Does endovascular abdominal aortic aneurysm repair reduce overall mortality compared to open repair in patients undergoing elective repair?
While endovascular AAA repair has lower 30-day mortality and perioperative morbidity, it is associated with higher long-term mortality, rupture, and reintervention compared to open repair.
These findings suggest that overall mortality after elective abdominal aortic aneurysm repair was higher with endovascular repair than open repair despite reduced 30-day mortality and perioperative morbidity after endovascular repair. Endovascular repair additionally was associated with significantly higher rates of long-term rupture and reintervention. These findings emphasize the importance of careful patient selection and long-term follow-up surveillance for patients who undergo endovascular repair.
Yei et al. (Fri,) studied this question.
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