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Safety and Efficacy of Endovascular Aortic Repair for Abdominal Aortic aneurysms with a hostile neck Anatomy

Current Medical Science 2023年第6期43卷 1221-1228页

作者： Zun-xiang KE Ge-zheng CHEN Ke HU Shan ZHANG Peng ZHOU Dian-xi CHEN Yi-qing LI Qin LI Chao YANG Department of Emergency Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan430022China Department of Vascular Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan430022China

Objective This study aimed to investigate the safety and efficacy of endovascular aortic repair(EVAR)for the treatment of an abdominal aortic aneurysm(AAA)with a hostile neck anatomy(HNA).Methods From January 1,2015 to December 31,2019,a total of 259 patients diagnosed with an AAA who underwent EVAR were recruited into this *** on the morphological characteristics of the proximal neck anatomy,the patients were divided into the HNA group and the friendly neck anatomy(FNA)*** patients were followed up for up to 4 *** The average follow-up time was 1056.1±535.5 *** I endoleak occurred in 4 patients in the HNA group,and 2 patients in the FNA *** death nor intraoperative switch to open repair occurred in either *** time of the operation was significantly longer in the HNA group(FNA ***,99.2±51.1 min vs.117.5±63.8 min,P=0.011).There were no significant differences in short-term clinical success rate(P=0.228)or midterm clinical success rate(P=0.889)between the two *** overall mortality rate was 10.4%,and Kaplan-Meier survival analysis indicated that the two groups had similar cumulative survival rates at the end of the follow-up period(P=0.889).Conclusion EVAR was feasible and safe in patients with an AAA with a proximal *** early and midterm results were promising;however,further studies are needed to verify the long-term effectiveness of EVAR.

关键词： abdominal aortic aneurysm hostile aneurysm neck endovascular aortic repair endoleak prognosis

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