ANALYSIS OF EARLY EFFICACY AND SAFETY OF SPRING COIL EMBOLIZATION FOR TYPE II ENDOLEAK AFTER ENDOVASCULAR ANEURYSM REPAIR IN FITNESS PLAYERS: THE IMPACT ON PHYSICAL PERFORMANCE AND MENTAL HEALTH

Abstract

Objective: This study aims to evaluate the early efficacy and safety of spring coil embolization for Type II endoleak following endovascular aneurysm repair (EVAR), specifically focusing on fitness players, and to assess its impact on their physical performance and mental health. Methods: A total of 115 patients diagnosed with abdominal aortic aneurysm (AAA) and who underwent EVAR from January 2019 to December 2021 in our hospital were selected for this study. Among them, 58 patients who received spring coil embolization constituted the experimental group, while 57 patients who did not undergo this procedure were considered the control group. The clinical outcomes of both groups were compared, with a particular emphasis on evaluating the implications for fitness players in terms of recovery, physical performance, and mental health post-procedure. Results: The technical and clinical success rates, along with surgery times, were comparable between both groups. However, the control group exhibited a significantly shorter exposure time. Complications were minimal, including one case of wound infection and another of Type I B endoleak in the control group, and one instance of arterial ischemia in the experimental group, which resolved with interventional therapy. Notably, the incidence of Type II endoleak was significantly lower in the experimental group during 1- and 2-year follow-ups, especially in patients with large aneurysm sacs (volume ≥ 128cm³). The analysis highlighted that EVAR without embolization in the aneurysm sac and larger sac volumes were risk factors for Type II endoleak. The study also delved into the psychological and physical repercussions of the procedure on fitness players, suggesting a potential positive impact on mental health and physical performance due to reduced complications and improved postoperative outcomes in the experimental group. Conclusion: Spring coil embolization for Type II endoleak post-EVAR appears to be particularly effective and safe for fitness players, especially those with large aneurysm sacs, thereby offering significant benefits in terms of physical rehabilitation and mental well-being. This procedure not only mitigates the risk of Type II endoleak but also contributes to a quicker recovery and return to physical activities, underscoring its high clinical value and potential for widespread application among athletic populations concerned with maintaining optimal physical performance and mental health post-surgery.