Endovascular Repair of Ruptured Abdominal Aortic Aneurysm Is Superior to Open Repair: Propensity-Matched Analysis in the Vascular Quality Initiative

The three randomized trials comparing endovascular aneurysm repair (rEVAR) with open surgical repair (rOSR) of ruptured abdominal aortic aneurysm (rAAA) were poorly designed and heavily criticized. The short- and long-term survival advantages of rEVAR remain unclear. We sought to compare the two treatment modalities using a propensity-matched analysis in a real-world setting.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2019 Western Vascular Society Annual Meeting Source Type: research

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New England Journal of Medicine,Volume 381, Issue 11, September 2019.
Source: New England Journal of Medicine - Category: Internal Medicine Source Type: research
Patients older than 80  years have significantly lower early mortality with endovascular aneurysm repair (EVAR) compared with open repair for abdominal aortic aneurysms (AAAs), but long-term results remain poorly studied. We analyzed the results of both emergent and elective AAA repair in patients aged 80 years or older who had at least 5 years of follow-up.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Endovascular abdominal aortic aneurysm repair (EVAR) has been rigorously compared with open repair for the treatment of abdominal aortic aneurysms in randomized trials and observational studies, but a comparison of individual devices is lacking, and single-device registries and trials are limited by small sample size. Here we report a descriptive analysis of the Effectiveness of Custom Seal with Ovation: Review of the Evidence (ENCORE) database, pooled results of multiple studies evaluating the midterm results of EVAR with the Ovation Abdominal Stent Graft Platform.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Endovascular aneurysm repair (EVAR) has become the preferred approach to abdominal aortic aneurysm (AAA) because of lower early morbidity and mortality than open repair. However, the ability of EVAR to prevent long-term aneurysm-related mortality (ARM) has been questioned in light of recent trial data. We have updated our long-term EVAR experience in a large multicenter registry to further examine this issue.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
záros J, Tóth C Abstract The management of the abdominal aortic aneurysm is associated with several risk factors, especially in patients after renal transplantation. Endovascular aneurysm repair (EVAR) can be the proper treatment in feasible cases. The authors present a patient's case who underwent renal transplantation and developed an infrarenal aortic aneurysm some years later. A 50-year-old male patient was operated with EVAR. During the starting period of the procedure bilateral iliac dissection developed, and the endovascular approach was converted into traditional open operation. At the time w...
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
ConclusionThe endovascular neck stabilization is a useful treatment option that facilitates standard EVAR for AAA in chronic aortic dissection.
Source: CardioVascular and Interventional Radiology - Category: Radiology Source Type: research
This study evaluated the impact of hospital case volume on outcomes after rAAA.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
The purpose of this systematic review was to assess the perioperative clinical outcomes in using local/regional anesthesia (LA/RA) or general anesthesia (GA) in patients undergoing endovascular abdominal aortic aneurysm repair. A comprehensive electronic literature search was undertaken from inception to September 2018, identifying all randomized and nonrandomized studies comparing LA/RA versus GA in patients with abdominal aortic aneurysm who underwent endovascular repair. A total of 12,024 patients (n  = 1,664 LA/RA, n = 10,360 GA) were analyzed from 12 observational studies included in this analysis.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Review Article Source Type: research
CONCLUSIONSSecond-stage endovascular repair after previous fET is feasible with good mid-term results. This staged hybrid procedure is extremely effective in patients whose aneurysms are confined both to the arch and thoraco-abdominal aorta leading to an excellent functional result. In case of favorable anatomy endovascular repair in residual type B aortic dissection lead to complete false lumen thrombosis.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Preoperatively detected sarcopenia as reflected by psoas muscle area (PMA) is associated with postoperative mortality after abdominal aortic aneurysm (AAA) repair. We studied, whether changes in PMA and lean PMA (LPMA) after endovascular aortic repair (EVAR) are associated with postoperative survival.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
More News: Abdominal Aneurysm Repair | Abdominal Aortic Aneurysm | Aortic Aneurysm | Endovascular Repair (EVAR) | Gastroschisis Repair | Surgery