Survival After Endovascular vs Open Aortic Aneurysm Repairs

Abstract

The survival advantage for EVAR repair in a statewide population is maintained for 3 years. After 3 years, EVAR repair was associated with higher mortality; however, these mortality differences did not reach statistical significance over the entire study period. Reintervention and late AAA rupture rates are higher after EVAR repair.

Acute kidney injury after open and endovascular elective repair for infrarenal abdominal aortic aneurysms

“…We defined this complication as a pulmonary consolidation on radiography with positive bronchoaspirate. Pneumonia more often occurred after OAR, 17 mostly in those patients requiring longer invasive ventilation. In some of these patients, a renal impairment could be included in a wider multiorgan failure, which can partly explain the concomitance of these two complications.…”

Thirty-day hospital readmission and emergency department visits after vascular surgery: a Canadian prospective cohort study

“…Several authors have reported rates of readmission after individual vascular procedures, such as abdominal aortic aneurysm repair (8%-54%), [14][15][16] amputation (9%-18%), [17][18][19] and lower extremity bypass (12%-49%). 8,9,11,20,21 However, there are conflicting reports regarding readmission rates and reasons.…”

Endovascular Aneurysm Repair or Open Aneurysm Repair for the Treatment of Abdominal Aortic Aneurysm – The Latest Update

“…EVAR should be a preferred method of surgical treatment of both elective and ruptured AAA (11). However, in long-term observation both methods of AAA repair were comparable (26). The latest outcomes reported from Asia have not identified significant difference between the EVAR and OAR (27,28,30).…”

“…However was no significant difference in long-term survival between both methods of AAA repair over the entire study period and after 3 years even EVAR was associated with higher mortality (hazard ratio, 0.99; 95% CI, 0.94 -1.04; p = 0.64). Moreover endovascular method was also related to higher rate of re-interventions and AAA late ruptures (26).…”