Aim To report our experience about hypogastric artery coverage during endovascular aneurysm repair (EVAR) for aortoiliac aneurysms in patients younger than 80 years (group A) compared with octogenarian patients (group B). Methods Data of consecutive EVAR with hypogastric artery coverage from 01/1998 to 12/2016 were retrospectively analyzed. Primary outcomes were the occurrence of ischemic colitis, type II endoleak and buttock claudication both at 30 days and in the long term. P values less than 0.05 were considered statistically significant. Results The hypogastric artery was covered in 107 patients. Twenty-three (21.5%) were octogenarian (group B). At 30 days, one type II endoleak occurred in group B, whereas 16 patients of group A experienced buttock claudication. There were no cases of ischemic colitis. During follow-up (median 63.5 months), no cases of ischemic colitis occurred. Six new type II endoleaks were recorded (five in group B and one in group A, P U 0.0001). Buttock claudication persisted in four patients of group A. No new cases of buttock claudication were observed. Conclusion Unilateral hypogastric artery coverage during EVAR for aortoiliac aneurysms can be performed with an acceptable rate of postoperative complication. Postoperative buttock claudication was more frequent in younger patients, whereas a type II endoleak occurred mostly in octogenarian patients during follow-up.

Hypogastric artery coverage during endovascular aneurysm repair in octogenarian and younger patients / D. Mazzaccaro, R. Miri, B. Derbel, A. Modafferi, G. Nano. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2027. - (2019 Apr 03), p. 1. [Epub ahead of print]

Hypogastric artery coverage during endovascular aneurysm repair in octogenarian and younger patients

Mazzaccaro, Daniela;Nano, Giovanni
2019-04-03

Abstract

Aim To report our experience about hypogastric artery coverage during endovascular aneurysm repair (EVAR) for aortoiliac aneurysms in patients younger than 80 years (group A) compared with octogenarian patients (group B). Methods Data of consecutive EVAR with hypogastric artery coverage from 01/1998 to 12/2016 were retrospectively analyzed. Primary outcomes were the occurrence of ischemic colitis, type II endoleak and buttock claudication both at 30 days and in the long term. P values less than 0.05 were considered statistically significant. Results The hypogastric artery was covered in 107 patients. Twenty-three (21.5%) were octogenarian (group B). At 30 days, one type II endoleak occurred in group B, whereas 16 patients of group A experienced buttock claudication. There were no cases of ischemic colitis. During follow-up (median 63.5 months), no cases of ischemic colitis occurred. Six new type II endoleaks were recorded (five in group B and one in group A, P U 0.0001). Buttock claudication persisted in four patients of group A. No new cases of buttock claudication were observed. Conclusion Unilateral hypogastric artery coverage during EVAR for aortoiliac aneurysms can be performed with an acceptable rate of postoperative complication. Postoperative buttock claudication was more frequent in younger patients, whereas a type II endoleak occurred mostly in octogenarian patients during follow-up.
abdominal aortic aneurysm; endovascular aneurysm repair; hypogastric coverage; octogenarian patients
Settore MED/22 - Chirurgia Vascolare
JOURNAL OF CARDIOVASCULAR MEDICINE
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/646094
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