2012
DOI: 10.1016/j.jcin.2012.06.015
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Open Versus Endovascular Stent Graft Repair of Abdominal Aortic Aneurysms

Abstract: In patients randomized to open or endovascular AAA repair, all-cause perioperative mortality, as well as AAA-related mortality at short- and intermediate-term follow-up are lower in patients undergoing endovascular stent graft placement. This was associated with greater reintervention in the endovascular group noted at intermediate follow-up. Long-term survival appears to converge between the 2 groups.

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Cited by 101 publications
(75 citation statements)
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“…In some cases, the anatomy is unsuitable for endovascular repair. For younger patients, open repair may reduce the need for long-term imaging followup and the risk of additional interventions (10). The hybrid technique could benefit these patients who are candidates for open repair and have IIA aneurysms of significant size.…”
Section: Discussionmentioning
confidence: 99%
“…In some cases, the anatomy is unsuitable for endovascular repair. For younger patients, open repair may reduce the need for long-term imaging followup and the risk of additional interventions (10). The hybrid technique could benefit these patients who are candidates for open repair and have IIA aneurysms of significant size.…”
Section: Discussionmentioning
confidence: 99%
“…Our grey The short-term mortality had varied definitions among studies. [1][2][3][4][5][6][7]12,13 Dangas et al 12 reported 30-day mortality data and did not include in-hospital mortality, whereas two large scale studies of RCT, DREAM and OVER 12,13 , used a combination of 30-day and in-hospital mortality. Contrary to previous study results, our present study showed similar short-term mortality between EVAR and open repair; the disparity from DREAM trial 6,12 could be due to the limited number of patients we studied.…”
Section: Discussionmentioning
confidence: 99%
“…For example, recent studies have demonstrated increases in reintervention rates post-EVAR and the convergence of mortality rates after 4 years. [28][29][30][31] One explanation for this convergence may be an increase in late aneurysm rupture. 28,30,31 Several anatomical factors must be considered to perform endovascular AAA correction in elective circumstances as well as the AAA roto.…”
Section: Treatmentmentioning
confidence: 99%