Atilla SARAÇ, Mustafa Kemal DEMİRBAĞ, HÜSEYİN AKAN, Hasan Tahsin KEÇELİĞİL

Abdominal aorta anevrizmalarında endovasküler tedavi: İki olgu sunumu

Abdominal aorta anevrizmasının standart tedavisi anevrizmatik kısıma greft yerleştirilerek yapılan cerrahi işlemdir. Endo-luminal stent-greft protez ile AAA tedavisi, abdominal cerrahiye alternatif bir yöntem olarak giderek daha fazla dikkat çekmektedir. Abdominal aorta anevrizmalı iki hastayı bifurkasyonlu stent-greft yerleştirmek suretiyle tedavi ettik. Sonuç olarak, stent-greft kullanılmak suretiyle AAA tedavisi geleneksel cerrahi tekniğe güvenli ve etkin bir alternatif yöntem gibi görünmektedir.

Endovascular treatment of abdominal aortic aneurysms: Two cases report

The standard management of abdominal aortic aneurysm (AAA) is surgical, with graft replacement in the aneurysmatic segment. The treatment of AAA with endoluminal stent-graft prostheses is receiving increasing attention as an alternative method to abdominal surgery. We treated two patients with abdominal aortic aneurysms received bifurcated stent-grafts. In conclusion, endovascular repair of abdominal aortic aneurysms with the use of stent-grafts looks like a safe end effective alternative method to conventional surgical technique.

PDF

___

1) Geraghty PJ, Sicard GA. Abdominal aortic aneursym repair in high risk and elderly patients. J Cardiovasc Surg 2003; 44:543-7.
2) Bush RL, Lin PH, Lumbsden AB. Endovascular management of abdominal aortic aneurysms. J Cardiovasc Surg 2003; 44:527-34.
3) Faries PL, Bernheim Kılaru JS. Selecting stent grafts for the endovascular treatment of abdominal aortic aneurysms. J Cardiovasc Surg 2003; 44:511-8.
4) Hincliffe RJ, Hopkinson BR. Current concepts and controversies in endovascular repair of abdominal aortic aneurysms. J Cardiovascular Surg 2003; 44:481-502.
5) Ünal M, Tekin S. Abdominal Aort Anevrizmalarının Endovasküler Tedavisi. Anadolu Kardiyol Derg 2003; 3:115-121.
6) Tonnessen BH, Sternbergh WC, Money SR. Brave new world. The role for endovascular aneurysm repair in contemporary vascular surgery. J Cardiovasc Surg 2003; 44:535-42.
7) Greenhalgh RM, Brown LC, Knowng GPS, et al. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30 day operative mortality results: randomised controlled trial. Lancet 2004; 364:843-8.
8) Arbatlı H, Yağan N, Onat L. İki Abdominal Aort Anevrizması Olgusunun Endovascular Stent Greft İle Tedavisi. T Göğüs Kalp Damar Cer Derg 2001; 9:260-264.
9) Chuter TAM. The choice of stent graft for endovascular repair of abdominal aortic aneurysm. J Cardiovasc Surg 2003; 44:519-25.
10) Deligönül U. Abdominal Aort Anevrizması: Yeni Bilgilerin Işığında Ne Zaman ve Nasıl Tedavi Edilmeli. Editöryel yorum. www.anakarder.com
11) Sanford RM, Bown MJ, Sayers RD, et al. Endovascular abdominal aortic aneurysm repair: 5-year follow-up results. Ann Vasc Surg 2008; 22(3):372-8.
12) Blum U, Voshage G, Lammer J, et al. Endoluminal stent-grafts for infrarenal abdominal aortic aneurysms. New Eng J Med 1997; 336(1):13-20.
13) Bilgen F, Narin A, Hobikoğlu G. Torasik Aort Anevrizmasının Endovasküler Stent Greft İle Tedavisi: Olgu sunumu. T Göğüs Kalp Damar Cer. Derg. 2002; 10:53-55.
14) Esposito G, Marullo AGM, Pennetta AR, et al. Hybrid treatment of thoracoabdominal aortic aneurysms with the use of a new prosthesis. Ann Thorac Surg 2008; 85:1443-5.