J Korean Soc Vasc Surg.
2005 May;21(1):10-15.
Report of Nation-wide Questionnaire Survey for Abdominal Aortic Aneurysm Treatment in Korea
- Affiliations
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- 1Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ywkim@smc.samsung.co.kr
- 2Division of Vascular Surgery, Department of Surgery, Gachon Medical School, Gil Medical Center, Korea.
- 3Department of Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
- 4Department of Diagnostic Radiology, Konkuk University Hospital, Korea.
- 5Department of Surgery, Kyungpook National University School of Medicine, Korea.
- 6Department of Thoracic & Cardiovascular Surgery, Gyeongsang National University Hospital, Korea.
- 7Department of Surgery, Kyunghee University Hospital, Korea.
- 8Department of Surgery, Keimyung University School of Medicine, Korea.
- 9Department of Surgery, School of Medicine, Daegu Catholic University, Korea.
- 10Department of Surgery, Daegu Fatima Hospital, Korea.
- 11Department of Thoracic and Cardiovascular Surgery, Dong-A University Hospital, Korea.
- 12Department of Thoracic and Cardiovascular Surgery, College of Medicine, Pusan National University, Korea.
- 13Department of Surgery, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
- 14Division of Vascular Surgery, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
- 15Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
- 16Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
- 17Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
- 18Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Korea.
- 19Department of Surgery, Seoul National University College of Medicine, Korea.
- 20Thoracic & Cardiovascular Surgery, Seoul National University Bundang Hospital, Korea.
- 21Department of Thoracic and Cardiovascular Surgery, Seoul Veterans Hospital, Korea.
- 22Yonsei Cardiovascular Center, Korea.
- 23Department of Diagnostic Radiology, Severance Hospital, Yonsei University College of Medicine, Korea.
- 24Department of Surgery, College of Medicine, Yeungnam University, Korea.
- 25Department of Surgery, University of Ulsan Medical College, Gangneung Asan Hospital, Korea.
- 26Division of Vascular Surgery Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Korea.
- 27Department of Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan, Korea.
- 28Department of Surgery, Wonkwang University School of Medicine, Korea.
- 29Department of Thoracic & Cardiovascular Surgery, Busan Paik Hospital, College of Medicine, Inje University, Korea.
- 30Department of Surgery, Chonnam National University Hospital, Korea.
- 31Department of Surgery, College of Medicine, Chosun University, Korea.
- 32Department of Surgery, College of Medicine, Chungbuk National University, Korea.
- 33Department of Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Korea.
- 34Department of Surgery, Hanil Hospital, Korea.
Abstract
- While endovascular aneurysm repair (EVAR) is prevailing for the treatment of abdominal aortic aneurysm (AAA) in modern vascular practice, PURPOSE: we conducted nationwide questionnaire survey to investigate the current status of AAA treatment and their results in Korea.
METHOD: We reviewed the replies from 28 hospitals (33 departments) to the questionnaire inquiring annual number, clinical features, mode of treatment and results of AAA patients during the period from Jan. 2000 to Jul. 2004. Results: 980 AAA patients were reported including 292 ruptured AAA (29.8%) and 688 non-ruptured AAA (70.2%). For treatment of AAA, 834 (85.1%) surgical repairs (SRs) and 111 (11.3%) endovascualr aneurysm repairs (EVARs) were performed while 35 patients (3.6%) died of AAA rupture before operation. The locations of AAA were infrarenal in 889 (90.7%), juxtarenal in 62 (6.3%), and suprarenal in 29 patients (3.0%). Among 834 patients undergoing SR, 577 patients (69.2%) had non-ruptured AAAs and 257 patients (30.8%) had ruptured AAAs. Mean operative mortality rate was 4.1% after elective SRs, 30.7% after SR for ruptured AAAs, and 2.3% after EVARs. The reported brand name of stent graft devices were various including domestic custom-made in 56 (50.5%), imported brand in 18 (16.2%) while 37 (33.3%) stent grafts were not reported their brand name. The frequencies of type I and III endoleaks after EVAR were reported 5.8% and 5.8% respectively in 86 patients with an available data.
CONCLUSION
SR has been used as a major treatment option in Korea for the treatment of AAA patients while EVAR is increasing. The mortality rate of SR of AAA was comparable to western multi-center trial reports but mortality or morbidity rates of EVAR were unable to know in this questionnaire survey.
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