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Although the results of PAS and OS were similar with respect to morbidity, death, and recurrent stenosis, PAS was associated with a significantly higher incidence of recurrent symptoms. These findings suggest that OS should be preferentially offered to patients deemed fit for open revascularization.

JRA repair can be accomplished with a low mortality rate, but a more proximal clamp position may adversely affect outcome in these patients. Postoperative renal insufficiency is related to diabetes, preoperative renal insufficiency, and SVC position. These results suggest SRC is safer than SVC for proximal aortic clamp control of JRAs. Although clamp level must be tailored to patient anatomy, outcome may be improved if the clamp level can be kept distal to the superior mesenteric artery origin.

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These results reconfirm the exemplary success of open infrarenal AAA repair. The future of endovascular AAA repair is exceedingly bright, but until the long-term outcome of the current generation of stent grafts is adequately documented, their use should be justified by the presence of serious surgical risk factors.

ACC/AHA = American College of Cardiology/American Heart Association; CABG =coronary artery bypass grafting; CAD =coronary artery disease; CHF =congestive heart failure; ECG =electrocardiographic; LV =left ventricular; MET =metabolic equivalent; MI =myocardial infarction; PTCA =percutaneous transluminal coronary angioplasty 524 For personal use. Mass reproduce only with permission from Mayo Clinic Proceedings.