혈관외과의사가 시행한 복부대동맥류의 혈관 내 치료

• Published in: Annals of surgical treatment and research Vol. 75; no. 6; pp. 398 - 406
• Main Authors: 문윤수(Yun-Su Mun), 조병선(Byung-Sun Cho), 이민구(Min-Koo Lee), 박성혜(Sung-Hye Park), 최영진(Young-Jin Choi), 박혜원(Hye-Won Park), 김창남(Chang-Nam Kim), 강윤중(Yoon-Jung Kang), 박주승(Joo-Seung Park), 정인목(In-Mok Jung), 김상준(Sang-Joon Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.12.2008
• Subjects: 일반외과학; 복부대동맥류; Endovascular aneurysm repair; Stent graft; 혈관내 치료; 스텐트-이식편; Abdominal aortic aneurysm
• ISSN: 2288-6575; 2288-6796

Purpose: We report our early experience of endovascular abdominal aortic aneurysm repair (EAVR) performed by vascular surgeon. Methods: A retrospective study was performed based on the medical records of 9 cases operated for EVAR due to abdominal aortic aneurysm at the Eulji University Hospital from Jan. 2007 to Apr. 2008. Results: 9 subjects consisted of 7 males and 2 female and their mean age was 70.0 years. The surgical indications of EVAR were 5 cases of abdominal pain, 3 asymptomatic cases, and 1 of pulsating abdominal mass. The mean diameter of aneurysm, mean diameter of the aortic neck, mean length of the neck and mean aortic neck angle was 56.0 mm, 23.4 mm, 32.0 mm and 46.8o respectively. The mean time for stent-grafting was 241.8 minutes and the mean contrast amount was 301.4 ml. Adjunctive procedures were performed in 3 cases. One case had the type II endoleak from the right internal iliac artery. And all cases showed to be technical and clinical success. Deployment-related complications occurred in 2 cases (access site hematoma and lymphorrhea). Mean length of hospitalization and ICU stay were 10.5, 1.2 days. The mean follow up period was 2.4 months (1∼12). There was no newly developed complication such as endoleak and so on. Conclusion: In this study, it was shown that vascular surgeon could successfully perform EVAR. In this era of minimal invasive surgery, vascular surgeon should play an important role even in intervention such as EVAR. And it suggests that it requires more effort and the experience of a vascular surgeon. (J Korean Surg Soc 2008;75:398-406) KCI Citation Count: 1