Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single center
Aim: We examined the criteria governing patient selection in contemporary practice in cases of infrarenal abdominal aortic aneurysm (AAA) treated electively or urgently in our Cardiovascular Surgery Clinic (CVSC). Material and Methods: From January 2019 to January 2024, we retrospectively evaluated...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Turkish National Vascular and Endovascular Surgery Society
2024-03-01
|
| Series: | Turkish Journal of Vascular Surgery |
| Subjects: | |
| Online Access: | https://turkishjournalofvascularsurgery.org//?mno=218188 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823858500762075136 |
|---|---|
| author | Bahadir Aytekin Goktan Askin Naim Boran Tumer Hayrettin Levent Mavioglu Seref Alp Kucuker Ahmet Saritas Hakki Zafer Iscan Mehmet Ali Ozatik Erol Sener |
| author_facet | Bahadir Aytekin Goktan Askin Naim Boran Tumer Hayrettin Levent Mavioglu Seref Alp Kucuker Ahmet Saritas Hakki Zafer Iscan Mehmet Ali Ozatik Erol Sener |
| author_sort | Bahadir Aytekin |
| collection | DOAJ |
| description | Aim: We examined the criteria governing patient selection in contemporary practice in cases of infrarenal abdominal aortic aneurysm (AAA) treated electively or urgently in our Cardiovascular Surgery Clinic (CVSC).
Material and Methods: From January 2019 to January 2024, we retrospectively evaluated infrarenal AAA patients treated either electively or urgently with Open Surgical Repair (OSR) or standard Endovascular Aortic Repair (EVAR) at our CVSC. The primary endpoints are distribution of AAA patients by treatment modality, early morbidity and mortality. The secondary endpoints were intensive care unit (ICU) duration and length of hospital stay (LOS).
Results: A total of 332 patients received EVAR (Group 1), including 296 elective cases, while 90 patients underwent OSR (Group 2), with 66 being elective. Early mortality rates were significantly lower in the EVAR group (1.3% for elective and 27.8% for emergent) compared to the OSR group (6.1% for elective and 54.2% for ruptured cases, p=0.001). Major postoperative complications occurred in 12.5% of elective EVAR patients and 39.4% of elective OSR patients (p=0.001), while in ruptured cases, the rates were 11.1% and 58.3%, respectively (p=0.001). Comparisons of ICU duration and LOS also favored EVAR (p=0.001).
Conclusion: EVAR offers a survival benefit in the early period compared to OSR. The choice of treatment should be tailored to the patient's comorbidities, preferences, and the vascular surgeon's expertise. Advanced aortic centers with hybrid operating rooms (HOR) and specialized CVSCs should aim for optimized patient outcomes and cost-effectiveness in our country. [Turk J Vasc Surg 2024; 33(3.000): 120-6] |
| format | Article |
| id | doaj-art-9d13565dbe4d4ca5a9df13b0e9e15b6f |
| institution | Kabale University |
| issn | 2667-5080 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Turkish National Vascular and Endovascular Surgery Society |
| record_format | Article |
| series | Turkish Journal of Vascular Surgery |
| spelling | doaj-art-9d13565dbe4d4ca5a9df13b0e9e15b6f2025-02-11T11:13:16ZengTurkish National Vascular and Endovascular Surgery SocietyTurkish Journal of Vascular Surgery2667-50802024-03-013331206218188Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single centerBahadir Aytekin0Goktan Askin1Naim Boran Tumer2Hayrettin Levent Mavioglu3Seref Alp Kucuker4Ahmet Saritas5Hakki Zafer Iscan6Mehmet Ali Ozatik7Erol Sener8Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS Clinic Ankara Bilkent City Hospital CVS ClinicAim: We examined the criteria governing patient selection in contemporary practice in cases of infrarenal abdominal aortic aneurysm (AAA) treated electively or urgently in our Cardiovascular Surgery Clinic (CVSC). Material and Methods: From January 2019 to January 2024, we retrospectively evaluated infrarenal AAA patients treated either electively or urgently with Open Surgical Repair (OSR) or standard Endovascular Aortic Repair (EVAR) at our CVSC. The primary endpoints are distribution of AAA patients by treatment modality, early morbidity and mortality. The secondary endpoints were intensive care unit (ICU) duration and length of hospital stay (LOS). Results: A total of 332 patients received EVAR (Group 1), including 296 elective cases, while 90 patients underwent OSR (Group 2), with 66 being elective. Early mortality rates were significantly lower in the EVAR group (1.3% for elective and 27.8% for emergent) compared to the OSR group (6.1% for elective and 54.2% for ruptured cases, p=0.001). Major postoperative complications occurred in 12.5% of elective EVAR patients and 39.4% of elective OSR patients (p=0.001), while in ruptured cases, the rates were 11.1% and 58.3%, respectively (p=0.001). Comparisons of ICU duration and LOS also favored EVAR (p=0.001). Conclusion: EVAR offers a survival benefit in the early period compared to OSR. The choice of treatment should be tailored to the patient's comorbidities, preferences, and the vascular surgeon's expertise. Advanced aortic centers with hybrid operating rooms (HOR) and specialized CVSCs should aim for optimized patient outcomes and cost-effectiveness in our country. [Turk J Vasc Surg 2024; 33(3.000): 120-6]https://turkishjournalofvascularsurgery.org//?mno=218188endovascular aneurysm repairabdominal aorta aneurysmmortality |
| spellingShingle | Bahadir Aytekin Goktan Askin Naim Boran Tumer Hayrettin Levent Mavioglu Seref Alp Kucuker Ahmet Saritas Hakki Zafer Iscan Mehmet Ali Ozatik Erol Sener Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single center Turkish Journal of Vascular Surgery endovascular aneurysm repair abdominal aorta aneurysm mortality |
| title | Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single center |
| title_full | Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single center |
| title_fullStr | Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single center |
| title_full_unstemmed | Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single center |
| title_short | Early outcomes of treatment selections for infrarenal abdominal aortic aneurysms: The first five year experience of a single center |
| title_sort | early outcomes of treatment selections for infrarenal abdominal aortic aneurysms the first five year experience of a single center |
| topic | endovascular aneurysm repair abdominal aorta aneurysm mortality |
| url | https://turkishjournalofvascularsurgery.org//?mno=218188 |
| work_keys_str_mv | AT bahadiraytekin earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT goktanaskin earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT naimborantumer earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT hayrettinleventmavioglu earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT serefalpkucuker earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT ahmetsaritas earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT hakkizaferiscan earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT mehmetaliozatik earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter AT erolsener earlyoutcomesoftreatmentselectionsforinfrarenalabdominalaorticaneurysmsthefirstfiveyearexperienceofasinglecenter |