Avabde Dani, Miah Mohammad Mostafizur Rahman, Alnatsheh Walid, Lee Chong Peter, Butt Asghar
Vascular Surgery, Nottingham University Hospitals NHS Trust, Nottingham, GBR.
Vascular Surgery, Manchester Royal Infirmary, Manchester, GBR.
Cureus. 2024 Oct 29;16(10):e72669. doi: 10.7759/cureus.72669. eCollection 2024 Oct.
Endovascular aneurysm repair (EVAR) represents a pivotal advancement in the treatment of abdominal aortic aneurysm (AAA).
The primary objective of this study is to present a comprehensive overview of the EVAR service in a district-level vascular centre and to compare it with the national outcome to outline a service model for other district general hospitals.
Patients who underwent an EVAR procedure from 2015 over seven years were included. Retrospective data were collected from post-EVAR surveillance, and the National Vascular Registry (NVR) database was included.
A total of 99 patients were included. Most of the patients (96%) who underwent EVAR were over 65 years old at the time of the procedure and predominantly male, accounting for 90%. The 30-day post-EVAR mortality rate was low (0.9%). Most of the patients had no primary endoleaks (80%), which was almost comparable to the national standard (82.5%).
This study showed the feasibility of successful implementation and safety of the EVAR program in a small district-level hospital. The outcome was comparable to the national standard. This study has identified the strengths and areas for improvement in the EVAR programme in such a setting.
血管内动脉瘤修复术（EVAR）是腹主动脉瘤（AAA）治疗的一项关键进展。
本研究的主要目的是全面概述区级血管中心的EVAR服务，并将其与全国结果进行比较，以勾勒出其他区级综合医院的服务模式。
纳入2015年起七年内接受EVAR手术的患者。从EVAR术后监测中收集回顾性数据，并纳入国家血管登记处（NVR）数据库。
共纳入99例患者。接受EVAR手术的患者大多数（96%）在手术时年龄超过65岁，且以男性为主，占90%。EVAR术后30天死亡率较低（0.9%）。大多数患者无原发性内漏（80%），这与国家标准（82.5%）几乎相当。
本研究表明在小型区级医院成功实施EVAR项目的可行性和安全性。结果与国家标准相当。本研究确定了在这种情况下EVAR项目的优势和改进领域。
