Does endovascular aortic aneurysm repair reduce perioperative complications and death compared to open surgical repair in patients with abdominal aortic aneurysms?
Men with an abdominal aortic aneurysm of 5.5 cm or more and women with an aneurysm of 5.0 cm or more
Endovascular aortic aneurysm repair
Open surgical repair
Perioperative complications and deathhard clinical
Endovascular repair of abdominal aortic aneurysms offers early perioperative safety and survival benefits over open repair, though long-term mortality is similar.
Repair of abdominal aortic aneurysm is recommended in men with an aneurysm of 5.5 cm or more and in women with an aneurysm of 5.0 cm or more. In randomized trials, endovascular aortic aneurysm repair was associated with a lower risk of perioperative complications and death than open surgical repair, but mortality was similar after approximately 2 years. After endovascular repair, long-term imaging surveillance is recommended.
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Andres Schanzer
Vascular / Pulmonary Vascular
Gustavo S. Oderich
Michael E. DeBakey VA Medical Center
New England Journal of Medicine
University of Massachusetts Chan Medical School
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Schanzer et al. (Wed,) studied this question.
synapsesocial.com/papers/69da298dba6014a02e8366ae — DOI: https://doi.org/10.1056/nejmcp2108504
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