TY - JOUR
T1 - Evolution in management and outcome after repair of abdominal aortic aneurysms in the pre- and post-EVAR era
AU - Piazza, Michele
AU - Gloviczki, Peter
AU - Huang, Ying
AU - Kalra, Manju
AU - Duncan, Audra A.
AU - Oderich, Gustavo S.
AU - Harmsen, William S.
AU - Bower, Thomas C.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2013/6
Y1 - 2013/6
N2 - Objective. To compare outcomes of abdominal aortic aneurysm repairs before and after the endovascular era. Methods. Group A (1997-1998) included 331 patients, 321 (97%) with open repair (OR) and 10 (3%) with endovascular aneurysm repair (EVAR). Group B (2007-2008) included 330 patients, 136 (41%) with OR and 194 (59%) with EVAR. Results. Patients in Group B were older (74 ± 8.5 vs 73 ± 7.0 years, P =.02), had higher comorbidity scores (8.3 ± 4.8 vs 7.5 ± 4.6, P =.04), shorter hospitalization (5.1 ± 6.4 vs 9.8 ± 6.3, P <.001), less intensive care unit days than in Group B (0.9 ± 2.1 vs 2.2 ± 2.7, P <.001). Early mortality was 0.6% in both groups. Two-year survival was similar (88% vs 89%), with less reinterventions in Group A (4% vs 17%, P =.004). OR patients had similar 30-day mortalities (0.9% vs 0.7%, P =.89). Conclusion. EVAR and OR have low mortalities. However, in the post-EVAR era we treat older patients with more comorbidities, hospitalization is shorter, and intensive care unit days are less; interventions in EVAR are, however, high.
AB - Objective. To compare outcomes of abdominal aortic aneurysm repairs before and after the endovascular era. Methods. Group A (1997-1998) included 331 patients, 321 (97%) with open repair (OR) and 10 (3%) with endovascular aneurysm repair (EVAR). Group B (2007-2008) included 330 patients, 136 (41%) with OR and 194 (59%) with EVAR. Results. Patients in Group B were older (74 ± 8.5 vs 73 ± 7.0 years, P =.02), had higher comorbidity scores (8.3 ± 4.8 vs 7.5 ± 4.6, P =.04), shorter hospitalization (5.1 ± 6.4 vs 9.8 ± 6.3, P <.001), less intensive care unit days than in Group B (0.9 ± 2.1 vs 2.2 ± 2.7, P <.001). Early mortality was 0.6% in both groups. Two-year survival was similar (88% vs 89%), with less reinterventions in Group A (4% vs 17%, P =.004). OR patients had similar 30-day mortalities (0.9% vs 0.7%, P =.89). Conclusion. EVAR and OR have low mortalities. However, in the post-EVAR era we treat older patients with more comorbidities, hospitalization is shorter, and intensive care unit days are less; interventions in EVAR are, however, high.
KW - abdominal aortic aneurysm
KW - endovascular repair
KW - open repair
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U2 - 10.1177/1531003513506267
DO - 10.1177/1531003513506267
M3 - Article
C2 - 24225502
AN - SCOPUS:84890096936
SN - 1531-0035
VL - 25
SP - 11
EP - 19
JO - Perspectives in Vascular Surgery and Endovascular Therapy
JF - Perspectives in Vascular Surgery and Endovascular Therapy
IS - 1-2
ER -