Short and Intermediate Outcome of Endovascular Aortic Aneurysmal Repair, A multicenteric Study

Authors

  • Mohamed Hosny Sayed Department of Vascular Surgery, Cairo University Hospitals, Cairo, Egypt https://orcid.org/0000-0002-3804-723X
  • Mohammed Ali Hassan Department of Vascular Surgery, Cairo University Hospitals, Cairo, Egypt https://orcid.org/0000-0002-4228-780X
  • Ahmed Samir Hosny Department of Vascular Surgery, Cairo University Hospitals, Cairo, Egypt
  • Hisham Rashid Department of Vascular Surgery, KCH NHS Foundation Trust, Kings College, London, EnglandDepartment of Vascular Surgery, KCH NHS Foundation Trust, Kings College, London, England https://orcid.org/0000-0002-7160-0738
  • Mohamed Hosni El Dessoki Department of Vascular Surgery, Cairo University Hospitals, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2021.7384

Keywords:

Abdominal aortic aneurysms, Endovascular aneurysm repair, Mortality, Complications, Reintervention

Abstract

BACKGROUND: The availability of aortic stent-grafts has permitted an obvious change in the management of abdominal aortic aneurysms (AAA). For elective cases open surgical repair has been widely superseded by the use of stent-graft. With the rapid evolution of the endovascular technology, a significant development in stent-graft techniques was achieved in conjunction with a better understanding of how to utilize stent-grafts.

METHODS: A multicenter prospective study in which 49 patients were enrolled, they underwent an elective endovascular aneurysm repair (EVAR) procedure for infrarenal AAA in two different institutions, Kasr Al-ainy School of Medicine, Cairo University and King’s College Hospital in London, the selected patients were followed up for 6 months after the procedure. Data relating to demographics and pre-operative comorbidities were recorded. Aneurysm morphology was reviewed by computed tomography angiography scans. Clinical data was collected through operative records and afterward through outpatient clinic follow-up sessions.

RESULTS: Overall survival was 94% over a period of 6 months calculated using KaplanMeier Survival Curve.

CONCLUSIONS: Endovascular repair resulted in fewer perioperative deaths. This study provides insight into clinical parameters that can be used to stratify patients’ post-EVAR surveillance and need for re-intervention and it came to the conclusion that EVAR could be considered as the standard repair for uncomplicated infrarenal AAA.

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Published

2021-11-17

How to Cite

1.
Sayed MH, Hassan MA, Hosny AS, Rashid H, El Dessoki MH. Short and Intermediate Outcome of Endovascular Aortic Aneurysmal Repair, A multicenteric Study. Open Access Maced J Med Sci [Internet]. 2021 Nov. 17 [cited 2024 Mar. 29];9(B):1494-8. Available from: https://oamjms.eu/index.php/mjms/article/view/7384