Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs)
BACKGROUND: Endovascular aortic repair (EVAR) of abdominal aortic aneurysms (AAAs) has been marked as standard practice during the past decades. We aimed to investigate the shortand long-term outcomes of EVAR in patients with AAAs in Isfahan, Iran. .METHODS: This retrospective study conducted on 50...
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| Format: | Article |
| Language: | English |
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Vesnu Publications
2022-09-01
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| Series: | ARYA Atherosclerosis |
| Subjects: | |
| Online Access: | https://arya.mui.ac.ir/article_16298_23f6656b6c55ca0239a1e3e0cd790c37.pdf |
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| author | Alireza Khosravi, MD Ali Eghbal Mohammad Kermani-Alghoraishi, MD Mohaddeseh Behjati Javad Shahabi Asiye Mansouri |
| author_facet | Alireza Khosravi, MD Ali Eghbal Mohammad Kermani-Alghoraishi, MD Mohaddeseh Behjati Javad Shahabi Asiye Mansouri |
| author_sort | Alireza Khosravi, MD |
| collection | DOAJ |
| description | BACKGROUND: Endovascular aortic repair (EVAR) of abdominal aortic aneurysms (AAAs) has been marked as standard practice during the past decades. We aimed to investigate the shortand long-term outcomes of EVAR in patients with AAAs in Isfahan, Iran. .METHODS: This retrospective study conducted on 50 patients with AAAs who have undergone EVAR procedure consequently in four different hospitals (Chamran hospital, Asgarieh hospital, Sepahan hospital and Saadi hospital) in Isfahan, Iran, between 2017 to 2020. We followed patients for one year and recorded short-term and one-year outcome include Endoleak, Aorta-iliac expansion, and mortality in hospital records during one year and telephone follow up. Data was entered in SPSS (ver.25) and analyzed with Univariate Linear Regression and Chi-Square Test.RESULTS: The mean age of participants was 66.6±11.7 years old, in which 88%(n=44) of them were male. Elective EVAR was performed in 88% of patients. Regarding the complications one year after EVAR, endoleak and CIN (contrast-induced nephropathy) were occurred in 6%(n=3) and 6%(n=3) of patients, respectively. We also reported the rate of in-hospital mortality and one-year mortality as 2%(n=1) and 8%(n=4), respectively. Univariate regression analysis revealed no significant difference regarding one-year mortality in patients who underwent EVAR. In patients who underwent spinal anesthesia in comparison with general and regional anesthesia before EVAR, there were lower rate of vascular complications [0% (n=0) versus 23.5% (n=4) and 20.0% (n=2), P=0.053], level of blood urea nitrogen (BUN) [9.8 ± 13.9 versus 17.0 ± 13.1 and 14 ± 6.2, P=0.031] and creatinine (Cr) [0.6±1.1 versus 1.1±0.6 and 1.3±0.5, P=0.005], respectively.CONCLUSION: Desirable short- and long-term outcomes as expected, combined with a reduction in hospital length of stay and mortality and one-year mortality allowed EVAR to become the favorable therapeutic strategy for AAAs in Iran especially in high-risk patients. Lower rate of vascular complications, ICU length of stay and lower level of BUN and Cr were observed using spinal anesthesia in patients who underwent EVAR in our centers. |
| first_indexed | 2024-04-10T07:11:42Z |
| format | Article |
| id | doaj.art-4483c8e6e9e94ff687bb339e3a1cf65a |
| institution | Directory Open Access Journal |
| issn | 1735-3955 2251-6638 |
| language | English |
| last_indexed | 2024-04-10T07:11:42Z |
| publishDate | 2022-09-01 |
| publisher | Vesnu Publications |
| record_format | Article |
| series | ARYA Atherosclerosis |
| spelling | doaj.art-4483c8e6e9e94ff687bb339e3a1cf65a2023-02-26T10:29:43ZengVesnu PublicationsARYA Atherosclerosis1735-39552251-66382022-09-0118September1710.48305/arya.2022.16298.251816298Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs)Alireza Khosravi, MD0Ali Eghbal1Mohammad Kermani-Alghoraishi, MD2Mohaddeseh Behjati3Javad Shahabi4Asiye Mansouri5Professor, Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranAssistant professor, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranCardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranHeart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranBACKGROUND: Endovascular aortic repair (EVAR) of abdominal aortic aneurysms (AAAs) has been marked as standard practice during the past decades. We aimed to investigate the shortand long-term outcomes of EVAR in patients with AAAs in Isfahan, Iran. .METHODS: This retrospective study conducted on 50 patients with AAAs who have undergone EVAR procedure consequently in four different hospitals (Chamran hospital, Asgarieh hospital, Sepahan hospital and Saadi hospital) in Isfahan, Iran, between 2017 to 2020. We followed patients for one year and recorded short-term and one-year outcome include Endoleak, Aorta-iliac expansion, and mortality in hospital records during one year and telephone follow up. Data was entered in SPSS (ver.25) and analyzed with Univariate Linear Regression and Chi-Square Test.RESULTS: The mean age of participants was 66.6±11.7 years old, in which 88%(n=44) of them were male. Elective EVAR was performed in 88% of patients. Regarding the complications one year after EVAR, endoleak and CIN (contrast-induced nephropathy) were occurred in 6%(n=3) and 6%(n=3) of patients, respectively. We also reported the rate of in-hospital mortality and one-year mortality as 2%(n=1) and 8%(n=4), respectively. Univariate regression analysis revealed no significant difference regarding one-year mortality in patients who underwent EVAR. In patients who underwent spinal anesthesia in comparison with general and regional anesthesia before EVAR, there were lower rate of vascular complications [0% (n=0) versus 23.5% (n=4) and 20.0% (n=2), P=0.053], level of blood urea nitrogen (BUN) [9.8 ± 13.9 versus 17.0 ± 13.1 and 14 ± 6.2, P=0.031] and creatinine (Cr) [0.6±1.1 versus 1.1±0.6 and 1.3±0.5, P=0.005], respectively.CONCLUSION: Desirable short- and long-term outcomes as expected, combined with a reduction in hospital length of stay and mortality and one-year mortality allowed EVAR to become the favorable therapeutic strategy for AAAs in Iran especially in high-risk patients. Lower rate of vascular complications, ICU length of stay and lower level of BUN and Cr were observed using spinal anesthesia in patients who underwent EVAR in our centers.https://arya.mui.ac.ir/article_16298_23f6656b6c55ca0239a1e3e0cd790c37.pdfabdominal aortic aneurysmendovascular aortic repairtreatment outcome |
| spellingShingle | Alireza Khosravi, MD Ali Eghbal Mohammad Kermani-Alghoraishi, MD Mohaddeseh Behjati Javad Shahabi Asiye Mansouri Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs) ARYA Atherosclerosis abdominal aortic aneurysm endovascular aortic repair treatment outcome |
| title | Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs) |
| title_full | Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs) |
| title_fullStr | Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs) |
| title_full_unstemmed | Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs) |
| title_short | Short and one-year outcome of endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAAs) |
| title_sort | short and one year outcome of endovascular aortic repair evar for abdominal aortic aneurysms aaas |
| topic | abdominal aortic aneurysm endovascular aortic repair treatment outcome |
| url | https://arya.mui.ac.ir/article_16298_23f6656b6c55ca0239a1e3e0cd790c37.pdf |
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