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• W2147202016 abstract "NDOVASCULAR ABDOMINAL AORTIC aneurysm repair was introduced to reduce the morbidity and mortality of open aortic aneurysm repair. Although there has been much debate about the effectiveness of this modality as a definitive treatment for aneurysmal arterial disease, there can be little disagreement that it has achieved the goal of improved perioperative results. A recent meta-analysis of 9 studies reporting the outcome of 1,318 procedures (687 endovascular repair and 631 open surgical repair) showed a significant reduction in 30-day mortality (odds ratio 0.55, 95% confidence interval [CI]: 0.33, 0.92) in the endovascular-treated group. 1 Cardiac (3% v 11%), pulmonary (4% v 13%), renal (5% v 8%), and gastrointestinal (0% v 2%) complications, as well as bleeding rates (1% v 2%) all occurred significantly less frequently in the endovascular treatment group. The overall pooled systemic and/or remote complication rate was 0.17 for endovascular repair (95% CI: 0.09, 0.25) and 0.44 for open surgical repair (95% CI: 0.21, 0.66, p 0.001). As a result, the overall length of stay (3.9 days v 10.3 days, p 0.02) as well as the length of stay in the intensive care unit (0.5 days v 3.9 days, p 0.04) was significantly less for the endovascular repair group. The local and/or vascular complication rate was higher in the endovascular group (0.16, 95% CI: 0.06, 0.25) than for the open repair group (0.12, 95% CI: 0.06, 0.18) but not significantly so (p 0.46). Only the rate of arterial injury was significantly greater in the endovascular repair group (2% v 0%). Patients are more likely to be discharged home, rather than to a rehabilitation facility, after endovascular aneurysm repair than after open aneurysm repair. 2 Quality of life assessment of open and endovascular repair patients shows less reduction in scores and faster improvement after endovascular repair, 3-5 although the differences observed by Malina et al5 were not statistically significant, perhaps reflecting the use of a less sensitive instrument (Nottingham Health Profile) than the one used in the other reports (Medical Outcomes Study Short-Form 36)." @default.
• W2147202016 created "2016-06-24" @default.
• W2147202016 creator A5028924043 @default.
• W2147202016 date "2003-10-01" @default.
• W2147202016 modified "2023-09-26" @default.
• W2147202016 title "Pro: endovascular repair of abdominal aortic aneurysms reduces perioperative morbidity and mortality" @default.
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• W2147202016 doi "https://doi.org/10.1016/s1053-0770(03)00216-7" @default.
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