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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.
- Source :
-
Vascular [Vascular] 2012 Apr; Vol. 20 (2), pp. 72-80. Date of Electronic Publication: 2012 Mar 27. - Publication Year :
- 2012
-
Abstract
- 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.
- Subjects :
- Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal mortality
Aortic Rupture mortality
Chi-Square Distribution
Female
Humans
Length of Stay
Male
Middle Aged
Netherlands
Postoperative Complications etiology
Prospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Aortic Aneurysm, Abdominal surgery
Aortic Rupture surgery
Blood Vessel Prosthesis Implantation adverse effects
Blood Vessel Prosthesis Implantation mortality
Endovascular Procedures adverse effects
Endovascular Procedures mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1708-5381
- Volume :
- 20
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Vascular
- Publication Type :
- Academic Journal
- Accession number :
- 22454547
- Full Text :
- https://doi.org/10.1258/vasc.2011.oa0302