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    MoatasemBellah Abdel HameedErfan, Mahmoud FouadReda , Ahmad Gamal El Din Fouad , Mohammed Ali Hassan , Mohamed Hossny El Dessoki
    Department of Vascular Surgery, Cairo University Department of General Surgery, Misr University for Science & Technology (MUST)

    Background: Abdominal Aortic Aneurysm (AAA) is the most common type of true aneurysm with high incidence of rupture. The introduction of endovascular grafting was a milestone in the treatment of patients with AAA as it provides a treatment option for those patients with large aneurysms with unfavorable conditions as the presence of significant medical comorbidities. By this innovation, an early benefit in quality of life can be achieved, as it relates to reducing hospital stay and recovery period in comparison to open surgery. Aim of the work:To highlight the advantages and disadvantages of EVAR in patients with infra-renal AAA and to select patients suitable for EVAR according to the patient selection criteria and to assess the possible complications of endovascular procedures and how to avoid it. Patients & Methods:A retrospective study was conducted at KasrAlainy Hospital from September 2012 to August 2014, involving 20 patients with favorable anatomy for endovascular repair of infra-renal abdominal aortic aneurysm. The findings of initial and short-term follow-up results were analyzed. Results: All patients were followed at one and six months post implantation with few aneurysm related complications. Two patients had type Iaendoleak (10%) & was managed by proximal ballooning and aortic cuff extension. One patient had Type Ibendoleak (5%) & was treated by iliac extension. Graft limb occlusion occurred in one patient (5%) during follow up and needed a femrofemoral bypass. Superficial wound infection occurred in one patient (5%) and responded to conservative treatment in the form of repeated dressing and systemic antibiotics. Two patients developed groin hematoma (10%) and also responded to conservative treatment. Absent pulse was detected at the end of the procedure in a single patient (5%), embolectomy was done & distal pulse was restored. Conclusion: Despite the small number of patients, the results seem to justify the performance of endovascular therapy in patients with favorable anatomy. Keywords: Abdominal aortic aneurysms (AAA) , Endovascular techniques, EVAR.

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