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2. Long-term survival and secondary procedures after open or endovascular repair of abdominal aortic aneurysms

Author

van Schaik, Theodorus G., Yeung, Kak K., Verhagen, Hence J., De Bruin, Jorg Lucas, van Sambeek, Marc R.H.M., Balm, Ron, Zeebregts, Clark J., van Herwaarden, Joost A., Blankensteijn, Jan D., Grobbee, D. E., Bak, Annette A A, Buth, J., Pattynama, Peter M., Verhoeven, E.L.G., Van Voorthuisen, A. E., Balm, R., Cuypers, P.W.M., Prinssen, M., van Sambeek, M.R.H.M., Baas, A. F., Hunink, M. G. Myriam, van Engelshoven, J.M., Jacobs, M. J.H.M., de Mol, Bas A J M, van Bockel, J.H., Reekers, J.A., Tielbeek, X., Wisselink, W., Boekema-Bakker, N., Heuveling, L. M., Sikking, I., van der Velden, J. J.I.M., van Loenhout, R. M.M., Rutten, M. J., Bender, M. H.M., Boomsma, J. H.B., Visser, M. J.T., de Haan, M., Smeets, H. J., and DREAM trial participants

Subjects
Surgery, Cardiology and Cardiovascular Medicine
Abstract

Objective Randomized trials have shown an initial survival benefit of endovascular over conventional open abdominal aortic aneurysm repair but no long-term difference up to 6 years after repair. Longer follow-up may be required to demonstrate the cumulative negative impact on survival of higher reintervention rates associated with endovascular repair. Methods We updated the results of the Dutch Randomized Endovascular Aneurysm Management (DREAM) trial, a multicenter, randomized controlled trial comparing open with endovascular aneurysm repair, up to 15 years of follow-up. Survival and reinterventions were analyzed on an intention-to-treat basis. Causes of death and secondary interventions were compared by use of an events per person-year analysis. Results There were 178 patients randomized to open and 173 to endovascular repair. Twelve years after randomization, the cumulative overall survival rates were 42.2% for open and 38.5% for endovascular repair, for a difference of 3.7 percentage points (95% confidence interval, −6.7 to 14.1; P =.48). The cumulative rates of freedom from reintervention were 78.9% for open repair and 62.2% for endovascular repair, for a difference of 16.7 percentage points (95% confidence interval, 5.8-27.6; P =.01). No differences were observed in causes of death. Cardiovascular and malignant disease account for the majority of deaths after prolonged follow-up. Conclusions During 12 years of follow-up, there was no survival difference between patients who underwent open or endovascular abdominal aortic aneurysm repair, despite a continuously increasing number of reinterventions in the endovascular repair group. Endograft durability and the need for continued endograft surveillance remain key issues.

Published
2017

3. Long-term survival and secondary procedures after open or endovascular repair of abdominal aortic aneurysms

Author

Zorgeenheid Vaatchirurgie Medisch, UMC Utrecht, Circulatory Health, Cardiovasculaire Epi Team 9, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Genetica Klinische Genetica, Arts-assistenten Radiotherapie, Arts-assistenten Radiologie, Onderzoek CTC, Other research (not in main researchprogram), Psychiatrie_Medisch, ZL Algemene Neurologie Medisch, Pathologie Pathologen staf, Arts-Assistenten Onderwijs Radiologie, HAG Netwerken, van Schaik, Theodorus G., Yeung, Kak K., Verhagen, Hence J., De Bruin, Jorg Lucas, van Sambeek, Marc R.H.M., Balm, Ron, Zeebregts, Clark J., van Herwaarden, Joost A., Blankensteijn, Jan D., Grobbee, D. E., Bak, Annette A A, Buth, J., Pattynama, Peter M., Verhoeven, E.L.G., Van Voorthuisen, A. E., Balm, R., Cuypers, P.W.M., Prinssen, M., van Sambeek, M.R.H.M., Baas, A. F., Hunink, M. G. Myriam, van Engelshoven, J.M., Jacobs, M. J.H.M., de Mol, Bas A J M, van Bockel, J.H., Reekers, J.A., Tielbeek, X., Wisselink, W., Boekema-Bakker, N., Heuveling, L. M., Sikking, I., van der Velden, J. J.I.M., van Loenhout, R. M.M., Rutten, M. J., Bender, M. H.M., Boomsma, J. H.B., Visser, M. J.T., de Haan, M., Smeets, H. J., DREAM trial participants, Zorgeenheid Vaatchirurgie Medisch, UMC Utrecht, Circulatory Health, Cardiovasculaire Epi Team 9, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Genetica Klinische Genetica, Arts-assistenten Radiotherapie, Arts-assistenten Radiologie, Onderzoek CTC, Other research (not in main researchprogram), Psychiatrie_Medisch, ZL Algemene Neurologie Medisch, Pathologie Pathologen staf, Arts-Assistenten Onderwijs Radiologie, HAG Netwerken, van Schaik, Theodorus G., Yeung, Kak K., Verhagen, Hence J., De Bruin, Jorg Lucas, van Sambeek, Marc R.H.M., Balm, Ron, Zeebregts, Clark J., van Herwaarden, Joost A., Blankensteijn, Jan D., Grobbee, D. E., Bak, Annette A A, Buth, J., Pattynama, Peter M., Verhoeven, E.L.G., Van Voorthuisen, A. E., Balm, R., Cuypers, P.W.M., Prinssen, M., van Sambeek, M.R.H.M., Baas, A. F., Hunink, M. G. Myriam, van Engelshoven, J.M., Jacobs, M. J.H.M., de Mol, Bas A J M, van Bockel, J.H., Reekers, J.A., Tielbeek, X., Wisselink, W., Boekema-Bakker, N., Heuveling, L. M., Sikking, I., van der Velden, J. J.I.M., van Loenhout, R. M.M., Rutten, M. J., Bender, M. H.M., Boomsma, J. H.B., Visser, M. J.T., de Haan, M., Smeets, H. J., and DREAM trial participants

