Anaconda Experiment in Endovascular Stent Therapy of Abdominal Aortic Aneurysms: Early Results of a Single Center

Background: We investigated the efficacy, preoperative, postoperative and early stage outcomes of Anaconda type endovascular stent-grafts in patients who had intervention in our clinic with the diagnosis of abdominal aortic aneurysm. Material – Methods: During the years of 2010 and 2013, 23 patients (19 male, 4 female) had endovascular stent-graft procedure with the diagnosis of infrarenal abdominal aortic aneurysm. The mean age was 76.1 (67-82). All patients had Anaconda endovascular stent graft procedure. Results: The intervention was performed to all patients in angiology laboratory under the sterilization and technical conditions of a surgery room. Aortoiliac stenting was done for all patients. The mean procedural time was 70.5 (55-97) minutes. No patient required open surgery. Graft placement was successful in all patients. None of the patients died during the procedure. One patient died in early stage due to congestive heart failure and pulmonary edema. None of the patients had graft infection or aneurysmal rupture. Conclusions: In selected patients with abdominal aortic aneurysm, early stage mortality and morbidity of stent graft procedure are low. Procedure is technically easy to apply with high success rates. Good preoperative preparation, technically well equipped catheter laboratory and an experienced surgical team are sufficient for that.