Early Experience of Thoracic and Abdominal Endovascular Aortic Repair: a Tertiary Single Centre

Abstract

Introduction: The purpose of this retrospective study was to evaluate the short-term results of endovascular abdominal aortic repair (EVAR) and thoracic aortic repair (TEVAR) and to present an overview of our early experience at our institution. Patients and Methods: Data of all patients undergoing EVAR and TEVAR between January 2009 and December 2011 were reviewed. Preoperative, intraoperative and early postoperative data were retrospectively reviewed. Results: During the study period, 46 EVARs and 25 TEVARs were performed. The mean age of patients undergoing endovascular intervention was 63.7 years. The deployment success rates of the procedures were 100%. Additional procedures included subclavian revascularisation (1, 4%) and aortic debranching (3, 12%) for TEVAR cases and femoral revascularisation (1, 2.1%) for EVAR cases. In-hospital mortality in emergency cases was higher than the elective cases (5.3% vs. 13.3%). Conclusion: Our early short-term results of endovascular repair of thoracic and aortic diseases are promising. Endovascular stent grafts are effective procedures for managing aortic diseases in an inexperienced centre.