Elective treatment of abdominal aortic aneurysm with endovascular or open repair: The first decade

Abstract

Open repair and EVAR are both performed safely in patients treated for elective infrarenal AAA. EVAR has the perioperative advantages of reduced blood loss, reduced length of intensive care unit and hospital stay, and increased number of patients discharged to home. The mid-term survival advantage of open repair has been observed in other reports and deserves further study.

Predictors of decreased short- and long-term survival following open abdominal aortic aneurysm repair

“…1 Compared to open abdominal aortic aneurysm (AAA) repair, EVAR has a short-term survival benefit, as well as other perioperative advantages, such as decreased blood transfusion and shorter-length of hospital stay. 2,3 However, a significant number of patients with infrarenal AAAs continue to undergo open repair. Open surgery remains the definitive treatment for patients with infrarenal AAA of mycotic or connective tissue disease etiology.…”

Fenestrated endovascular repair for juxtarenal aortic pathology

“…This minimally invasive option offers patients a treatment with less morbidity and mortality than conventional open aneurysm surgery. [1][2][3] The technique is, however, usable only in patients with suitable proximal and distal sealing zones. This is true in 50-70% of patients, the remaining patients have inadequate fixation and seal in the proximal aortic neck or iliac vessels.…”

Evaluation of coronary artery disease and other risk factors in patients with abdominal aortic aneurysm

“…The appropriate surgical approach should be determined considering each individual's characteristics and comorbid diseases. [8,[27][28][29] In conclusion, in the present study, AAA patients who were admitted to our clinic over the last 10 years were investigated retrospectively, and treatment outcomes and risk factors were evaluated. We can suggest that a preoperative detailed evaluation of factors affecting the mortality and morbidity rates along with possible complications in patients is needed, especially in the presence of CAD.…”