Long-Term Outcome of Open or Endovascular Repair of Abdominal Aortic Aneurysm

Long-Term Outcome of Open or Endovascular Repair of Abdominal Aortic Aneurysm

Patients with large abdominal aortic aneurysms were assigned to undergo open surgical repair or endovascular repair. At 6 years, the cumulative survival rates did not differ significantly between groups. The rate of secondary intervention was significantly higher with endovascular repair. Patients w...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 362; no. 20; pp. 1881 - 1889
Main Authors: De Bruin, Jorg L, Baas, Annette F, Buth, Jaap, Prinssen, Monique, Verhoeven, Eric L.G, Cuypers, Philippe W.M, van Sambeek, Marc R.H.M, Balm, Ron, Grobbee, Diederick E, Blankensteijn, Jan D
Format: Journal Article
Language:English
Published: Waltham, MA Massachusetts Medical Society 20-05-2010
Subjects:
Aged
Aneurysms
Angioplasty
Aortic Aneurysm, Abdominal - mortality
Aortic Aneurysm, Abdominal - surgery
Biological and medical sciences
Blood Vessel Prosthesis Implantation - methods
Blood Vessel Prosthesis Implantation - mortality
Data collection
Family physicians
Female
Follow-Up Studies
General aspects
Health sciences
Humans
Kaplan-Meier Estimate
Male
Medical sciences
Reoperation
Survival Rate
Vascular Surgical Procedures - mortality
Prognosis
Cardiovascular disease
Endovascular route
Aortic aneurysm
Long term
Artery
Abdominal aorta
Medicine
Treatment
Blood vessel
Surgery
Evolution
Circulatory system
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Summary:Patients with large abdominal aortic aneurysms were assigned to undergo open surgical repair or endovascular repair. At 6 years, the cumulative survival rates did not differ significantly between groups. The rate of secondary intervention was significantly higher with endovascular repair. Patients with large abdominal aortic aneurysms were assigned to undergo open surgical repair or endovascular repair. At 6 years, the cumulative survival rates did not differ significantly between groups. Randomized trials have shown that endovascular repair offers a perioperative survival benefit over open repair for patients with a large abdominal aortic aneurysm. However, this advantage is not sustained beyond 2 years after surgery. 1 – 4 There is concern that endovascular repair lacks durability, with the possibility of an increased risk of late rupture, 5 and that more reinterventions are required in patients undergoing this technique. Long-term outcome data from these trials are considered to be of crucial importance in deciding which treatment option a patient should be offered. 6 , 7 To date, only limited data beyond 2 years after randomization have been . . .
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ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMoa0909499