbed.641171.

EndNote

Amanvermez Şenarslan D, Yıldırım F, Tetik Ö (December 1, 2019) Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal 6 4 283–288.

IEEE

[1]D. Amanvermez Şenarslan, F. Yıldırım, and Ö. Tetik, “Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology”., CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 6, no. 4, pp. 283–288, Dec. 2019, doi: 10.34087/cbusbed.641171.

ISNAD

Amanvermez Şenarslan, Dilşad - Yıldırım, Funda - Tetik, Ömer. “Evaluation of Early and Mid-Term Results of TEVAR Procedures With Various Etiology”. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal 6/4 (December 1, 2019): 283-288. https://doi.org/10.34087/cbusbed.641171.

JAMA

1.Amanvermez Şenarslan D, Yıldırım F, Tetik Ö. Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2019;6:283–288.

MLA

Amanvermez Şenarslan, Dilşad, et al. “Evaluation of Early and Mid-Term Results of TEVAR Procedures With Various Etiology”. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 6, no. 4, Dec. 2019, pp. 283-8, doi:10.34087/cbusbed.641171.

Vancouver

1.Dilşad Amanvermez Şenarslan, Funda Yıldırım, Ömer Tetik. Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2019 Dec. 1;6(4):283-8. doi:10.34087/cbusbed.641171

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