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J Korean Soc Vasc Surg. 2005 May;21(1):10-15. Korean. Multicenter Study.
Kim YW , Min SK , Koh YB , Kim SN , Park JS , Moon IS , Park SW , Huh S , Choi JY , Park H , Cho WH , Kim HT , Park KH , Rhee JA , Cho KJ , Chung SW , Kim YS , Kim DI , Do YS , Kim SJ , Ha J , Park JH , Ahn H , Lee T , Choh JH , Kim D , Shim WH , Lee DY , Kwun KB , Suh BY , Kwun WH , Cho YP , Kim GE , Kwon TW , Cho HR , So BJ , Jun HJ , Kim SK , Chung SY , Choi SJ , Kim SH , Chang JH , Jang LC , Kim IG , Kim HC .
Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ywkim@smc.samsung.co.kr
Division of Vascular Surgery, Department of Surgery, Gachon Medical School, Gil Medical Center, Korea.
Department of Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
Department of Diagnostic Radiology, Konkuk University Hospital, Korea.
Department of Surgery, Kyungpook National University School of Medicine, Korea.
Department of Thoracic & Cardiovascular Surgery, Gyeongsang National University Hospital, Korea.
Department of Surgery, Kyunghee University Hospital, Korea.
Department of Surgery, Keimyung University School of Medicine, Korea.
Department of Surgery, School of Medicine, Daegu Catholic University, Korea.
Department of Surgery, Daegu Fatima Hospital, Korea.
Department of Thoracic and Cardiovascular Surgery, Dong-A University Hospital, Korea.
Department of Thoracic and Cardiovascular Surgery, College of Medicine, Pusan National University, Korea.
Department of Surgery, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Division of Vascular Surgery, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Korea.
Department of Surgery, Seoul National University College of Medicine, Korea.
Thoracic & Cardiovascular Surgery, Seoul National University Bundang Hospital, Korea.
Department of Thoracic and Cardiovascular Surgery, Seoul Veterans Hospital, Korea.
Yonsei Cardiovascular Center, Korea.
Department of Diagnostic Radiology, Severance Hospital, Yonsei University College of Medicine, Korea.
Department of Surgery, College of Medicine, Yeungnam University, Korea.
Department of Surgery, University of Ulsan Medical College, Gangneung Asan Hospital, Korea.
Division of Vascular Surgery Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Korea.
Department of Surgery, Ulsan University Hospital, College of Medicine, University of Ulsan, Korea.
Department of Surgery, Wonkwang University School of Medicine, Korea.
Department of Thoracic & Cardiovascular Surgery, Busan Paik Hospital, College of Medicine, Inje University, Korea.
Department of Surgery, Chonnam National University Hospital, Korea.
Department of Surgery, College of Medicine, Chosun University, Korea.
Department of Surgery, College of Medicine, Chungbuk National University, Korea.
Department of Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Korea.
Department 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.

Copyright © 2019. Korean Association of Medical Journal Editors.