Outcomes Of Patients With Abdominal Aortic Aneurysms: A Retrospective Analysis Of Ct Imaging And Surgical Interventions

Background: Abdominal aortic aneurysms are a severe vascular disease that is mainly asymptomatic until rupture occurs. CT imaging is therefore very important in evaluating Abdominal aortic aneurysm and in helping in the surgical management of the condition. Knowledge of outcomes of patients traced by imaging and also management strategies based on the treatment approaches leads to low mortality among the affected patients. Objectives: The goal of this work is to analyze the results of the Abdominal aortic aneurysm  patients through CT image data, as well as to investigate how surgical treatment can potentially influence patients’ life expectancy and job recovery. Study design: A cross-sectional study Duration and Place of Study: Department Of Vascular Surgery KTH hospital Peshawar from jan 2024 to June 2024  Methods: The case series involves a review of 150 patients with Abdominal aortic aneurysm between the years 2013 to 2023. Demographics, CT imaging characteristics of the aneurysm (size, location), surgery type (open repair, endovascular aneurysm repair), and postoperative results were analyzed. Mean and standard deviation to describe the two groups’ success rates of the intervention were calculated with p-value to test the results for significance. Results: Thus, endovascular aneurysm repair (EVAR) was performed in 95 patients, while open surgical repair in 55 patients out of 150 total patients. The aneurysmal diameter was mean 5.6 ± 1.2 cm in the patient population of this study The survival prediction after surgical interventions was significantly better in the EVAR group, p = 0.04. The overall complication rate was 12% with a corresponding standard deviation of 1.5%. Subsequent imaging revealed that in 87% of patients the status remained unchanged within 12 months. Conclusions: CT imaging is an essential modality in evaluating and assessing Abdominal aortic aneurysm ; surgery, including EVAR, has relatively low rates of failure, morbidity, and mortality. Prompt diagnosis and intervention have a directly proportional relationship with the eventual outcome of the disease. Keywords: abdominal aortic aneurysm, computed tomography, operative, endovascular repair