Open surgery (OS) versus endovascular aneurysm repair (EVAR) for hemodynamically stable and unstable ruptured abdominal aortic aneurysm (rAAA)

Heart and Vessels
Simeng ZhangZaiping Jing

Abstract

Endovascular aneurysm repair (EVAR) is an alternative treatment for ruptured abdominal aortic aneurysms (rAAA) in hemodynamically (hd) stable patients. Treatment for patients with hd-unstable rAAA remains controversial. The aim of this study was to compare the outcomes of EVAR and open surgery (OS) in hd-stable and hd-unstable rAAA patients using meta-analysis. The first part of this study included 48 articles that reported the treatment outcomes of rAAA managed with EVAR (n = 9610) and OS (n = 93867). The second part, which is the focus of this study, included 5 out of 48 articles, which further reported treatment results in hd-stable (n = 198) and hd-unstable (n = 185) patients. When heterogeneity among the groups was observed, a random-effects model was used to calculate the adjusted odds ratios (OR) or in cases of non-heterogeneity, a fixed-effects model analysis was employed. In the first part of this study, the in-hospital mortality rate was found to be lower in the EVAR group than in the OS group (29.9 vs 40.8 %; OR 0.59; 95 % CI 0.52-0.66; P < 0.01). In the second part of this study, 383 patients from 5 articles were included: 152 patients were treated by EVAR, and 231 were treated by OS. The total mortality was 147/383...Continue Reading

References

Dec 10, 1994·Lancet·S W YusufB R Hopkinson
Jan 1, 1996·Journal of Vascular Surgery·D T HardmanM Appleberg
Feb 1, 1996·Journal of Vascular Surgery·A KazmersE Bates
Jul 31, 1998·Journal of Vascular Surgery·L M ManheimW H Pearce
Dec 12, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R J HinchliffeB R Hopkinson
Dec 26, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K H OrendL Sunder-Plassmann
Jul 3, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M L LachatM I Turina
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N PeppelenboschA Tielbeek
Aug 18, 2004·Anaesthesia·J D Hunter, Z Damani
Oct 16, 2004·The New England Journal of Medicine·Monique PrinssenUNKNOWN Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group
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
Oct 11, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas LarzonLars Norgren
Oct 26, 2005·Journal of Vascular Surgery·Thomas S GerassimidisGeorgios Sfyroeras
Mar 8, 2006·Journal of Vascular Surgery·Giampaolo GrecoK Craig Kent
Nov 14, 2006·Journal of Vascular Surgery·Stefan AcostaZbigniew Zdanowski
Aug 19, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Muhammad Anees SharifChee Voon Soong
Nov 21, 2007·Archives of Surgery·Samer F NajjarMark K Eskandari
Mar 19, 2008·Annals of Vascular Surgery·Richard W LeeKarl A Illig
Jul 22, 2008·Journal of Vascular Surgery·Christos D KarkosThomas S Gerassimidis
Sep 13, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C D KarkosR D Sayers
Oct 1, 2013·Journal of Vascular Surgery·George A AntoniouMiltos K Lazarides

❮ Previous
Next ❯

Citations

Mar 2, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hiroyuki NakayamaYukihito Sato
Jul 5, 2016·Current Treatment Options in Cardiovascular Medicine·John E O'Mara, Robert M Bersin
Mar 18, 2019·Journal of Vascular Surgery·Kosmas I ParaskevasFrank J Veith

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

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

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

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.

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
© 2021 Meta ULC. All rights reserved