Abdominal aort anevrizmalarında endovasküler aort onarımının klinik sonuçları: tek merkez deneyimi

Abstract

Amaç: Bu çalışmada, kliniğimizde Abdominal Aort Anevrizması (AAA) nedeniyle Endovasküler Aort Anevrizma Onarımı (EVAR) uygulanan 35 hastanın erken ve orta dönem klinik sonuçlarının değerlendirilmesi amaçlanmıştır. Yöntemler: Mayıs 2021-Mayıs 2025 tarihleri arasında hastanemizde AAA nedeniyle EVAR uygulanan toplam 35 hasta retrospektif olarak değerlendirildi. Hastaların demografik özellikleri, anevrizma morfolojisi, müdahale detayları, perioperatif komplikasyonlar, postoperatif takip süreci ve mortalite oranları analiz edildi. Bulgular: Çalışmaya dahil edilen 35 hastanın 30'u erkek (%85,7), beşi kadındı (%14,3). Ortalama yaş 72,1±7,9 yıldı. Ortalama anevrizma çapı 6,4±1,2 cm olarak ölçüldü. Hastalardan 2'sinde erken postoperatif mortalite gözlendi. Her iki hasta da AAA rüptürü nedeniyle yatırıldı. Ameliyat sonrası erken dönemde başka bir komplikasyonla karşılaşılmadı. Tüm hastalar işlemden sonra 24 saat yoğun bakım ünitesinde takip edildi. Ortalama yoğun bakım kalış süresi 17,3 ± 4,8 saat olarak belirlenirken, hastanede kalış süresi 3,2 ± 1,1 gün arasında değişti. Hastane takip süresi boyunca 2 hastada (%5,7) erken mortalite gözlendi. İşlemden sonraki 6 aylık takipte endoleak gözlenmedi. Sonuç: Endovasküler aort anevrizma onarımı, uygun hastalarda açık cerrahiye kıyasla daha düşük morbidite ve mortalite oranlarına sahip, güvenli ve etkili bir tedavi yöntemidir. Ancak hastaların düzenli radyolojik takibi ve komplikasyonların erken teşhisi tedavi başarısını doğrudan etkiler.

Keywords

• Endovasküler aort tamiri
• Abdominal Aort Anevrizması
• Klinik Sonuçlar

Clinical outcomes of endovascular aortic repair in abdominal aortic aneurysms: a single-center experience

Abstract

Aims: This study aims to evaluate the early and mid-term clinical outcomes of 35 patients who underwent endovascular aortic aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) in a tertiary peripheral hospital. Methods: A total of 35 patients who underwent EVAR due to AAA in our hospital between May 2021 and May 2025 were evaluated retrospectively. Demographic characteristics of the patients, aneurysm morphology, intervention details, perioperative complications, postoperative follow-up process, and mortality rates were analyzed. Results: Of the 35 patients included in the study, 30 were male (85.7%) and five were female (14.3%). The mean age was 70.8±7.9 years. The mean aneurysm diameter was measured as 63.1±10.7 mm. Early postoperative mortality was observed in 2 of the patients. Both of these patients were admitted due to ruptured AAA. No other complications were encountered in the early postoperative period. All patients were followed up in the intensive care unit for 24 hours after the procedure. The total hospital stay varied between 5±1 days. Early mortality was observed in 2 patients (5.7%) during the hospital follow-up period. No endoleak was observed in the 6-month follow-up after the procedure. Conclusion: Endovascular aortic aneurysm repair is a safe and effective treatment method with lower morbidity and mortality rates compared to open surgery in appropriate patients. However, regular radiological follow-up of patients and early detection of complications directly affect treatment success.

Keywords

• Endovascular aortic repair
• abdominal aortic aneurysm
• clinical outcomes

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