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.

Öz

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.

Anahtar Kelimeler

Aortic aneurysm,dissecting aneurysm,endovascular procedure

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Kalp ve Damar Cerrahisi

Bölüm

Araştırma Makalesi

Yazarlar

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

Funda Yıldırım
0000-0002-1577-0281
Türkiye

Ömer Tetik
0000-0002-6683-5663
Türkiye

Yayımlanma Tarihi

31 Aralık 2019

Gönderilme Tarihi

1 Kasım 2019

Kabul Tarihi

27 Kasım 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 6 Sayı: 4

DOI

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

IZ

https://izlik.org/JA22UL82AW

Kaynak Göster

RIS / Bibtex

APA

Amanvermez Şenarslan, D., Yıldırım, F., & Tetik, Ö. (2019). Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 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. 2019;6(4):283-288. doi:10.34087/cbusbed.641171

Chicago

Amanvermez Şenarslan, Dilşad, Funda Yıldırım, ve Ömer Tetik. 2019. “Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 6 (4): 283-88. https://doi.org/10.34087/cbusbed.641171.

EndNote

Amanvermez Şenarslan D, Yıldırım F, Tetik Ö (01 Aralık 2019) Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 6 4 283–288.

IEEE

[1]D. Amanvermez Şenarslan, F. Yıldırım, ve Ö. Tetik, “Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology”., CBU-SBED, c. 6, sy 4, ss. 283–288, Ara. 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”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 6/4 (01 Aralık 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. 2019;6:283–288.

MLA

Amanvermez Şenarslan, Dilşad, vd. “Evaluation of Early and Mid-term Results of TEVAR Procedures with Various Etiology”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 6, sy 4, Aralık 2019, ss. 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. 01 Aralık 2019;6(4):283-8. doi:10.34087/cbusbed.641171

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Endovascular therapy of peripheral arterial disease involving iliac artery and distal lower extremity arteries

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https://doi.org/10.34087/cbusbed.748516