Survival After Endovascular vs Open Aortic Aneurysm Repairs

JAMA Surgery
David C ChangSamuel E Wilson

Abstract

To our knowledge, long-term outcomes of open and endovascular (EVAR) repairs of abdominal aortic aneurysms (AAAs) have not been studied on a population level outside a controlled trial setting. To determine long-term outcomes of EVAR vs open repair on a population level. Analysis of the longitudinally linked California Office of Statewide Health Planning and Development inpatient database from 2001 to 2009. Median follow-up was 3.3 years. Endovascular vs open repairs. Mortality and complications at 30 days, as well as long-term mortality and complications up to 9 years. In this observational study, a total of 23 670 patients were studied, with 52% receiving EVAR. Endovascular repair was associated with improved 30-day outcomes (all-cause mortality, readmission, surgical site infection, pneumonia, and sepsis), as well as significantly improved survival until 3 years postoperatively. After 3 years, mortality was higher for patients who underwent an EVAR repair. No significant difference in long-term mortality was observed for the entire cohort on adjusted analysis (hazard ratio, 0.99; 95% CI, 0.94-1.04; P = .64). Endovascular repair was found to be associated with a significantly higher rate of reinterventions and AAA late ruptur...Continue Reading

Citations

Jun 12, 2016·Journal of Vascular Surgery·Claudio CastagnoPietro Rispoli
Jun 28, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B M DoorschodtM J Jacobs
Apr 8, 2017·Surgery Today·Daniela MazzaccaroPiergiorgio G Settembrini
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Feb 23, 2021·Journal of Vascular Surgery·Mattias AnderssonRebecka Hultgren
Aug 31, 2021·Annals of Medicine and Surgery·Ahmed Abdel RahimMohammed Ismail

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