Initial experience with endovascular aneurysm repair: Comparison of early results with outcome of conventional open repair

Brewster, David C.; Geller, Stuart C.; Kaufman, John A.; Cambria, Richard P.; Gertler, Jonathan P.; LaMuraglia, Glenn M.; Atamian, Susan; Abbott, William M.

doi:10.1016/s0741-5214(98)70002-3

Cited by 267 publications

(174 citation statements)

References 47 publications

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“…Değişik çalışmalarda çok farklı oranlar da saptanmıştır. May ve ark.nın [22] çalışmasında %7, Brewster ve ark.nın [23] çalışmasında %21, Zarins ve ark.nın [24] çalışmasında %36, Beebe ve ark.nın [25] çalışmasında %5.6, Becquemin ve ark.nın [19] çalışmasında %27, Jordan ve ark.nın [18] çalışmasında %1.1 ve Lederle ve ark.nın. [16] çalışmasında ise %25 oranında bildirilmiştir.…”

Section: İstatistiksel Analizlerunclassified

A comparison of open conventional and endovascular surgical therapies in abdominal aortic aneurysm repair

Güneş¹

2012

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada, abdominal aort anevrizmasının (AAA) tamirinde sentetik greft ile konvansiyonel yaklaşım ve endovasküler stent greft (EVAR) yaklaşımının sonuçları karşılaştırıldı. Ça lış ma pla nı: Ağustos 2003 -Ekim 2010 tarihleri arasında kliniğimizde AAA nedeniyle elektif şartlarda konvansiyonel cerrahi tedavi veya EVAR uygulanmış 150 hasta (142 erkek, 8 kadın; yaş 67.43 yıl; dağılım 36-86 yıl) retrospektif olarak incelendi. Hastaların erken dönem mortalite oranları, ameliyat süresi, kan kaybı, transfüzyon gereksinimi, mekanik ventilasyon süresi, yoğun bakımda ve hastanede yatış süreleri kaydedildi. Bul gu lar: Mortalite oranı EVAR uygulanan hastalarda %1.9 iken, konvansiyonel cerrahi uygulanan hastalarda %9.3 olarak saptandı (p<0.05). Ortalama kan transfüzyonu EVAR grubunda 2.7±3.0 ünite iken, konvansiyonel cerrahi uygulanan hasta grubunda 5.6±3.9 ünite idi (p<0.05). Ortalama ameliyat süresi, ortalama mekanik ventilasyon süresi, ortalama yoğun bakımda kalma süresi, ortalama hastanede yatış süresi EVAR uygulanan hastalarda, konvansiyonel cerrahi uygulanan hastalara kıyasla, istatistiksel olarak anlamlı düşüktü. So nuç: EVAR yaşlı ve ameliyat riskinin yüksek olduğu veya greft teknolojilerindeki gelişmeler sonucunda anatomik olarak uygun olan hastalarda düşük mortalite ve morbidite oranları ile uygulanan etkili bir alternatif tedavi yöntemi olabilir.Anah tar söz cük ler: Abdominal aort anevrizması; endovasküler tedavi; konvansiyonel cerrahi tedavi.

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Section: İstatistiksel Analizlerunclassified

A comparison of open conventional and endovascular surgical therapies in abdominal aortic aneurysm repair

Güneş¹

2012

Turk Gogus Kalp Dama

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“…Treatment of AEF usually consists of graft excision, closure of the duodenal defect, retroperitoneal debridement, and extra-anatomic bypass. Recently, stent-grafting has been utilized for the treatment of ruptured and nonruptured aortic aneurysms, traumatic aortic injuries, and various fi stulas involving the aorta [8][9][10][11][12]. This minimally invasive approach has the potential to overcome the problems encountered with standard open repair and is particularly attractive in highrisk patients and emergent situations.…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Upper Gastrointestinal Bleeding Secondary to Aortoenteric Fistula

Islam

Hines

Katz

et al. 2008

Clinical medicine. Circulatory, respiratory and pulmonary medic

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“…In the past, endovascular aneurysm repair (EVAR) was accepted as a compatible method to more conventional method from the viewpoint of its safety and favorable outcomes. [5][6][7] Earlier clinical studies on EVAR have reported significant decrease in intensive care unit (ICU) stay, hospital stay, major complications such as bleeding, and the 30-day mortality. Furthermore, due to its advantages including prompt recovery and early ambulation, EVAR had emerged as a substitute to surgery particularly for treating elderly patients with multiple comorbidities.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Abdominal Aortic Aneurysmal Repair: A Korean Perspective

2007

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Endovascular aneurysm repair (EVAR) was initially introduced as a less invasive alternative to conventional open repair. EVAR was subsequently adopted as a treatment option for abdominal aortic aneurysm. In Korea, open repair is more widely available than EVAR, although EVAR can be performed in several hospitals. Due to the rapidly aging population in Korea, there has been a shift from private healthcare to government-regulated universal coverage and EVAR may be a more feasible option for cardiovascular interventionalists in these days. The improvement of EVAR was rapidly attained by many pioneers for the last two decades. Although issues such as indications and durability of EVAR remain to be elucidated, its application can be extended further of milder invasiveness-related effects on comorbidities and less discomfort to patients. Aortic stentgrafting has been performed for various aortoiliac pathologies over the last 13 years at our cardiovascular center.

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Initial experience with endovascular aneurysm repair: Comparison of early results with outcome of conventional open repair

Cited by 267 publications

References 47 publications

A comparison of open conventional and endovascular surgical therapies in abdominal aortic aneurysm repair

A comparison of open conventional and endovascular surgical therapies in abdominal aortic aneurysm repair

Life-Threatening Upper Gastrointestinal Bleeding Secondary to Aortoenteric Fistula

Endovascular Abdominal Aortic Aneurysmal Repair: A Korean Perspective

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