Endovascular repair of abdominal aortic aneurysm.

CONCLUSIONS: 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. PMID: 24453068 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/24453068?dopt=Abstract

Source: Cochrane Database of Systematic Reviews - January 23, 2014 Category: Journals (General) Authors: Paravastu SC, Jayarajasingam R, Cottam R, Palfreyman SJ, Michaels JA, Thomas SM Tags: Cochrane Database Syst Rev Source Type: research