This Article Free Full Text (Free PDF) Free References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Nagpal, A. D. Articles by DeRose, G. Search for Related Content PubMed PubMed Citation Articles by Nagpal, A. D. Articles by DeRose, G. Pubmed/NCBI databases Medline Plus Health Information Aortic Aneurysm Social Bookmarking                         What's this?

Midterm Results of Endovascular Infrarenal Abdominal Aortic Aneurysm Repair in High-Risk Patients

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada

Thomas L. Forbes, MD

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada, tom.forbes{at}lhsc.on.ca

Teresa V. Novick, RN

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada

Marge B. Lovell, RN

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada

Stewart W. Kribs, MD

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada

D. Kirk Lawlor, MD

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada

Kenneth A. Harris, MD

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada

Guy DeRose, MD

Division of Vascular Surgery, London Health Sciences Centre and University of Western Ontario, London, Ontario, Canada

Short-term and midterm clinical outcomes after endovascular repair of abdominal aortic aneurysms (AAAs) have been well documented. Evaluation of longer term outcomes is now possible. Here we describe our initial 100 high-risk patients treated with endovascular aneurysm repair (EVAR), all with a minimum of 5 years of follow-up. A retrospective review of prospectively recorded data in a departmental database was undertaken for the first 100 consecutive EVAR patients with a minimum of 5 years (range, 60-105 months) of follow-up performed between December 1997 and June 2001. Information was obtained from surgical follow-up visits and family doctors' offices. Endovascular repair of AAA in high-risk patients can be achieved with acceptably low postoperative mortality and morbidity. Longer term results in this high-risk cohort suggest that EVAR is effective in preventing aneurysm-related deaths at 5 years and beyond. All late mortalities were due to patients' comorbid diseases.

Key Words: abdominal aortic aneurysm • endovascular surgery • high risk • endoleak • 5-year clinical outcomes

Vascular and Endovascular Surgery, Vol. 41, No. 4, 301-309 (2007)
DOI: 10.1177/1538574407301430


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?