Outcomes of abdominal aortic aneurysm repairs: Endovascular vs open surgical repairs

• DOI: 10.1016/j.asjsur.2021.06.015
• Publication Date: 2021-06-27T20:13:51Z
• Authors: Boonying Siribumr...; Jiro Kurita; Tatsuo Ueda; Daisuke Yasui; Ken-ichiro Takahashi; Takashi Sasaki; Yasuo Miyagi; Shun-ichiro Sakamoto; Yosuke Ishii; Tetsuro Morota; Takashi Nitta
• Keywords: Endovascular aneurysm repair

Operative mortality after endovascular aneurysm repair (EVAR) has been reported as lower than open surgical (OSR) for abdominal aortic (AAA) in randomized controlled trials. However, many cohort studies have demonstrated similar rates both procedures. We compared operative between EVAR and OSR, at our institution.All AAA operations from 2012 to 2017 were reviewed, baseline characteristics collected. Outcomes included 30-day mortality, data, complications, length of hospital stay (LOS), costs, re-intervention, survival compared. A multivariable analysis with unbalanced was performed.We had a total 162 patients, 100 having OSR 62 EVAR. The group older, higher ASA classification. Thirty-day rate did not significantly differ (0/100 2/62 (3%) EVAR; p = 0.145), while the less blood loss, shorter times, LOS, but re-intervention (adjusted hazard ratio 6.4 (95%CI: 1.4, 26.8)). Survival groups. cost approximately 1-million yen more.OSR low selected low-risk patients whereas LOS could be done high-risk rate.