Comparative effectiveness of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Medicare population

Journal of Vascular Surgery
Samuel T EdwardsBruce Landon

Abstract

Endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA) is increasingly used for emergent treatment of ruptured AAA (rAAA). We sought to compare the perioperative and long-term mortality, procedure-related complications, and rates of reintervention of EVAR vs open aortic repair of rAAA in Medicare beneficiaries. We examined perioperative and long-term mortality and complications after EVAR or open aortic repair performed for rAAA in all traditional Medicare beneficiaries discharged from a United States hospital from 2001 to 2008. Patients were matched by propensity score on baseline demographics, coexisting conditions, admission source, and hospital volume of rAAA repair. Sensitivity analyses were performed to evaluate the effect of bias that might have resulted from unmeasured confounders. Of 10,998 patients with repaired rAAA, 1126 underwent EVAR and 9872 underwent open repair. Propensity score matching yielded 1099 patient pairs. The average age was 78 years, and 72.4% were male. Perioperative mortality was 33.8% for EVAR and 47.7% for open repair (P < .001), and this difference persisted for >4 years. At 36 months, EVAR patients had higher rates of AAA-related reinterventions than open repair patients (endovas...Continue Reading

References

Dec 10, 1994·Lancet·S W YusufB R Hopkinson
Jul 1, 1993·Journal of Vascular Surgery·H Bengtsson, D Bergqvist
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Dec 7, 2000·Journal of Vascular Surgery·J A HellerK C Kent
May 25, 2002·The British Journal of Surgery·M J BownR D Sayers
Oct 16, 2004·The New England Journal of Medicine·Monique PrinssenUNKNOWN Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group
Jun 21, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P VisserJ D Blankensteijn
Aug 3, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J-M AlsacJ-P Becquemin
Dec 31, 2005·Statistics in Medicine·Jay BhattacharyaDaniel McCaffrey
Aug 5, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R J HinchliffeB D Braithwaite
Nov 21, 2007·Archives of Surgery·Samer F NajjarMark K Eskandari
Feb 1, 2008·The New England Journal of Medicine·Marc L SchermerhornBruce E Landon
Jan 13, 2009·Journal of Vascular Surgery·Kristina A GilesMarc L Schermerhorn
May 26, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J T Powell
Oct 22, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kristina A GilesMarc L Schermerhorn
Feb 2, 2010·Journal of Vascular Surgery·Pascal DesgrangesAmor Krimi
Feb 16, 2010·The British Journal of Surgery·P J E HoltM M Thompson
Sep 15, 2010·Circulation·Bruce E LandonMarc L Schermerhorn
May 26, 2012·Journal of Vascular Surgery·April E NedeauMark L Schermerhorn
Jun 16, 2012·Clinical Epidemiology·Jes S LindholtJesper Laustsen
Apr 4, 2013·Annals of Surgery·Jorik J ReimerinkUNKNOWN Amsterdam Acute Aneurysm Trial Collaborators

❮ Previous
Next ❯

Citations

Feb 11, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D MayerM Lachat
Jan 10, 2016·Journal of Vascular Surgery·Ruby C Lo, Marc L Schermerhorn
Nov 3, 2015·Annals of Vascular Surgery·Mohamed A ZayedJason T Lee
Apr 9, 2016·Langenbeck's Archives of Surgery·Andreas S PetersDittmar Böckler
Aug 8, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Bilal AzharAlan Karthikesalingam
Aug 8, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Paola De Rango
Apr 28, 2016·Annals of Vascular Surgery·Stuart A HarlinScott A Harlin
Apr 20, 2016·Medical Science Monitor Basic Research·Nikolaos PatelisSotiris Georgopoulos
Oct 30, 2016·Annals of Vascular Surgery·Paola De RangoMassimo Lenti
Oct 31, 2016·Annals of Vascular Surgery·Christopher T HealeyUNKNOWN Vascular Study Group of New England None
Apr 25, 2017·Vascular Medicine·Ikram-Ul HaqJason Constantinou
Mar 16, 2016·Vascular and Endovascular Surgery·Jaclyn N Portelli TremontSaum A Rahimi
Apr 19, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ian M Loftus, Dittmar Böckler
Nov 10, 2017·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·J LiebergJ Kals
Aug 18, 2018·Vascular Medicine
Jan 16, 2018·VASA. Zeitschrift für Gefässkrankheiten·Aspasia TzaniKonstantinos P Economopoulos
Jun 29, 2017·Stroke; a Journal of Cerebral Circulation·Gino GialdiniAlexander E Merkler
Mar 3, 2020·Journal of Internal Medicine·L de GuerreM Schermerhorn
Oct 27, 2015·World Journal of Emergency Surgery : WJES·Bruno Monteiro T PereiraGustavo Pereira Fraga
May 26, 2017·Vascular and Endovascular Surgery·Dimitrij KuheljDašmir Nuredini
Aug 14, 2019·The British Journal of Surgery·S ZommorodiR Hultgren
Jul 18, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Noëlle P M DirksDennis G Barten
Apr 22, 2017·Vascular Medicine·Koen M van de LuijtgaardenDanielle Majoor-Krakauer
Jan 15, 2019·Annals of Vascular Diseases·Hirofumi MidorikawaKouichi Satou
Dec 2, 2015·The British Journal of Surgery·A KarthikesalingamK Mani
Oct 13, 2020·Seminars in Interventional Radiology·Christopher D Blackstock, Benjamin M Jackson
Jun 20, 2020·Annals of Vascular Surgery·Eleonora G KarthausUNKNOWN Dutch Society for Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit and the Dutch Institute for

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Anant MandawatJeffrey E Indes
Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Thomas LarzonLars Norgren
Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Shiyan RenPeng Liu
© 2021 Meta ULC. All rights reserved