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Minerva Chirurgica 2017 October;72(5):391-6

DOI: 10.23736/S0026-4733.17.07290-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Early intervention effects of open repair and endovascular aortic repair on patients suffering from 40-54 mm abdominal aortic aneurysms: single center experience

Jian QIU, Chang SHU , Wenwu CAI, Ming LI, Quanming LI

Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China


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BACKGROUND: We conducted this study to explore the early intervention effects of open repair (OR) and endovascular aortic repair (EVAR) in treating abdominal aortic aneurysm (AAA) patients (maximum diameter 40-54 mm).
METHODS: We retrospectively analyzed patients under 65 years old with maximum AAA diameter 40-54 mm in our hospital from January 2010 to January 2016 (among which there are 38 EVAR cases and 18 OR cases) and compared their short mid-term operation effects.
RESULTS: The time of the operation, bleeding volume and volume of blood transfusion during operation in the EVAR group are significantly lower than those in the OR group; differences are statistically significant (P<0.05). The operation success of the rats in both groups was 100%; the 30-day death rate was 0% and the recurrence rate was 0%; differences are not statistically significant. The total incidence rate of complications in the OR group was 22.2% while it was 5.3% in the EVAR group; differences are statistically significant (χ2=4.114, P=0.043).
CONCLUSIONS: Early intervention (regardless of whether open or endovascular repair is used) is a feasible method for young patients with asymptomatic AAAs of 4.0 cm to 5.5 cm diameter.


KEY WORDS: Endovascular procedures - Aortic aneurysm, abdominal - Vascular diseases

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