Key result
Endovascular aortic aneurysm repair for infrarenal abdominal aortic aneurysms is associated with a perioperative mortality of less than 1% compared with 5% for open repair.
Why the study?
To review the indications, selection criteria, procedural steps, and common complications associated with EVAR and advanced EVAR techniques.
Does endovascular aortic aneurysm repair (EVAR) improve perioperative mortality compared to open repair in patients with abdominal aortic aneurysms?
Does endovascular aortic aneurysm repair (EVAR) improve perioperative mortality compared to open repair in patients with abdominal aortic aneurysms?
Absolute Event Rate: 1% vs 5%
EVAR is a minimally invasive alternative to open AAA repair with significantly lower perioperative mortality, though it requires surveillance for endoleaks.
EVAR offers lower perioperative mortality than open repair for suitable infrarenal AAA; narrative review leaves open standardization of advanced techniques.
Endovascular aortic aneurysm repair (EVAR) has evolved as minimally invasive method of treating infrarenal abdominal aortic aneurysms (AAA) with perioperatively mortality of less than 1% compared with 5% with open AAA repair as suggested by many randomized control trials. Computed tomography angiography is the imaging of choice for appropriate selection of a patient with EVAR. For patients with unsuitable anatomy, advanced EVARs techniques, such as fenestrated, branch, and chimney EVARs, are also increasingly being offered to patients with equal success. Patients with ruptured AAA are treated with this minimally invasive procedure. Percutaneous EVAR emerged with less of wound-related complications. Endoleaks are the most common complications peculiar to this procedure, and most are preventable by preoperative planning. They are detected on completion angiogram or on the surveillance imaging. This review discusses indications of EVAR, its selection criteria, procedural steps, and common complications associated with this procedure and advanced EVARs.
No takes yet. Share an insight, caveat, or question.
Zia Ur Rehman (2022) conducted a review in infrarenal abdominal aortic aneurysms (AAA). Endovascular aortic aneurysm repair (EVAR) vs. open AAA repair was evaluated on perioperative mortality. Endovascular aortic aneurysm repair for infrarenal abdominal aortic aneurysms is associated with a perioperative mortality of less than 1% compared with 5% for open repair.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: