Vasc Spec Int.  2019 Dec;35(4):202-208. 10.5758/vsi.2019.35.4.202.

Outcomes of Elective Endovascular Aneurysmal Repair for Abdominal Aortic Aneurysms in Jordan

Affiliations
  • 1Vascular Surgery Department, King Hussin Medical Center at Royal Medical Services, Amman, Jordan. christiejanho2001@yahoo.com
  • 2Interventional Radiology Department, King Hussin Medical Center at Royal Medical Services, Amman, Jordan.

Abstract

PURPOSE
The outcomes of endovascular aneurysmal repair (EVAR) for infrarenal abdominal aortic aneurysms (AAAs) in the Middle East have rarely been reported. We analyzed the outcomes of EVAR in a Jordanian population.
MATERIALS AND METHODS
We conducted a retrospective review of the medical records of patients with infrarenal AAA who were treated with elective EVAR between January 2004 and January 2017 at a single center in Jordan. Patient characteristics, anatomical characteristics, procedural details, and early and late postoperative outcomes were analyzed.
RESULTS
A total of 288 patients (mean age, 70 years; 77.8% males) underwent EVAR for infrarenal AAA (median aneurysm size, 64 mm). Bifurcated endografts were used in 265 patients, and aorto-uni-iliac devices were used in 22 patients. Successful endograft deployment was achieved in all patients with no open conversion. Early complications included localized groin hematoma in 15, femoral artery dissection in 4, wound infection in 3, and seroma in 3 patients. With a mean follow-up of 60 months, 50 endoleaks were detected, including 9 type I, 38 type II, and 3 type III. Seven patients had unilateral graft limb occlusion. The 30-day mortality was 1.7%, and long-term mortality was 7.0%, mostly due to non-AAA-related causes.
CONCLUSION
EVAR was safely performed in Jordanian patients with minimal complications. However, long-term surveillance is important due to the risk of endoleaks and consequent intervention.

Keyword

Endovascular; Stent graft; Abdominal aortic aneurysm; Endoleak

MeSH Terms

Aneurysm*
Aortic Aneurysm, Abdominal*
Blood Vessel Prosthesis
Endoleak
Extremities
Femoral Artery
Follow-Up Studies
Groin
Hematoma
Humans
Jordan*
Medical Records
Middle East
Mortality
Retrospective Studies
Seroma
Transplants
Wound Infection
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