Thanh bên bài viết

PDF
Ngày xuất bản: 25/07/2023
Ngày xuất bản Online: 25/07/2023
Số lượt xem tóm tắt: 122
Số lượt xem PDF: 83
DOI: https://doi.org/10.47972/vjcts.v42i.903
Số xuất bản
Tập 42
Chuyên mục
Bài báo
Trích dẫn bài báo
Son, P. D. H. ., Uoc, N. H., Son, N. T., Tien, L. N., & Dan, N. V. (2023). Preliminary findings of selective endovascular repair for infra-renal abdominal aortic aneurysm at Viet Duc University Hospital. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 42, 60-68. https://doi.org/10.47972/vjcts.v42i.903

Preliminary findings of selective endovascular repair for infra-renal abdominal aortic aneurysm at Viet Duc University Hospital

Son Phung Duy Hong , Uoc Nguyen Huu , Son Nguyen Tung, Tien Le Nhat, Dan Nguyen Van

Nội dung chính của bài viết

Tóm tắt

Objectives: To evaluate the early result of EVAR in abdominal aorta aneurysm patients in Viet Duc university hospital from 01/01/2018 to 30/12/2021.


Methods: Descriptive and retrospective study with convenience sampling. Data was extracted from patient records.


Results: There were 37 patients (30 males and 7 females), the majority of which have hypertension and DeBakey sign. Average age was 72,96 ± 6,58 (61-86) years. The fusiform aortic aneurysm was presented in all patien1,2. The average diameter, neck diameter, and aneurysm neck angle are 52.57mm, 21.26mm, and 47.02°, respectively. Moreover, 97.3% of patients were given bifurcated stent grafts; internal iliac artery was occluded in 5(13.5%) patients; The early results of the study group included the following: hospital mortality was 2,7% (1); in complications: immediately endoleak was 8(21,6%); after 30 days was 3(8,1%); acute renal failure was in 1(2,7%); hematoma in goiter was in 1(2,7%).  Hospital stay was 10±4 days.


Conclusion: The EVAR at Viet Duc University Hospital for selective abdominal aortic aneurysm is safe, effective with low risk of complication and mortality.

Chi tiết bài viết

Từ khóa

EVAR, Abdominal aorta aneurysm, Viet Duc university hospital

Tài liệu tham khảo

1. Thompson MM, Bell PRF. Arterial aneurysms. BMJ. 2000;320(7243):1193-1196.
2. Kaufman JA. CHAPTER 9 - Thoracic Aorta. In: Kaufman JA, Lee MJ, eds. Vascular and Interventional Radiology. The Requisites. W.B. Saunders; 2004:219-245. doi:10.1016/B978-0-8151-4369-7.50017-2
3. Sidawy AN, Perler BA, eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Ninth edition. Elsevier; 2019.
4. Dương Ngọc Thắng, Bùi Minh Tứ, Phùng Duy Hồng Sơn. Kết quả sớm điều trị phồng động mạch chủ bụng dưới thận bằng phẫu thuật có kế hoạch tại Bệnh viện hữu nghị Việt Đức giai đoạn 2018 - 2020. Tạp Chí Học Việt Nam. 2022;515(2). doi:10.51298/vmj.v515i2.2800
5. Kim HO, Yim NY, Kim JK, Kang YJ, Lee BC. Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm: A Comprehensive Review. Korean J Radiol. 2019;20(8):1247. doi:10.3348/kjr.2018.0927
6. Đỗ Kim Quế, Chung Giang Đông, Nguyễn Anh Trung, Đào Hồng Quân. Đánh giá kết quả điều trị phình động mạch chủ bụng bằng can thiệp nội mạch. Tạp chí Y học Thành phố Hồ Chí Minh. 2017; 21(3): 282 - 286.
7. Nguyễn Văn Quảng, Phạm Minh Ánh, Trần Quyết Tiến. Kết quả điều trị 52 trường hợp phình động mạch chủ bụng dưới thận bằng can thiệp nội mạch tại Bệnh viện chợ rẫy. Tạp chí Y học Thành phố Hồ Chí Minh. 2017;21(2): 187-194
8. Kobeissi E, Hibino M, Pan H, Aune D. Blood pressure, hypertension and the risk of abdominal aortic aneurysms: a systematic review and meta-analysis of cohort studies. Eur J Epidemiol. 2019;34(6):547-555. doi:10.1007/s10654-019-00510-9
9. Golledge J, Singh TP. Effect of blood pressure lowering drugs and antibiotics on abdominal aortic aneurysm growth: a systematic review and meta-analysis. Heart. 2021;107(18):1465-1471. doi:10.1136/heartjnl-2020-318192
10. Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. The Lancet. 1998;352(9141):1649-1655. doi:10.1016/S0140-6736(98)10137-X
11. Bryce Y, Rogoff P, Romanelli D, Reichle R. Endovascular Repair of Abdominal Aortic Aneurysms: Vascular Anatomy, Device Selection, Procedure, and Procedure-specific Complications. RadioGraphics. 2015;35(2):593-615. doi:10.1148/rg.352140045
12. Chinsakchai K, Hongku K, Hahtapornsawan S, et al. Outcomes of abdominal aortic aneurysm with aortic neck thrombus after endovascular abdominal aortic aneurysm repair. J Med Assoc Thail Chotmaihet Thangphaet. 2014;97(5):518-524.
13. Smit JGM, van Marle J. Repair of abdominal aortic aneurysms with aorto-uni-iliac stentgraft and femoro-femoral bypass. South Afr J Surg Suid-Afr Tydskr Vir Chir. 2012;50(2):33-36.
14. Dierks A, Sauer A, Wolfschmidt F, et al. Proximal occlusion of unaffected internal iliac artery versus distal occlusion of aneurysmatic internal iliac artery prior to EVAR: a comparative evaluation of efficacy and clinical outcome. Br J Radiol. 90(1072):20160527. doi:10.1259/bjr.20160527
15. Rhodes K, Didomenico P, Vatakencherry G. Bilateral internal iliac artery occlusion for EVAR. Vasc Dis Manag. 2011;8:E1-E5.
16. Kassem TW. Follow up CT angiography post EVAR: Endoleaks detection, classification and management planning. Egypt J Radiol Nucl Med. 2017;48(3):621-626. doi:10.1016/j.ejrnm.2017.03.025
17. Zarkowsky DS, Hicks CW, Bostock IC, Stone DH, Eslami M, Goodney PP. Renal dysfunction and the associated decrease in survival after elective endovascular aneurysm repair. J Vasc Surg. 2016;64(5):1278-1285.e1. doi:10.1016/j.jvs.2016.04.009
18. Tzani A, Doulamis IP, Katsaros I, Martinou E, Schizas D, Economopoulos KP. Mortality after endovascular treatment of infrarenal abdominal aortic aneurysms - the newer the better? VASA Z Gefasskrankheiten. 2018;47(3):187-196. doi:10.1024/0301-1526/a000685.