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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

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The early- and mid-term results of our endovascular aneurysm repairs in thoracic aortic pathologies (p. 1525-30)

The early- and mid-term results of our endovascular aneurysm repairs in thoracic aortic pathologies (p. 1525-30)

Burak Acikgoz1, Ali Aycan Kavala1, Levent Yazicioglu2, Bulent Kaya2, Kemalettin Ucanok2
1Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Cardiovascular Surgery Istanbul, Turkey
2Ankara University Faculty of Medicine, Department of Cardiovascular Surgery, Ankara, Turkey

Abstract

Aim: Endovascular therapy can be an alternative option to open surgical treatment in high-risk patients with dissecting or pure aneurysmal dilation of aorta. Endovascular therapy is associated with less complication rates, as well as shorter hospital stay and favourable blood products need perioperatively when compared to those in open surgical treatment. Our study aims to present a single center experience by evaluating the early and midterm follow-up results of thoracic endovascular aortic repairs (TEVAR).
Material and Methods: Nineteen patients who underwent TEVAR procedure between March 2005 and March 2011 were evaluated retrospectively. Pre- and postoperative blood samples and computerized tomography angiograpy (CTA) results were compared. The type of stent graft used, need for blood product, postprocedural complications were evaluated.
Results: The patients’ mean length of hospital stay was 12,8±6.5 days. The mean age was 56.1±8.7 years. Two patients (10.5%) were urgently taken to operation; one of these (5.2%) was exitus on the postoperative day 7. None of the patients developed thromboembolic or neurological complication. Three patients (15.7%) developed endoleaks in their early-term follow-up whereas none had endoleaks in their mid-term follow-up. There was a statistically significant difference between the preoperative and postoperative hemoglobin and hematocrit values of the patients (p0.05).
Conclusion: Endovascular aneurysm repair in thoracic aortic pathologies can be an alternative to surgery in suitable cases. However, we are of the opinion that the experience of surgical team to perform this procedure with this subject will be useful in reducing the complication rates.
Keywords: Thoracic; aorta; endovascular; TEVAR. 

 

 

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doi: 10.5455/annalsmedres.2018.12.269

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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