[Endovascular treatment of abdominal aortic aneurysms].
OBJECTIVE
Endovascular treatment of aortic aneurysms is getting popular in our country due to its less invasive nature and shortened hospital stay. The initial experience with endovascular stent-graft implantation procedures to treat abdominal aortic aneurysms and their results were evaluated retrospectively in this study.


METHODS
Eight patients with abdominal aortic aneurysms were treated with endovascular stent grafts. Seven patients were male and 1 was female with the mean age of 63.13+/-9.23 (48-72) years. Six patients were considered not proper for conventional surgical treatment.


RESULTS
The procedure was converted to conventional surgery in one patient due to traumatic rupture of the iliac artery during the intervention. Type I endoleak was detected in 1 patient in the first month and was treated successfully by balloon dilatation of the proximal neck. Type II endoleak in two patients resolved spontaneously in the postoperative follow-up. No mortality was occurred. The mean intensive care unit stay was 24.57+/-10.37 (20-48) hours, mean hospital stay was 4.00+/-1.83 (3-8) days, and mean use of blood and blood products was 456.25+/-722.81 ml, excluding the patient treated by conventional surgery. The mean follow-up period was 9.36+/-3.75 (4-15) months.


CONCLUSIONS
Endovascular treatment of abdominal aortic aneurysms is a good therapeutic alternative with low morbidity even in complicated cases. More studies are needed to enlighten the safety, effectiveness and durability of this therapeutic modality.
Arbatli
Harun
H
Istanbul Memorial Hastanesi Kalp ve Damar Cerrahisi Bölümü, Istanbul. harbatli@hotmail.com
Yağan
Naci
N
Demirsoy
Ergün
E
Unal
Mehmet
M
Tekin
Serap
S
Numan
Fürüzan
F
Sönmez
Bingür
B
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures