Endovascular versus open surgical repair of abdominal aortic aneurysm: a comparison of early and intermediate results in patients suitable for both techniques

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
C García-MadridJ Mulet

Abstract

To assess early and intermediate results of endovascular repair of abdominal aortic aneurysms (EVAR), and to compare them with open surgery (OS) in concurrent patients suitable for both types of treatment. During 3 years, 180 patients with AAA underwent repair. We excluded patients with ruptured aneurysms (33), juxtarenal aneurysms (11), iliac aneurysms (8), with peripheral embolization (2) and those treated with a cryopreserved homograft (2). From the remaining patients (n=124), we selected those suitable for both techniques (n=83), of which 53 were treated by EVAR and 30 by OS. Analysis was performed using Kaplan-Meier curves and Log Rank tests. Hospital mortality was not significantly higher in the OS group (6.6% OS vs. 3.7% EVAR), p=0.55. The EVAR group had significantly shorter operative time, length of hospital stay and less blood loss. The median follow up time was 2.18 years for OR and 1.58 years for EVAR. There were no conversions from EVAR to OS and no differences in late survival (p=0.255, Cox regression analysis) with a cumulative survival rate at 3 years of 89% for EVAR and 73% for OS. By 3 years 24% (95% CI, 11-47%) of EVAR patients had presented endoleaks with an endovascular re-intervention rate of 27% (95% CI, ...Continue Reading

References

Oct 1, 1978·Anesthesiology·W D OwensE L Spitznagel
Nov 18, 1992·JAMA : the Journal of the American Medical Association·D A KatzJ L Cronenwett
Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Nov 1, 1995·Journal of Clinical Epidemiology·R F Gillum
Oct 21, 1993·The New England Journal of Medicine·D J Ballard
Apr 22, 1993·The New England Journal of Medicine·C B Ernst
Jan 1, 1996·Journal of Vascular Surgery·D T HardmanM Appleberg
Oct 6, 1997·Journal of Vascular Surgery·R B RutherfordD N Jones
Jan 22, 2000·Journal of Vascular Surgery·T A ChuterL M Messina
Dec 7, 2000·Journal of Vascular Surgery·J A HellerK C Kent
Aug 17, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·V RiambauUNKNOWN EUROSTAR group
May 22, 2002·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/American Assoc
Sep 26, 2002·Journal of the Royal Statistical Society. Series A, (Statistics in Society)·D BlaneM Rosato

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Citations

Feb 1, 2006·Cardiovascular and Interventional Radiology·Domenico LaganàCarlo Fugazzola
May 31, 2013·Journal of Vascular Surgery·Mohammad QaduraTheodore Rapanos
May 27, 2009·Annals of Vascular Surgery·Joseph J RicottaGustavo S Oderich
May 9, 2007·Annals of Vascular Surgery·John A CurciUNKNOWN Excluder Bifurcated Endoprosthesis Investigators
May 1, 2008·The British Journal of Surgery·R E LovegroveR B Galland
Mar 31, 2006·Journal of the American College of Surgeons·Ruth L BushCarol M Ashton
Sep 30, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G MestresV Riambau
Sep 11, 2007·Journal of Vascular Surgery·Wesley B JonesJerry R Youkey
Apr 3, 2012·International Journal of Surgery Case Reports·L Garriboli, A M Jannello
Feb 8, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kevin ManiAnders Wanhainen
Aug 30, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Timothy J CorbettTim M McGloughlin
Oct 6, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P H RollandJ-M Bartoli
Jan 11, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F L MollUNKNOWN European Society for Vascular Surgery
Mar 19, 2019·The British Journal of Surgery·R M A BulderJ H N Lindeman
Mar 23, 2011·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Ionel DrocFrancisca B Calinescu
Sep 4, 2020·Journal of Vascular Surgery·Brandon McGuinnessVikram Iyer

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