Abdominal Aort Anevrizmalarının Konvensiyonel ve Endovasküler Tamir Sonuçlarının Karşılaştırılması

Abstract

Bu araştırmada abdominal aort anevrizmalı (AAA) hastalarda, açık cerrahinin ve endovasküler anevrizma tamirinin (EVAR) erken dönem (ilk 30 gün) sonuçlarının, eşlik eden ek hastalıkların ve risk faktörlerinin retrospektif olarak karşılaştırılması amaçlanmıştır. Merkezimizde Ocak 2002-Aralık 2014 tarihleri arasında non-rüptüre AAA (çap >5cm) sebebiyle, elektif olarak opere edilen 50 hasta incelendi. Hastalar iki gruba ayrıldı; EVAR grubu (n=31) ve açık cerrahi grubu (n=19). Demografik bilgiler (yaş, cinsiyet), semptom (karın ağrısı), risk faktörleri (sigara, hipertansiyon, koroner arter hastalığı, kronik böbrek yetmezliği, diabetes mellitus), anevrizma çapı, hastanede ve yoğun bakımda kalış süresi, kan transfüzyonu miktarı, komplikasyon ve mortalite oranları ile ilgili veriler incelendi. Hastaların cinsiyeti büyük oranda (%94) erkekti. EVAR grubunda kan transfüzyonu miktarı, hastanede ve yoğun bakımda yatış süresi daha düşük saptandı (p<0,05). Bu araştırmaya dayanarak şunu söyleyebiliriz ki; yüksek riskli hastalarda EVAR tercih edilmelidir.

Keywords

• Abdominal aort anevrizması
• Açık cerrahi
• Endovasküler anevrizma tamiri

Comparision on Outcomes in Conventional and Endovascular Repair of Abdominal Aortic Aneurysms

Abstract

In this research, we aimed to compare retrospectively; early (first 30 days) outcomes, additional diseases and risk factors of the patients with abdominal aortic aneurysm (AAA), who underwent endovascular aneurysm repair (EVAR) or open surgical repair. From January 2002 through December 2014, we reviewed 50 patients with unruptured AAA (>5cm in diameter) who were electively treated at our center. Patients were divided into two groups; EVAR group (n=31) and open surgery group (n=19). Data about; demographic information (age, sex), symptom (abdominal pain), risk factors (smoking, hypertension, coronary artery disease, chronic kidney disease, diabetes mellitus), diameter of aneurysm, duration of intensive care unit and hospital stay, amount of blood transfusion, complication and mortality rates were analyzed. Sex of the patients were mostly (94%) male. EVAR group had lower ratios with respect to amount of blood transfusion, length of stay in intensive care unit and hospital (p<0,05). On the basis of this research we can say that; EVAR should be preferred for high risk patients.

Keywords

• Abdominal aortic aneurysm
• Endovascular aneurysm repair
• Open surgery

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