Aneuryzma abdominální aorty – dlouhodobé výsledky léčby

Czech version

Authors: V. Třeška; B. Čertík; V. Kuntscher; R. Šulc; J. Moláček; K. Houdek; F. Šlauf ^*; M. Novák ^*; Inka Třešková ; A. Ňaršanská
Authors‘ workplace: Chirurgická klinika FN a LF UK v Plzni, přednosta: prof. MUDr. Vladislav Třeška, DrSc. ; Radiodiagnostická klinika FN a LF UK v Plzni ^*
Published in: Rozhl. Chir., 2010, roč. 89, č. 5, s. 300-305.
Category: Monothematic special - Original

Overview

Objective:
To evaluate the single center experience in the treatment of patients with AAA.

Methods:
586 patients undergoing open resection (OR) and EVAR (2000–2009). The average age was 72.2 Ī 7.7 years. AAA diameter was 8.3 cm (range 5.0–13.1cm). 451 (76.9%) patients had asymptomatic AAA, 135 (23.1%) RAAA. 448 patients (76.5%) suffered from various co-morbidities. 430 (73.4 %) OR, 156 (26.6%) EVAR and 52 (8.9%) one staged procedure (for concomitant diseases) was performed.

Results:
30 days mortality rate of elective OR and EVAR was 6.2, resp. 2.9% (n.s.) versus 36.6% of RAAA (p

Conclusion:
High percentage of polymorbidity was the cause of the significant 30days postoperative mortality of patients after OR. EVAR and OR have similar long-term results. One staged procedures should be used very carefully in selected patients due to the higher mortality rate and worse long-term patients survival.

Key words:
abdominal aortic aneurysm –⁠ treatment –⁠ long-term results

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