A randomized controlled trial of endovascular aneurysm repair versus open surgery for abdominal aortic aneurysms in low- to moderate-risk patients

2012 ◽  
Vol 2012 ◽  
pp. 361-362
Author(s):  
T.S. Huber
Keyword(s):  
Open Surgery ◽  
Controlled Trial ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Moderate Risk ◽  
Randomized Controlled ◽  
Abdominal Aortic ◽  
Risk Patients ◽  
Aneurysm Repair

Early and mid-term results of a prospective observational study comparing emergency endovascular aneurysm repair with open surgery in both ruptured and unruptured acute abdominal aortic aneurysms

Vascular ◽  
2012 ◽  
Vol 20 (2) ◽  
pp. 72-80 ◽  
Author(s):  
J A Ten Bosch ◽  
E M Willigendael ◽  
L M Kruidenier ◽  
E R de Loos ◽  
M H Prins ◽  
...  
Keyword(s):  
Open Surgery ◽  
Endovascular Aneurysm Repair ◽  
Group Versus ◽  
Abdominal Aortic Aneurysms ◽  
Mortality Rates ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Surgery Mortality ◽  
Aneurysm Repair ◽  
Related Mortality

The aim of the paper is to prospectively describe early and mid-term outcomes for emergency endovascular aneurysm repair (eEVAR) versus open surgery in acute abdominal aortic aneurysms (aAAAs), both unruptured (symptomatic) and ruptured. We enrolled all consecutive patients treated for aAAA at our center between April 2002 and April 2008. The main outcome parameters were 30-day, 6- and 12-month mortality (all-cause and aneurysm-related). Two hundred forty patients were enrolled in the study. In the unruptured aAAA group ( n = 111), 47 (42%) underwent eEVAR. The 30-day, 6- and 12-month mortality rates were 6, 13 and 15% in the eEVAR group versus 11% (NS), 13% (NS) and 16% (NS) in the open group, respectively. In the ruptured aAAA group ( n = 129), 25 (19%) underwent eEVAR (mortality rates: 20, 28 and 36%, respectively) compared with 104 (81%) patients who underwent open surgery (mortality rates: 45% ( P = 0.021), 60% ( P = 0.004) and 63% ( P = 0.014), respectively). In conclusion, the present study showed a reduced 30-day, 6- and 12-month mortality of eEVAR compared with open surgery in all patients with aAAA, mainly due to a lower mortality in the ruptured aAAA group. Late aneurysm-related mortality occurred only in the eEVAR group.

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