1. Open Versus Endovascular Repair of Inflammatory Abdominal Aortic Aneurysms: A Comparative Study and Meta-Analysis of the Literature.
- Author
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Kakkos SK, Papazoglou KO, Tsolakis IA, Lampropoulos G, Papadoulas SI, and Antoniadis PN
- Subjects
- Aged, Aortic Aneurysm, Abdominal diagnosis, Aortic Aneurysm, Abdominal mortality, Aortitis diagnosis, Aortitis mortality, Blood Transfusion, Chi-Square Distribution, Female, Greece, Hospital Mortality, Humans, Kaplan-Meier Estimate, Length of Stay, Male, Middle Aged, Odds Ratio, Operative Time, Retrospective Studies, Risk Assessment, Risk Factors, Treatment Outcome, Aortic Aneurysm, Abdominal surgery, Aortitis surgery, Blood Vessel Prosthesis Implantation adverse effects, Blood Vessel Prosthesis Implantation mortality, Endovascular Procedures adverse effects, Endovascular Procedures mortality
- Abstract
Objectives: Open surgical repair (OSR) of inflammatory abdominal aortic aneurysms (IAAAs) can have significant morbidity. The aim of the present investigation was to compare IAAA outcome after OSR and endovascular aneurysm repair (EVAR) and perform a meta-analysis of the literature., Methods: Twenty-seven patients with an intact IAAA operated on during a 21-year period were included., Results: Nine patients were managed with EVAR and 18 with OSR. In the EVAR group, the number of transfused red blood cell units (P = .001), procedure duration (P < .001), and postoperative hospitalization (P = .004) were significantly reduced compared to OSR. A trend for decreased morbidity with EVAR (11% vs 33% for OSR, P = .36) was observed. On literature review and meta-analysis, morbidity after EVAR was 8.3%, significantly lower compared to OSR (27.4%, P = .047). Mortality for nonruptured IAAAs was 0% after EVAR and 3.6% after OSR (P = 1.00)., Conclusions: Endovascular aneurysm repair of IAAAs is associated with decreased procedure duration, transfusion needs, hospitalization, and morbidity compared to OSR., (© The Author(s) 2015.)
- Published
- 2015
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