Mehmet Cengiz ÇOLAK, Murat ÖZGÜLER, Ali RAHMAN, Hüseyin ÖZDEMİR, E. Barbaros ÇİL

Aort anevrizmalarının endovasküler stent-greft tedavisi

Amaç: Bu çalışmada torakal ve abdominal aort anevrizmalarında endovasküler stent-greft tedavisinin etkinliği araştırıldı. Çalışma planı: 2007 yılı içinde biri torakal aort anevrizmalı, altısı abdominal aort anevrizmalı yedi hastaya (7 erkek; ort. yaş 75.8 yıl; dağılım 65-94 yıl) endovasküler stent-greft uygulandı. Tedavi endikasyonları non-spesifik dejeneratif anevrizmaydı. Tüm hastalarda Medtronic® Talent marka stent-greft kullanıldı. Bulgular: Endovasküler tedavi torakal stent-greft (n=1), aorto-biiliyak stent-greft ile beraber aynı seansta sol iliyak stent-greft (n=1) ve aorto-biiliyak stent-greftler (n=5) kullanılarak yapıldı. Tüm işlemlerde başarı oranı %100 idi. İşlem sırasında ölüm, majör komplikasyon veya açık cerrahiye gereksinim olmadı. Erken dönemde bir hasta kaybedildi. Hiçbir hastada greft enfeksiyonu ya da anevrizma rüptürüne bağlı ölüm izlenmedi. Sonuç: Seçilmiş hastalarda aortik lezyonların stent-greft kullanılarak endovasküler tedavisi erken dönem mortalite ve morbidite oranı düşük, yüksek teknik başarıya sahip bir yöntemdir.

Aortic aneurysms’ treatment with endovascular stent - graft

Background: The aim of this study was to investigate the efficacy of treatment with endovascular stent-graft in thoracal and abdominal aortic aneurysms. Methods: In 2007, one thoracic and six abdominal lesions (7 males; mean age 75.8 years; range 65 to 94 years) were treated with endovascular stent-graft. The indication for endovascular repair was nonspecific degenerative aneurysm. In all patients Medtronic® Talent stent-graft was used. Results: Repair was performed with thoracic stent-graft (n=1), aorto-biiliac stent-graft together with left iliac stent-graft (n=1), and only aorto-biiliac stent-grafts (n=5). Technical success rate was 100%. No mortality, major complication or need of immediate conversion to open repair was seen. One patient died during the early followup period. No mortality due to graft infection or aneurysm rupture was detected. Conclusion: In selected patients endovascular treatment of aortic lesions by using stent-graft is a method with a high degree of technical success and a low morbidity and mortality rate in the early period.

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