Your browser doesn't support javascript.
loading
Comparison of Clinical Outcomes between Surgical Repair and Endovascular Stent for the Treatment of Abdominal Aortic Aneurysm
Vascular Specialist International ; : 140-145, 2017.
Article in English | WPRIM | ID: wpr-742460
ABSTRACT

PURPOSE:

This study was performed to compare the treatment outcomes between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysms (AAAs) in a South Korean population. MATERIALS AND

METHODS:

We performed a retrospective review of the medical records of 99 patients with AAAs who were managed at Gyeongsang National University Hospital between January 2005 and December 2014. We reviewed the demographic characteristics and perioperative treatment outcomes of patients with AAA undergoing EVAR or OSR. In-hospital mortality and reintervention rates were assessed and compared between the EVAR and OSR groups.

RESULTS:

In-hospital mortality was not significantly higher in the OSR group versus the EVAR group (3.8% vs. 8.7%, respectively, P=0.41). Intervention time (209.6 mins vs. 350.9 mins, P < 0.001) and length of hospital stay (7.79 days vs. 17.46 days, P < 0.001) were significantly longer in the OSR group vs. the EVAR group. Median follow-up time was 24.1±20 months for the EVAR group and 43.9±28 months for the OSR group. The cumulative rate of freedom from reintervention at 60 months was 62.0% for the EVAR group and 100% for the OSR group (P < 0.001).

CONCLUSION:

EVAR was favorable in terms of intervention time and length of hospital stay, but the long-term durability of EVAR remains open for further debate.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Aorta / Stents / Medical Records / Retrospective Studies / Follow-Up Studies / Hospital Mortality / Aortic Aneurysm, Abdominal / Endovascular Procedures / Freedom / Aneurysm Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Vascular Specialist International Year: 2017 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Aorta / Stents / Medical Records / Retrospective Studies / Follow-Up Studies / Hospital Mortality / Aortic Aneurysm, Abdominal / Endovascular Procedures / Freedom / Aneurysm Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Vascular Specialist International Year: 2017 Type: Article