Az endocsavarozás hatékony lehet a juxtarenalis aortaaneurysmák endovascularis kezelésében

Methods: In our retrospective study, we analysed data from patients undergoing EVAR surgery augmented with prophylactic endosuturing. Demographic and anamnestic data, results of surgery and follow-up examinations and imaging studies were analyzed. Results: Between January 1, 2019 and September 30, 2021, 14 cases (11 men, mean age 70.4 +/- 8.1 years) underwent EVAR surgery with prophylactic endosuturing. In 86% of cases (12/14), endosuturing was performed due to a hostile neck, using an average of 6.4 +/- 1.7 screws. No technical complications occurred. No mechanical complications or persistent Ia endoleak were observed during the mean follow-up of 7.0 +/- 9.9 months. Reintervention did not occur. One patient was lost during follow-up due to a disease unrelated to the aorta, resulting in a mortality rate of 7% (1/14) and a clinical success rate of 92.9% (13/14). Discussion: In accordance with recent publications, we found a low complication rate and a technical success rate above 90%. Conclusion: We demonstrated the efficacy of the Medtronic Heli-FX system in a high-risk patient population. The technique can be successfully and safely used for endovascular treatment of infrarenal aneurysms complicated with hostile neck.