Early and Mid-term Results of Endovascular Treatment of Abdominal Aortic Aneurysm in Patients Over 65 Years of Age

Year 2024, Volume: 6 Issue: 1, 42 - 47, 26.02.2024

Mehmet Emir Erol , Ertekin Utku Ünal

https://doi.org/10.52827/hititmedj.1359552

Abstract

Objective: In patients over the age of 65, the most appropriate treatment modality for abdominal aortic aneurysms (AAA) is controversial, but the use of endovascular treatment methods is increasing. The aim of this study was to investigate the duration of intensive care unit stay, need for reintervention, and early and late mortality rates after endovascular treatment in octogenerians with abdominal aortic aneurysm.
Material and Method: A total of 220 patients who underwent endovascular aneurysm repair for abdominal aortic aneurysm under elective conditions were included in the study. Patients over 70 years of age constituted Group-1 (n = 102) and those under 70 years of age constituted Group-2 (n = 118). The groups were analyzed in terms of postoperative intensive care stay, need for reintervention, and early and late mortality rates.
Results: The ratio of males was higher in group 1 (94.5% vs. 84.9, p = 0.017). Length of ICU stay was higher in group 1 (12 hours vs. 8 hours, p = 0.014). All four cases of early mortality were in patients over 65 years of age (p = 0.031). There was no difference between the groups in terms of follow-up period (32 vs. 31 months, p = 0.859), late mortality (8% vs. 13%, p = 0.219), or the need for secondary intervention (6% vs. 7%, p = 0.770). There was no difference between the groups in terms of survival and the 3-year survival was 91% vs. 85%. (p = 0.199).
Conclusion: In octogenerians, endovascular aneurysm repair can be performed with acceptable mortality rates and satisfactory mid-term outcomes.

Keywords

aortic aneurysm, abdominal, endovascular repair

65 Yaş Üstü Hastalarda Abdominal Aort Anevrizması'nın Endovasküler Tamirinin Orta Dönem Sonuçları

Abstract

Amaç: 65 yaş üstü hastalarda abdominal aorta anevrizmalarının en uygun tedavi yöntemi tartışmalıdır, ancak endovasküler tedavi yöntemlerinin kullanımı artmaktadır. Bu çalışmanın amacı, abdominal aorta anevrizması olan 65 yaş üstü hastalarda endovasküler tedavi sonrası yoğun bakım süresini, yeniden müdahale ihtiyacını ve erken ve geç dönem mortalite oranlarını araştırmaktır.
Gereç ve Yöntem: Elektif koşullar altında abdominal aorta anevrizması için endovasküler anevrizma onarımı uygulanan toplam 220 hasta çalışmaya dahil edildi. 65 yaşın üzerindeki hastalar Grup-1'i (n = 102) oluştururken, 65 yaşın altındakiler Grup-2'yi (n = 118) oluşturdu. Gruplar, postoperatif yoğun bakım süresi, yeniden müdahale ihtiyacı ve erken ve geç dönem mortalite oranları açısından analiz edildi.
Bulgular: Erkeklerin oranı grup 1'de daha yüksekti (94.5% vs. 84.9, p = 0.017). Yoğun bakım süresi grup 1'de daha uzundu (12 saat vs. 8 saat, p = 0.014). Erken mortalite gerçekleşen dört vakanın tümü 65 yaşın üzerindeki hastalardaydı (p = 0.031). Gruplar arasında takip süresi (32 vs. 31 ay, p = 0.859), geç dönem mortalite (8% vs. 13%, p = 0.219) veya sekonder müdahale ihtiyacı (6% vs. 7%, p = 0.770) açısından fark yoktu. Gruplar arasında yaşam süresi ve 3 yıllık yaşam oranı açısından fark yoktu, 3 yıllık yaşam oranı ise %91 vs. %85'ti (p = 0.199).
Sonuç: Yaşlı hastalarda, endovasküler anevrizma onarımı kabul edilebilir mortalite oranlarıyla ve tatmin edici orta dönem sonuçlarıyla gerçekleştirilebilir.

Keywords

Abdomial,, Aort Anevrizması, Endovasküler Tamir

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