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Endovascular Abdominal Aortic Aneurysm Repair: A Community Hospital's Experience

Division of Vascular Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh

Donald T. Baril, MD

Division of Vascular Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh

Richard Wertz, MD

Altoona Regional Health System, Altoona Pennsylvania

Arthur DeMarsico, DO

Altoona Regional Health System, Altoona Pennsylvania

Robert Y. Rhee, MD

Division of Vascular Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh

Rabih A. Chaer, MD

Division of Vascular Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, chaerra{at}upmc.edu

Endovascular abdominal aortic aneurysm repair (EVAR) has become the first-line approach for the treatment of abdominal aortic aneurysms. Outcomes outside of tertiary care settings remain unknown. The purpose of this study is to report the midterm outcomes of EVAR in a community hospital. A retrospective review of 75 elective, consecutive EVARs performed at a single nonacademic community hospital was performed. There were no conversions to open repair during or after endovascular repair. The mean follow-up was 18 months. There were no postoperative ruptures or aneurysm-related deaths. At 24 months, freedom from aneurysm-related death was 100%, freedom from secondary interventions was 91%, and freedom from endoleak was 69%. EVAR in the community setting is a safe and durable procedure, even in a medically high-risk population. Comparable outcomes can be achieved to tertiary care centers, in carefully selected patients with favorable anatomy.

Key Words: aneurysm • aortic • endovascular • community

This version was published on February 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 1, 25-29 (2009)
DOI: 10.1177/1538574408322754


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