Abstract
Objectives: We evaluated the clinical outcome of concomitant endovascular repair of abdominal and iliac artery aneurysm compared with two-stage repair. Methods: Between April in 2006 and January in 2011, a total of 34 patients received endovascular aneurysm repair (EVAR) and coil embolization of abdominal and iliac artery aneurysms in our hospital. Twenty three patients underwent concomitant EVAR and coil embolization (concomitant group), and 11 two-stage repair (two-stage group). We compared hospital mortality, operation time, hospital stay, amount of intravenous contrast, symptom and perioperative renal function between the two groups. Results: There was no hospital mortality. There was no significant difference in operation time, hospital stay, amount of intravenous contrast or buttock claudication between the two groups. The change of estimated GFR was significantly lower in the two-stage group than in the concomitant group (-1.8±1.5 vs. -3.9±4.2 ml/min/1.73 m2, p=0.02). Conclusions: Two-stage endovascular aneurysm repair and coil embolization might be less invasive in patients with abdominal and iliac artery aneurysm compared to concomitant repair.
