Abstract
Objective: The purpose of this study was to detect any change in the
proximal neck diameter after endovascular repair of abdominal aortic
aneurysm. Methods: The study was performed in a teaching hospital
with an endovascular program on 112 patients who had undergone endovascular
repair of abdominal aortic aneurysm. The interventions were pre-endovascular
and postendovascular repair of abdominal aortic aneurysms with contrast-enhanced,
spiral computerized tomography, and the main outcome measures were
change in aortic proximal neck diameter, change in maximum aortic
diameter, presence of endoleaks, and change in length from lowest
renal artery to aortic bifurcation. Results: The median anterior-posterior
and transverse diameter decreased fi om 63.5 mm before surgery to
50.4 and 54.5 mm, respectively, after surgery in a period of 4 years.
This trend in reduction in maximum diameter was not seen in the patients
with endoleaks. There was no significant change in the proximal neck
diameters when measured at 5-mm intervals after endovascular repair.
There was also no significant change in the aortic length after endovascular
repair. Conclusion: We have not demonstrated any evidence for proximal
neck dilatation after endovascular repair of abdominal aortic aneurysm
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