Open versus endovascular AAA repair in patients who are morphological candidates for endovascular treatment

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Bradley B HillChristopher K Zarins

Abstract

To compare the outcomes of open versus endovascular repair of abdominal aortic aneurysm (AAA) in a cohort of patients who fulfill morphological criteria for endovascular repair. A retrospective review of 229 consecutive AAA patients treated over a 3-year period identified 149 patients who were candidates for endovascular repair based on preoperative computed tomography and angiography. Of the 149 patients, 79 (68 men; mean age 74 +/- 8 years) underwent endovascular repair with the AneuRx stent-graft; the remaining 70 (56 men; mean age 72 +/- 8 years) had open repair. Short-term outcome measures were 30-day mortality and procedure-related morbidity, length of stay in the intensive care unit and hospital, intraoperative blood loss, interval to oral diet, and time to ambulation. Long-term outcome measures included death and secondary procedures. There was no difference in the 30-day mortality between endovascular repair (2, 2.5%) and open repair (2, 2.9%), even though endovascular patients had more comorbidities (p<0.05). Overall length of stay was reduced for endovascular patients (3.9 +/- 2.4 days versus 7.7 +/- 3.1 days for surgical patients, p<0.0001). Fewer endograft patients had complications (24% versus 40% for open repair,...Continue Reading

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Citations

Jan 9, 2008·Cardiovascular and Interventional Radiology·Klaus KubinMaria Schoder
Jul 13, 2004·European Journal of Radiology·Martin KöcherZdenek Kojecký
Oct 28, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Linda M Reilly
Aug 10, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Robert GuidoinCharles Baquey
Feb 3, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Vinay Kumar
May 20, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Frank R ArkoChristopher K Zarins
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Sep 20, 2005·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Petr UtíkalJirí Herman
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