Feasibility and outcomes of an endovascular aortic program in a provincial hospital: a 5-year single-center experience
Main Article Content
Abstract
Background
Endovascular aortic repair has become the standard treatment for many aortic diseases; however, its implementation remains limited in provincial hospitals in developing countries. This study aimed to evaluate the feasibility, safety, and clinical outcomes of an endovascular aortic program in a provincial hospital setting.
Methods
This was a single-center retrospective cohort study including 52 consecutive patients undergoing endovascular aortic interventions between April 2021 and April 2026 at Dong Nai General Hospital, Vietnam. Procedures included EVAR, TEVAR, and hybrid interventions with debranching techniques. Primary endpoints were technical success and early outcomes (≤30 days). Secondary endpoints included midterm survival and freedom from reintervention, analyzed using Kaplan–Meier methods.
Results
The mean age was 68.7 ± 9.4 years, with 75% male patients. EVAR accounted for 59.6% and TEVAR for 40.4% of procedures, with 26.9% requiring hybrid approaches. Technical success was achieved in all cases (100%). Early mortality was 3.8%, and major morbidity occurred in 5.8%. During follow-up up to 5 years, two late deaths were recorded, both unrelated to aortic causes. No reinterventions were required, with 100% freedom from reintervention and no significant endoleaks or aneurysm progression observed.
Conclusions
An endovascular aortic program can be safely and effectively implemented in a provincial hospital with appropriate patient selection, structured training, and multidisciplinary collaboration. Decentralization of aortic care may improve access to treatment while maintaining favorable clinical outcomes.
Keywords
Endovascular aortic repair, provincial hospital, aortic disease
Article Details
References
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