Abstract
Objective: Evaluation of Outcomes After Endovascular Repair for Abdominal Aortic Aneurysm at the Vietnam National Heart Institute – Bach Mai Hospital. Methods: A descriptive study, including both retrospective and prospective data, was conducted on 235 patients diagnosed with abdominal aortic aneurysm (AAA) and treated with EVAR. Early (<30 days) and late (>30 days) complications were identified based on hospital medical records and follow-up imaging. Results: The procedural success rate was 100%, and clinical success was 98.7%. Early mortality occurred in 0.85% of cases. Early endoleak was observed in 9.78% of patients (type I: 0.43%, type II: 8.5%, type IB: 0.85%), with early limb occlusion in 1.7% and acute kidney injury in 3.4%. No case required conversion to open surgery. Late complications included endoleak type IA 0.43%, type II 2.13%, type IB 0.85%, type III 0.43%, limb occlusion 1.28%, and stent graft infection 0.85%. No cases of late aneurysm rupture or aneurysm-related death were recorded Conclusion: Endovascular abdominal aortic repair (EVAR) is a safe and effective treatment for abdominal aortic aneurysms, with a low complication rate.
