Why the study?
Does endovascular aortic aneurysm repair reduce perioperative complications and death compared to open surgical repair in patients with abdominal aortic aneurysms?
Does endovascular aortic aneurysm repair reduce perioperative complications and death compared to open surgical repair in patients with abdominal aortic aneurysms?
Endovascular repair of abdominal aortic aneurysms offers early perioperative safety and survival benefits over open repair, though long-term mortality is similar.
Endovascular repair may reduce early risks in abdominal aortic aneurysm; leaves open long-term strategy and patient selection pending higher-level trials.
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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Schanzer et al. (2021) studied this question.
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