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Revista Colombiana de Cirugía
versión impresa ISSN 2011-7582versión On-line ISSN 2619-6107
Resumen
TORRES-ESPANA, Nicolás Felipe et al. Local experience evaluation: first 50 cases of endovascular repair of aortic aneurysms in Manizales, Colombia. rev. colomb. cir. [online]. 2022, vol.37, n.3, pp.434-447. Epub 05-Ago-2022. ISSN 2011-7582. https://doi.org/10.30944/20117582.940.
Introduction.
In recent decades, endovascular therapy in abdominal aortic aneurysms has gained a representative role in surgical scenarios, which motivated us to learn about the results of this procedure in our population.
Methods.
Retrospective analytical study, which included the first 50 cases of abdominal aortic aneurysms with endovascular therapy, in the city of Manizales, Colombia, between 2015 and 2021. The study population was described as the relationship between pre-surgical history and post-operative complications, hospital stay and mortality.
Results.
The average age was 73 years, the predominant sex was female (72%), the fusiform aneurysm was the most frequent type (63.3%), with an average diameter of 70 mm (± 17.3 mm). In relation to history, the most frequent was arterial hypertension (86%), finding an association between the presence of chronic obstructive pulmonary disease and arterial hypertension with complications. A relationship was also found between the creatinine value and complications. Early complications were mild in most cases (30.6%), unlike late complications, which were mainly serious (12.5%), associated with a mortality of 10.2% and a hospital stay average of 10.8 days (median of 5 days).
Conclusions.
The analyzed population has a high burden of morbidity, in which factors such as pre-surgical medical history and renal function are associated with greater post-surgical morbidity and mortality.
Palabras clave : abdominal aorta; abdominal aortic aneurysm; endovascular procedures; postoperative complications; risk factors; mortality.