Published
2017

4. Predicting reinterventions after open and endovascular aneurysm repair using the St George's Vascular Institute score

Author

Cardiovasculaire Epi Team 9, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Genetica Klinische Genetica, Arts Assistenten CTC, Psychiatrie_Medisch, Pathologie Pathologen staf, Arts-assistenten Radiologie, PCR MN, Other research (not in main researchprogram), JC Overig onderzoek, De Bruin, Jorg Lucas, Karthikesalingam, Alan, Holt, Peter J., Prinssen, Monique, Thompson, Matt M., Blankensteijn, Jan D., Grobbee, D. E., Blankensteijn, J. D., Bak, A. A A, Buth, J., Pattynama, P. M., Verhoeven, E. L G, Van Voorthuisen, A. E., Balm, R., Cuypers, P. W M, Prinssen, M., Van Sambeek, M. R H M, Baas, A. F., Hunink, M. G., Van Engelshoven, J. M., Jacobs, M. J H M, De Mol, B. A J M, Van Bockel, J. H., Reekers, J., Tielbeek, X., Wisselink, W., Boekema, N., Heuveling, L. M., Sikking, I., De Bruin, J. L., Tielbeek, A. V., Reekers, J. A., Pattynama, P., Prins, T., Van Der Ham, A. C., Van Der Velden, J. J I M, Van Sterkenburg, S. M M, Ten Haken, G. B., Bruijninckx, C. M A, Van Overhagen, H., Tutein Nolthenius, R. P., Hendriksz, T. R., Teijink, J. A W, Odink, H. F., De Smet, A. A E A, Vroegindeweij, D., Van Loenhout, R. M M, Rutten, M. J., Hamming, J. F., Lampmann, L. E H, Bender, M. H M, Pasmans, H., Vahl, A. C., De Vries, C., MacKaay, A. J C, Van Dortmont, L. M C, Van Der Vliet, A. J., Schultze Kool, L. J., Boomsma, J. H B, Van, H. R., De Mol Van Otterloo, J. C A, De Rooij, T. P W, Smits, T. M., Yilmaz, E. N., Van Den Berg, F. G., Visser, M. J T, Van Der Linden, E., Schurink, G. W H, De Haan, M., Smeets, H. J., Stabel, P., Van Elst, F., Poniewierski, J., Vermassen, F. E G, Cardiovasculaire Epi Team 9, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Genetica Klinische Genetica, Arts Assistenten CTC, Psychiatrie_Medisch, Pathologie Pathologen staf, Arts-assistenten Radiologie, PCR MN, Other research (not in main researchprogram), JC Overig onderzoek, De Bruin, Jorg Lucas, Karthikesalingam, Alan, Holt, Peter J., Prinssen, Monique, Thompson, Matt M., Blankensteijn, Jan D., Grobbee, D. E., Blankensteijn, J. D., Bak, A. A A, Buth, J., Pattynama, P. M., Verhoeven, E. L G, Van Voorthuisen, A. E., Balm, R., Cuypers, P. W M, Prinssen, M., Van Sambeek, M. R H M, Baas, A. F., Hunink, M. G., Van Engelshoven, J. M., Jacobs, M. J H M, De Mol, B. A J M, Van Bockel, J. H., Reekers, J., Tielbeek, X., Wisselink, W., Boekema, N., Heuveling, L. M., Sikking, I., De Bruin, J. L., Tielbeek, A. V., Reekers, J. A., Pattynama, P., Prins, T., Van Der Ham, A. C., Van Der Velden, J. J I M, Van Sterkenburg, S. M M, Ten Haken, G. B., Bruijninckx, C. M A, Van Overhagen, H., Tutein Nolthenius, R. P., Hendriksz, T. R., Teijink, J. A W, Odink, H. F., De Smet, A. A E A, Vroegindeweij, D., Van Loenhout, R. M M, Rutten, M. J., Hamming, J. F., Lampmann, L. E H, Bender, M. H M, Pasmans, H., Vahl, A. C., De Vries, C., MacKaay, A. J C, Van Dortmont, L. M C, Van Der Vliet, A. J., Schultze Kool, L. J., Boomsma, J. H B, Van, H. R., De Mol Van Otterloo, J. C A, De Rooij, T. P W, Smits, T. M., Yilmaz, E. N., Van Den Berg, F. G., Visser, M. J T, Van Der Linden, E., Schurink, G. W H, De Haan, M., Smeets, H. J., Stabel, P., Van Elst, F., Poniewierski, J., and Vermassen, F. E G

Published
2016

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