Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan
PurposeThe outcomes of endovascular aneurysmal repair (EVAR) for infrarenal abdominal aortic aneurysms (AAAs) in the Middle East have rarely been reported. We analyzed the outcomes of EVAR in a Jordanian population.Materials and Methods : We conducted a retrospective review of the medical records of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Medrang
2019-12-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2019.35.4.202 |
| _version_ | 1818205843728891904 |
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| author | Kristi E. Janho Mohammed A. Rashaideh Jan Shishani Muhannad Jalokh Hazem Haboub |
| author_facet | Kristi E. Janho Mohammed A. Rashaideh Jan Shishani Muhannad Jalokh Hazem Haboub |
| author_sort | Kristi E. Janho |
| collection | DOAJ |
| description | PurposeThe outcomes of endovascular aneurysmal repair (EVAR) for infrarenal abdominal aortic aneurysms (AAAs) in the Middle East have rarely been reported. We analyzed the outcomes of EVAR in a Jordanian population.Materials and Methods : We conducted a retrospective review of the medical records of patients with infrarenal AAA who were treated with elective EVAR between January 2004 and January 2017 at a single center in Jordan. Patient characteristics, anatomical characteristics, procedural details, and early and late postoperative outcomes were analyzed.Results : A total of 288 patients (mean age, 70 years; 77.8% males) underwent EVAR for infrarenal AAA (median aneurysm size, 64 mm). Bifurcated endografts were used in 265 patients, and aorto-uni-iliac devices were used in 22 patients. Successful endograft deployment was achieved in all patients with no open conversion. Early complications included localized groin hematoma in 15, femoral artery dissection in 4, wound infection in 3, and seroma in 3 patients. With a mean follow-up of 60 months, 50 endoleaks were detected, including 9 type I, 38 type II, and 3 type III. Seven patients had unilateral graft limb occlusion. The 30-day mortality was 1.7%, and long-term mortality was 7.0%, mostly due to non-AAA-related causes.Conclusion : EVAR was safely performed in Jordanian patients with minimal complications. However, long-term surveillance is important due to the risk of endoleaks and consequent intervention. |
| first_indexed | 2024-12-12T04:03:35Z |
| format | Article |
| id | doaj.art-1667db31e0cd4a45a000022176458d28 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-12-12T04:03:35Z |
| publishDate | 2019-12-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-1667db31e0cd4a45a000022176458d282022-12-22T00:38:49ZengMedrangVascular Specialist International2288-79702019-12-0135420220810.5758/vsi.2019.35.4.202vsi.2019.35.4.202Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in JordanKristi E. Janho0Mohammed A. Rashaideh1Jan Shishani2Muhannad Jalokh3Hazem Haboub4Vascular Surgery Department, King Hussin Medical Center at Royal Medical Services, Amman, JordanVascular Surgery Department, King Hussin Medical Center at Royal Medical Services, Amman, JordanVascular Surgery Department, King Hussin Medical Center at Royal Medical Services, Amman, JordanVascular Surgery Department, King Hussin Medical Center at Royal Medical Services, Amman, JordanInterventional Radiology Department, King Hussin Medical Center at Royal Medical Services, Amman, JordanPurposeThe outcomes of endovascular aneurysmal repair (EVAR) for infrarenal abdominal aortic aneurysms (AAAs) in the Middle East have rarely been reported. We analyzed the outcomes of EVAR in a Jordanian population.Materials and Methods : We conducted a retrospective review of the medical records of patients with infrarenal AAA who were treated with elective EVAR between January 2004 and January 2017 at a single center in Jordan. Patient characteristics, anatomical characteristics, procedural details, and early and late postoperative outcomes were analyzed.Results : A total of 288 patients (mean age, 70 years; 77.8% males) underwent EVAR for infrarenal AAA (median aneurysm size, 64 mm). Bifurcated endografts were used in 265 patients, and aorto-uni-iliac devices were used in 22 patients. Successful endograft deployment was achieved in all patients with no open conversion. Early complications included localized groin hematoma in 15, femoral artery dissection in 4, wound infection in 3, and seroma in 3 patients. With a mean follow-up of 60 months, 50 endoleaks were detected, including 9 type I, 38 type II, and 3 type III. Seven patients had unilateral graft limb occlusion. The 30-day mortality was 1.7%, and long-term mortality was 7.0%, mostly due to non-AAA-related causes.Conclusion : EVAR was safely performed in Jordanian patients with minimal complications. However, long-term surveillance is important due to the risk of endoleaks and consequent intervention.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2019.35.4.202endovascularstent graftabdominal aortic aneurysmendoleak |
| spellingShingle | Kristi E. Janho Mohammed A. Rashaideh Jan Shishani Muhannad Jalokh Hazem Haboub Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan Vascular Specialist International endovascular stent graft abdominal aortic aneurysm endoleak |
| title | Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan |
| title_full | Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan |
| title_fullStr | Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan |
| title_full_unstemmed | Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan |
| title_short | Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan |
| title_sort | outcomes of elective endovascular aneurysmal repair for abdominal aortic aneurysms in jordan |
| topic | endovascular stent graft abdominal aortic aneurysm endoleak |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2019.35.4.202 |
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