Concurrent comparison of endoluminal versus open repair in the treatment of abdominal aortic aneurysms: Analysis of 303 patients by life table method

Abstract

This study suggests that ER is safe, sharing the same perioperative mortality risk as OR despite 44% of the ER group being rejected as unfit for OR. Conventional open repair is the most reliable method of successfully managing AAA. The endoluminal method, however, results in shorter length of hospital stay, shorter length of intensive care unit stay, and less blood loss than the open method. Patients who opt for the endoluminal method of repair should be made aware that the minimally invasive technique carries the disadvantage of a higher failure rate.

A comparison of open conventional and endovascular surgical therapies in abdominal aortic aneurysm repair

“…Değişik çalışmalarda çok farklı oranlar da saptanmıştır. May ve ark.nın [22] çalışmasında %7, Brewster ve ark.nın [23] çalışmasında %21, Zarins ve ark.nın [24] çalışmasında %36, Beebe ve ark.nın [25] çalışmasında %5.6, Becquemin ve ark.nın [19] çalışmasında %27, Jordan ve ark.nın [18] çalışmasında %1.1 ve Lederle ve ark.nın. [16] çalışmasında ise %25 oranında bildirilmiştir.…”

Aaa Elective Treatment Indication Tactics in Evar Era

“…Elective OS has acceptable morbidity (10-15 %) and mortality (2-8 %) but only in fit patients (ASA II). Hemodynamically loading aortal clamping and invasivity significantly increase the morbidity (40 %) and mortality (19 %) rates in high operating risk patients (ASA III, IV) 6,[13][14][15] . These patients comprise a significant portion of AAA patients.…”

“…These patients comprise a significant portion of AAA patients. Therefore, the hemodynamically less loading and miniinvasive EVAR, with acceptable mortality also in high operating risk patients (4.7 %), has come into focus in the last decade [12][13][14][15] . Unfortunately, EVAR has technical limitations caused by the present stent-graft system construction and the indication depends on AAA morphology.…”

“…The best comparision of OS and EVAR mortality and morbidity rates is in the ASA III group of AAA patients and also when we compare OS in ASA II versus EVAR in the ASA III group [13][14][15][24][25][26] . The increased invasiveness of the combined strategy associated with additional open surgery leads to higher, yet acceptable morbitidy.…”

“…During the last decade, endovascular stentgrafting (EVAR) highly influenced the indications for AAA elective treatment [10][11][12] . This miniinvasive and hemodynamically less loading method has extended the elective treatment posibilities of AAA patients who show a high operating risk and are unfit for open surgery [13][14][15] . Another AAA treatment possibility, based on primary association of both of the previous methods, is the combined strategy (CS) for AAA of complicated morphology for EVAR 16 ( Fig.…”