Endovascular repair of abdominal aortic aneurysm

Abstract

In individuals considered fit for conventional surgery, EVAR was associated with lower short-term mortality than OSR. However, this benefit from EVAR did not persist at the intermediate- and long-term follow ups. Individuals undergoing EVAR had a higher reintervention rate than those undergoing OSR. Most of the reinterventions undertaken following EVAR, however, were catheter-based interventions associated with low mortality. Operative complications, health-related quality of life and sexual dysfunction were generally comparable between EVAR and OSR. However, there was a slightly higher incidence of pulmonary complications in the OSR group than in the EVAR group.In individuals considered unfit for open surgery, the results of a single trial found no overall short- or long-term benefits of EVAR over no intervention with regard to all-cause mortality, but individuals may differ and individual preferences should always be taken into account.

Short- and long-term survival after open versus endovascular repair of abdominal aortic aneurysm—Polish population analysis

“…Similar to other studies [ 16 ], repeated hospitalizations were more frequent in EVAR than OAR groups (16.5% vs 8.4%, p<0.001) independently of other risk factors, except age. Due to the fact, that re-interventions may be coded in various ways and may result from concomitant diseases we decided to include in our analysis readmissions to vascular units as a measure of late complications requiring interventions.…”

Short- and long-term survival after open versus endovascular repair of abdominal aortic aneurysm—Polish population analysis

“…Similar to other studies [ 16 ], repeated hospitalizations were more frequent in EVAR than OAR groups (16.5% vs 8.4%, p<0.001) independently of other risk factors, except age. Due to the fact, that re-interventions may be coded in various ways and may result from concomitant diseases we decided to include in our analysis readmissions to vascular units as a measure of late complications requiring interventions.…”

Early and late results of open surgical and endovascular treatment of infrarenal abdominal aortic aneurysms, selected according to surgical risk

“…The literature shows that age, CRF, COPD, and heart failure influence survival after IRAAA surgery, 4 , 19 but in our study, apart from age, only COPD was an independent influence. Survival was similar until the second year of follow-up, at which point it diverged in favor of OSR.…”

“…9,22 The rate of reinterventions was significantly higher in the EVAR group (23.2 vs. 3.2%), as was reported in the prospective series. 4,13 but lower in the OSR group in our series. The conversion rate was 5.4%, which was slightly higher than rates reported by other authors: 4% in the EVAR 1 study 9 and 3.5% in the series published by Mertens et al, 23 with a 6-year follow-up.…”

Clinical evaluation of endovascular repair of abdominal aortic aneurysm based on long-term experiences.

“…The present study analyses the treatment outcomes for 236 AAA patients subject to planned endovascular surgery between 2010 and 2015. The patients with AAA treated in the elective endovascular method demonstrated a low short-term mortality rate, which is no different from worldwide reports on the use of the endovascular technique [1,5,7,13,15,[18][19][20][21][22][23][24][25][26][27][28][29][30]. Furthermore, in this study the observed and predicted short-term mortality rates according to the V-Possum scale were not significantly different (p = 0.7993).…”

Short- and long-term survival after open versus endovascular repair of abdominal aortic aneurysm—Polish population analysis

“…Similar to other studies [ 16 ], repeated hospitalizations were more frequent in EVAR than OAR groups (16.5% vs 8.4%, p<0.001) independently of other risk factors, except age. Due to the fact, that re-interventions may be coded in various ways and may result from concomitant diseases we decided to include in our analysis readmissions to vascular units as a measure of late complications requiring interventions.…”

Early and late results of open surgical and endovascular treatment of infrarenal abdominal aortic aneurysms, selected according to surgical risk

“…The literature shows that age, CRF, COPD, and heart failure influence survival after IRAAA surgery, 4 , 19 but in our study, apart from age, only COPD was an independent influence. Survival was similar until the second year of follow-up, at which point it diverged in favor of OSR.…”

“…9,22 The rate of reinterventions was significantly higher in the EVAR group (23.2 vs. 3.2%), as was reported in the prospective series. 4,13 but lower in the OSR group in our series. The conversion rate was 5.4%, which was slightly higher than rates reported by other authors: 4% in the EVAR 1 study 9 and 3.5% in the series published by Mertens et al, 23 with a 6-year follow-up.…”

Clinical evaluation of endovascular repair of abdominal aortic aneurysm based on long-term experiences.

“…The present study analyses the treatment outcomes for 236 AAA patients subject to planned endovascular surgery between 2010 and 2015. The patients with AAA treated in the elective endovascular method demonstrated a low short-term mortality rate, which is no different from worldwide reports on the use of the endovascular technique [1,5,7,13,15,[18][19][20][21][22][23][24][25][26][27][28][29][30]. Furthermore, in this study the observed and predicted short-term mortality rates according to the V-Possum scale were not significantly different (p = 0.7993).…”

Short- and long-term survival after open versus endovascular repair of abdominal aortic aneurysm—Polish population analysis

“…Similar to other studies [ 16 ], repeated hospitalizations were more frequent in EVAR than OAR groups (16.5% vs 8.4%, p<0.001) independently of other risk factors, except age. Due to the fact, that re-interventions may be coded in various ways and may result from concomitant diseases we decided to include in our analysis readmissions to vascular units as a measure of late complications requiring interventions.…”

Early and late results of open surgical and endovascular treatment of infrarenal abdominal aortic aneurysms, selected according to surgical risk

“…The literature shows that age, CRF, COPD, and heart failure influence survival after IRAAA surgery, 4 , 19 but in our study, apart from age, only COPD was an independent influence. Survival was similar until the second year of follow-up, at which point it diverged in favor of OSR.…”

“…9,22 The rate of reinterventions was significantly higher in the EVAR group (23.2 vs. 3.2%), as was reported in the prospective series. 4,13 but lower in the OSR group in our series. The conversion rate was 5.4%, which was slightly higher than rates reported by other authors: 4% in the EVAR 1 study 9 and 3.5% in the series published by Mertens et al, 23 with a 6-year follow-up.…”

Clinical evaluation of endovascular repair of abdominal aortic aneurysm based on long-term experiences.

“…The present study analyses the treatment outcomes for 236 AAA patients subject to planned endovascular surgery between 2010 and 2015. The patients with AAA treated in the elective endovascular method demonstrated a low short-term mortality rate, which is no different from worldwide reports on the use of the endovascular technique [1,5,7,13,15,[18][19][20][21][22][23][24][25][26][27][28][29][30]. Furthermore, in this study the observed and predicted short-term mortality rates according to the V-Possum scale were not significantly different (p = 0.7993).…”