Place of endovascular repair in the treatment of abdominal aortic aneurysm

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Published May 3, 2018
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Vol. 95 No. 11 (2017): Issue Nov 2017

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Mohamed Ben Hammamia
Karim Kaouel
Malek Ben Mrad
Jalel Ziadi
Bilel Derbel
Faker Ghedira
Raouf Denguir

Abstract

Aim : Open repair for abdominal aortic aneurysm (AAA) has a significant morbidity and mortality. Since the introduction of endovascular
techniques, much progress has been made. The aim of this study is to clarify the feasibility and the results of endovascular aneurysm repair
(EVAR) in short and middle terms.
Methods : Between 2008 and 2015, 14 patients underwent EVAR. The average age was 65 years. Comorbidities were found in 7 patients. It was
coronary artery disease in 3 cases and severe respiratory failure in 4 cases. The aneurysm was atherosclerotic in 12 cases and inflammatory in
2 cases. The average length of the proximal neck was 29 mm. The mean aneurysm diameter was 65mm. A bifurcated stent graft has been
deployed in 12 cases and an aorto-mono-iliac stent graft was deployed in 2 cases.
Results : Immediate technical success was achieved in 13 patients. Immediate surgical conversion was performed in 1 case. The average hospital
stay was 5 days. We haven’t deployed any early death. After a mean follow-up of 3 years, we deployed 3 late deaths; two deaths were not related
to the aneurysm and one death was secondary to rupture of the aneurysm caused by a proximal stent graft migration.
Conclusion : EVAR is actually a therapeutic increasingly used. Its results, especially late, are still being evaluated. Meanwhile, its indications must
be selective.

Keywords:

EVAR, Endovascular, Stent Graft

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