Endovasküler abdominal aortik anevrizma tamirlerinde erken dönem sonuçları (6 aylık takip)
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Dosyalar
Tarih
2013
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Abdominal aort anevrizması, açık cerrahi teknikler ile tedavi edilebildiği gibi endovasküler olarak da tamir edilebilmektedir. Çalışmamızda, endovasküler aort tamiri yapılan olguların 6 aylık erken dönem sonuçlarını sunmayı amaçladık. Gereç ve Yöntemler: Kliniğimizde 2010-2012 mayıs tarihleri arasında endovasküler aort anevrizma tamiri yapılan 18 hasta çalışmaya alındı. Olgular işlem sonrası 1. ve 6. ay kontrollerine çağrılarak endoleak açısından değerlendirildi. Olguların komorbidite sebeplerine bakıldığında %38,9u diyabetik (n:7), %77,8 hipertansif (n:14), %55.6 kronik obstruktif akciğer hastalığı (n:10), %16,7 malignite (n:3), %22,2si koroner arter hastalığı (n:4), 1 olguda ise peritonit sebebiyle geçirilmiş batın cerrahisi mevcuttu. Bulgular: Olguların 4ü kadın, 14ü erkek toplam 18 hastaya endovasküler aort tamiri (EVAR) işlemi uygulandı. Hastaların yaş ortalaması 72,77±6,54 (min:62, max:82) olarak saptandı. Olguların 6 aylık takibinde mortalite gözlenmezken 1 olguda endoleak saptandı. Sonuç: EVAR işlemi açık cerrahi için yüksek riskli olgularda (ileri yaş, komorbidite varlığı, geçirilmiş batın cerrahisi) düşük mortalite ve morbidite oranları ile güvenli bir biçimde uygulanabilir. Daha kesin sonuçlar için uzun dönem takiplere ihtiyaç duyulmaktadır.
Objective: Abdominal aortic aneurysm can be repaired using open surgical techniques as well as endovascular techniques. We aimed to present six months follow up of the cases with endovascular aortic repair. Material and Methods: Eighteen patients who had endovascular aortic aneurysm repair between May 2010-2012 in our clinic were included in study. Patients were evaluated at first and six month controls for endoleak. Among patients 38.9% were diabetic (n:7), 77.8% were hypertensive (n14), 55.6% had chronic obstructive pulmonary disease (n:10), 16.7% had malignancy (n:3), 22.2% had coronary artery disease (n:4), and 1 patient had abdominal surgery due to peritonitis. Results: Endovascular aortic repair (EVAR) was applied to 18 patients ( 14 males; 4 females). The mean age was 72.77±6.54 (62-82) years. There were no mortality at six months follow up and one patient had endoleak. Conclusion: EVAR is a safe and useful treatment method for high risk surgical patients (elderly, comorbidity, prior abdominal surgery) and can be performed with low mortality and morbidity. Long term follow up studies are required for definite results.
Objective: Abdominal aortic aneurysm can be repaired using open surgical techniques as well as endovascular techniques. We aimed to present six months follow up of the cases with endovascular aortic repair. Material and Methods: Eighteen patients who had endovascular aortic aneurysm repair between May 2010-2012 in our clinic were included in study. Patients were evaluated at first and six month controls for endoleak. Among patients 38.9% were diabetic (n:7), 77.8% were hypertensive (n14), 55.6% had chronic obstructive pulmonary disease (n:10), 16.7% had malignancy (n:3), 22.2% had coronary artery disease (n:4), and 1 patient had abdominal surgery due to peritonitis. Results: Endovascular aortic repair (EVAR) was applied to 18 patients ( 14 males; 4 females). The mean age was 72.77±6.54 (62-82) years. There were no mortality at six months follow up and one patient had endoleak. Conclusion: EVAR is a safe and useful treatment method for high risk surgical patients (elderly, comorbidity, prior abdominal surgery) and can be performed with low mortality and morbidity. Long term follow up studies are required for definite results.
Açıklama
Anahtar Kelimeler
Kalp ve Kalp Damar Sistemi, Tıbbi Araştırmalar Deneysel, Pediatri, Periferik Damar Hastalıkları, Cerrahi
Kaynak
Damar Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
1
