The impact of large proximal aortic neck on endovascular aneurysm repair outcomes

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dc.authoridÇetinkaya, Ferit/0000-0003-1162-5383
dc.authoridMola, Serkan/0000-0002-5526-5298
dc.authoridAYTEKIN, BAHADIR/0000-0003-4275-0072
dc.authorwosidÇetinkaya, Ferit/JNS-6878-2023
dc.contributor.authorAytekin, Bahadnr
dc.contributor.authorDeniz, Gokay
dc.contributor.authorCetinkaya, Ferit
dc.contributor.authorMola, Serkan
dc.contributor.authorTumer, Naim Boran
dc.contributor.authorUnal, Ertekin Utku
dc.contributor.authorDurukan, Ahmet Barns
dc.date.accessioned2024-05-19T14:38:45Z
dc.date.available2024-05-19T14:38:45Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground: This study aims to investigate the effect of large proximal aortic neck diameter on post-endovascular aneurysm repair clinical outcomes.Methods: A total of 180 patients (168 males, 12 females; mean age: 69.9 +/- 7.4 years; range, 46 to 88 years) who underwent elective endovascular aneurysm repair between June 2016 and September 2021 were retrospectively analyzed. According to the proximal infrarenal aortic neck diameter, the patients were divided into two groups: Group 1 (<25 mm; normal aortic neck) and Group 2 (>= 25 mm; pre-aneurysmatic aortic neck). Patient characteristics, proximal infrarenal aortic neck diameter measurements with computed tomography angiography, and clinical outcomes were recorded. The primary endpoint was to assess post-endovascular aneurysm repair aortic neck dilatation, mortality, endoleaks, overall survival, type 1a endoleaks-free survival, and event free survival regarding the groups.Results: There was no statistically significant difference in early mortality (p= 0.55) and type 1a endoleak incidence between the groups (p=0.55). In Group 1, the mean change in diameter A (proximal infrarenal level) was 2.89 +/- 1.74 mm (p=0.01), and it was 2.31 +/- 2.1 mm in diameter B (proximal pre-aneurysm-sac level) (p=0.01). The mean change in Group 2 was 2.8 +/- 3.4 mm for diameter A (p<0.01) and 2.22 +/- 2.3 mm for diameter B (p<0.01). Aortic neck dilatation rates were similar between the groups (p= 0.82 for diameter A; p= 0.78 for diameter B). The five-year survival, event-free survival, and type 1a endoleak-free survival were also similar (p=0.54, p=0.26, p=0.24, respectively).Conclusion: Our study results showed that patients with <25 mm and >= 25-mm aortic neck diameters had similar mid-term results and aortic neck dilatation ratio. Endovascular aneurysm repair outcomes can be improved with careful patient and graft selection, and early intervention for complications.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2023.25255
dc.identifier.endpage497en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.pmid38075987en_US
dc.identifier.scopus2-s2.0-85175052290en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage489en_US
dc.identifier.urihttps://doi.org10.5606/tgkdc.dergisi.2023.25255
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4594
dc.identifier.volume31en_US
dc.identifier.wosWOS:001094176100007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAbdominal Aortic Aneurysmen_US
dc.subjectEndoleaken_US
dc.subjectEndovascular Aneurysm Repairen_US
dc.titleThe impact of large proximal aortic neck on endovascular aneurysm repair outcomesen_US
dc.typeArticleen_US

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