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Date Published: 05/05/2025
Abstract Views: 87
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DOI: https://doi.org/10.51298/vmj.v549i3.14012
Issue
Vol. 549 No. 3 (2025)
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Các bài báo
How to Cite
Trần Minh Bảo, L., & Nguyễn Duy, T. (2025). MID-TERM RESULTS OF ENDOLUMINAL STENTGRAFT IN TREATMENT OF INFRARENAL ABDOMINAL AORTIC ANEURYSMS IN THE ELDERLY PATIENTS. Vietnam Medical Journal, 549(3). https://doi.org/10.51298/vmj.v549i3.14012

MID-TERM RESULTS OF ENDOLUMINAL STENTGRAFT IN TREATMENT OF INFRARENAL ABDOMINAL AORTIC ANEURYSMS IN THE ELDERLY PATIENTS

Luân Trần Minh Bảo, Tân Nguyễn Duy

Main Article Content

Abstract

Objectives: Evaluation of mid-term results of endoluminal Stentgraft in the treament of infrarenal abdominal aortic aneurysms in people over 65 years old. Patients and methods: Retrospective case series with longitudinal follow-up in patients aged 65 years and older with infrarenal abdominal aortic aneurysm and treated with endovascular intervention at the Department of Cardiovascular - Thoracic Surgery, Thong Nhat Hospital, Ho Chi Minh City, from May 2020 to June 2024. Results: 33 patients were included in the study, the mean age 77.9 ± 8.7 years old, the male/female ratio 29/4. Anatomical characteristics of the aneurysm: average diameter 56 ± 14.5 mm; aneurysm neck: diameter 21.2 ± 2.6 mm (17.5 - 29), length 29.6 ± 14 mm (8 - 90), neck angle 44.3 ± 20 degrees (8 - 85), straight neck in 22 cases (66.67%), tapered and reverse tapered necks accounted for 15.15% and 18.18%, respectively. The mean intervention durations: 187.2 ± 46.1 minutes (90 - 270). Technical success 32 cases (97%), 1 case of limb occlusion after intervention (3%). Mid-term results: mean follow-up time 13.6 ± 8.8 months (6 - 39), 1 case of late type II endovascular fistula, asymptomatic; no case of endovascular graft displacement were recorded; 4 cases (12.1%) died in the first year: 2 cases of acute myocardial infarction (6%), 1 case (3%) of gastrointestinal bleeding (unrelated to abdominal aortic aneurysm) and 1 case of aneurysm rupture into the duodenum in the 3rd month after intervention. Conclusion: Endoluminal stentgraft in the treatment of infrarenal abdominal aortic aneurysms has shown highly technical success rates and mid-term results with low rates of graft- and aneurysm-related events, suggesting that endovascular intervention is a safe and feasible treatment for the elderly.

Article Details

Keywords

Abdominal Aortic Aneurysm, Endovascular Intervention, Endoluminal Stentgraft

References

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