Key result
Endovascular aneurysm repair is not inferior to open repair for short-term survival in patients with a ruptured abdominal aortic aneurysm (pooled OR for death from RCTs 0.90; 95% CI 0.65-1.24).
Why the study?
Does endovascular aneurysm repair reduce short-term mortality compared to open repair in patients with a ruptured abdominal aortic aneurysm?
Population
Patients with a ruptured abdominal aortic aneurysm from 3 RCTs, 21 observational studies, and 8…
Comparison
Endovascular aneurysm repair (EVAR) vs Open repair (OR)
Design
Meta-analysis
Follow-up
30-day or in-hospital
Authors
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Supports EVAR in suitable rAAA patients; confirms noninferior short-term survival versus open repair in RCT meta-analysis.
Meta-Analysis
Does endovascular aneurysm repair reduce short-term mortality compared to open repair in patients with a ruptured abdominal aortic aneurysm?
Odds Ratio: 0.9 (95% CI 0.65–1.24)
Endovascular aneurysm repair is not inferior to open repair for short-term survival in patients with ruptured abdominal aortic aneurysm, supporting its use in suitable patients.
Beek et al. (2014) conducted a meta-analysis in Ruptured abdominal aortic aneurysm (RAAA). Endovascular aneurysm repair (EVAR) vs. Open repair (OR) was evaluated on Short-term (combined 30-day or in-hospital) death (OR 0.90, 95% CI 0.65-1.24). Endovascular aneurysm repair is not inferior to open repair for short-term survival in patients with a ruptured abdominal aortic aneurysm (pooled OR for death from RCTs 0.90; 95% CI 0.65-1.24).