Clinical Outcomes of EVAR and TEVAR in Treating Abdominal and Thoracic Aortic Aneurysms: A Retrospective Study in Indonesia

Abstract

Aortic aneurysm is a serious cardiovascular condition that can lead to fatal rupture if not managed appropriately. This study aims to describe the characteristics of patients with abdominal and thoracic aortic aneurysms and to evaluate the outcomes of endovascular interventions—specifically EVAR and TEVAR—at the Provincial General Hospital of West Nusa Tenggara. Among the seven cases analyzed, six patients had abdominal aortic aneurysms and one patient had a thoracic aortic aneurysm complicated by dissection; the majority were elderly male patients with smoking and hypertension as predominant risk factors. All patients underwent either EVAR or TEVAR with favorable initial success, no major immediate post-procedural complications, and demonstrated clinical improvement. The study concludes that EVAR and TEVAR are effective and safe endovascular therapies for selected patients with aortic aneurysms. The findings highlight the importance of early detection and the strengthening of endovascular treatment facilities as integral components in the management of aortic aneurysms at regional hospitals.