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Endovascular Versus Open Repair as Primary Strategy for Ruptured Abdominal Aortic Aneurysm: A National Population-based Study.

https://arctichealth.org/en/permalink/ahliterature272524
Source
Eur J Vasc Endovasc Surg. 2016 Jan;51(1):22-8
Publication Type
Article
Date
Jan-2016
Author
K. Gunnarsson
A. Wanhainen
K. Djavani Gidlund
M. Björck
K. Mani
Source
Eur J Vasc Endovasc Surg. 2016 Jan;51(1):22-8
Date
Jan-2016
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal - diagnosis - mortality - surgery
Aortic Rupture - diagnosis - mortality - surgery
Blood Vessel Prosthesis Implantation - adverse effects - mortality
Comorbidity
Endovascular Procedures - adverse effects - mortality
Female
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Registries
Risk assessment
Risk factors
Sweden - epidemiology
Time Factors
Treatment Outcome
Abstract
In randomized trials, no peri-operative survival benefit has been shown for endovascular (EVAR) repair of ruptured abdominal aortic aneurysm (rAAA) when compared with open repair. The aim of this study was to investigate the effect of primary repair strategy on early and midterm survival in a non-selected population based study.
The Swedish Vascular Registry was consulted to identify all rAAA repairs performed in Sweden in the period 2008-12. Centers with a primary EVAR strategy (treating > 50% of rAAA with EVAR) were compared with centers with a primary open repair strategy. Peri-operative outcome, midterm survival, and incidence of rAAA repair/100,000 inhabitants aged > 50 years were assessed.
In total, 1,304 patients were identified. Three primary EVAR centers (pEVARc) operated on 236 patients (74.6% EVAR). Twenty-six primary open repair centers (pORc) operated 1,068 patients (15.6% EVAR). Patients treated at pEVARc were more often referrals (28.0% vs. 5.3%; p
Notes
Comment In: Eur J Vasc Endovasc Surg. 2016 Jan;51(1):2926520179
PubMed ID
26238308 View in PubMed
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