Arteria iliaca aneurysma nyitott és endovascularis kezelése

Abstract

Bevezetés és célkitűzés: Az arteria iliaca aneurysmák az összes aneurysmák 2%-át teszik ki. Optimális kezelésük nem egyértelmű, sebészi kezelésük eredményeiről alig áll rendelkezésre hazai adat. Célkitűzésünk volt az arteria iliaca aneurysma miatt operált betegek mortalitásának és perioperatív morbiditásának elemzése, valamint az elektív nyitott műtéten és stentgraft-implantáción (EVIAR) átesett betegcsoportok eredményeinek összehasonlítása. Open and endovascular repair of iliac artery aneurysmsIntroduction and aim: Iliac artery aneurysms make up 2% of all aneurysms. There are only a few data available on the results of surgical treatment, therefore the optimal treatment is unclear. Our objective was the retrospective analysis of the perioperative morbidity and mortality of patients who underwent iliac artery surgery as well as the comparison of elective open surgery and endovascular iliac aneurysm repair (EVIAR). Method: Retrospective analysis of patients who underwent surgery for iliac artery aneurysm between 1 January 2005 and 31 December 2014. Results: During the 10-year period, 62 patients with a mean age of 68.9 years underwent elective surgery for iliac artery aneurysm (54 males, 87.1%). In 10 cases acute surgery was performed due to aneurysm ruptures (13.9%), 3 patients died within the perioperative period (30%). Regarding anatomical localisation, aneurysm developed mostly on the common iliac artery (80.6% Conclusion:In case of the surgical treatment of iliac artery aneurysms, owing to the lower complication rates and shorter postoperative length of stay, EVIAR is primarily recommended.