Abstract
The most important superiority of endovascular intervention when compared to open surgery is very scarce number of systemic complications, especially those seen during the perioperative period. Herein, two cases who underwent aneurysmal repair will be evaluated. In two patients aged 74 and 68 years who consulted to the hospital with complaints of high blood pressure and abdominal pain, a saccular aneurysm located 22 mm distal to the renal artery bifurcation in the older patient and in the other patient an aneurysm 7 mm distal to the iliac bifurcation on the left common iliac artery were detected. The patients had undergone EVAR using an 18-inch catheter delivered by Seldinger method under spinal anaesthesia. Both patients were monitored for two hours in the intensive care unit. Wound site infection, complications related to anaesthesia and peripheral occlusion were not observed. The patients were discharged the same day. On control tomograms obtained at the first and sixth months, patency of stent grafts and decrease in the size of the aneurysmal sacs were observed, without any evidence of endoleak. Lower mortality rates, relatively decreased pulmonary, cardiac and graft-related complications in the EVAR patient group were demonstrated. As seen in these two cases, EVAR is a valid and safe treatment modality as for patient and physician satisfaction.

Key words: Endovascular repair; saccular abdominal aorta; fusiform iliac artery; aneurysm.