Fink JG, Gutiérrez VS, Dena EE, Hurtado LLM, Zaldivar RFR

Language: Spanish
References: 15
Page: 34-39
PDF size: 129.33 Kb.

ABSTRACT

Objective: To know the perioperative morbidity and mortality due to endovascular exclusion of an abdominal aortic aneurysm (AAA) in patients over 60 years of age.
Setting: Third level health care hospital.
Method: Observational, descriptive study of a series of 31 patients over 60 years of age, subjected to elective exclusion with Talent-type endoprostheses. Variables studied were: gender, age, normal diameter of the aorta, the aneurysm, and both iliac arteries, mortality, infection, hemorrhage, perioperative complications, use of hemo-derivates, days of hospital stay, intensive care unit (ICU) stay. Data were analyzed by central tendency measure and t test.
Results: Twenty-eight men and three women, average age of 69.1 years (range 60 to 84). Endoprostheses: One straight abdominal, three aortic-uni-iliac, and 27 bifurcated modular. The average diameter of the normal aorta was 23.2 mm and of the aneurysms 54.9 mm; increased diameter of the right iliac was found in 81.5% and of the left in 63% of patients. Complications were: one type-IV endo-leak that resolved spontaneously 48 hours after surgery, iliac estenosis distal to the endoprosthesis that was resolved with angioplasty and a stent, rupture of the iliac artery with hemorrhage and coagulopathy causing multiple organ failure, one case of temporal gluteal claudication, and one of chronic renal failure that became acute plus distal embolism of the second right footbone. No infections occurred. Two blood transfusions were done due to transoperative hemorrhage, one due to myelodysplasia, and one of platelet concentrates. Hospital stay days averaged 3.9 (range 3 to 6), median 4, mode 3 and SD ± 1.22. Stay at the ICU averaged 1.55 days (range 1 to 5), median 1, mode 1, and SD ± 0.93.
Conclusion: Surgical treatment of the abdominal aortic aneurysm using the endovascular technique presents low morbidity and mortality.

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