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Open or Endovascular Abdominal Aortic Aneurysm-which is better?

Published On 2022-05-19T18:30:34+05:30  |  Updated On 19 May 2022 1:00 PM GMT
Open or Endovascular Abdominal Aortic Aneurysm-which is better?

Overview

Endovascular aneurysm repair is associated with a significant reduction in perioperative mortality and morbidity compared with open aneurysm repair in the treatment of abdominal aortic aneurysm. However, this benefit decreases over time owing to increased reinterventions and late aneurysm rupture after endovascular repair. This is in accordance to a new study published in JAMA Network Open.

The study is a multicenter retrospective cohort study. The patients undergoing first-time elective endovascular or open abdominal aortic aneurysm repair were included. Patients with ruptured abdominal aortic aneurysm, concomitant procedures, or prior history of abdominal aortic aneurysm repair, were excluded.

Among a total of 32 760 patients who underwent surgical abdominal aortic aneurysm repair, 28 281 patients underwent endovascular repair and 4479 patients underwent open repair.

The results showed that open repair was associated with significantly lower 6-year mortality compared with endovascular repair with increases in mortality starting from 1 to 2 years and 2 to 6 years. Hence, it was concluded that overall mortality after elective abdominal aortic aneurysm repair was higher with endovascular repair than open repair despite reduced 30-day mortality and perioperative morbidity after endovascular repair. Endovascular repair additionally was associated with significantly higher rates of long-term rupture and reintervention.

These findings emphasize the importance of careful patient selection and long-term follow-up surveillance for patients who undergo endovascular repair.

Speakers

Dr. Nandita Mohan

BDS, MDS( Pedodontics and Preventive Dentistry)

Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Endovascular Abdominal Aortic Aneurysm abdominal aortic aneurysm JAMA reintervention 
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