Outcome of abdominal aortic endografting in high-risk patients: a 4-year single-center study.

Purpose:To evaluate feasibility, safety, and effectiveness of endovascular abdominal aortic aneurysm (AAA) repair in patients whose fitness for surgery is questionable.Methods:Between April 1997 and December 2001, 389 consecutive patients underwent endovascular AAA repair. Of these, 51 (13.1%) were ASA grade IV. The perioperative and late outcomes of this group were compared to the remaining 338 patients with ASA grades perioperative death, survival, and failure of AAA exclusion.Results:Four (7.8%) perioperative deaths occurred in the ASA IV group compared to 1 (0.3%) in the ASA Median follow-up was 22 months (range 1–56). Failure of AAA exclusion occurred in 3 (5.9%) patients in ASA IV group and in 25...