Key result
Open surgical repair (OSR) demonstrated statistically significantly lower re-intervention rates than endovascular abdominal aortic repair (EVAR) for infrarenal abdominal aortic aneurysms.
Why the study?
It was unclear whether endovascular abdominal aortic repair leads to lower re-intervention rates compared with open surgical repair in patients with infrarenal abdominal aortic aneurysm.
Does endovascular abdominal aortic repair (EVAR) reduce re-intervention rates compared to open surgical repair (OSR) in patients with infrarenal abdominal aortic aneurysm (AAA)?
Does endovascular abdominal aortic repair (EVAR) reduce re-intervention rates compared to open surgical repair (OSR) in patients with infrarenal abdominal aortic aneurysm (AAA)?
Open surgical repair is associated with lower re-intervention rates compared to endovascular repair for infrarenal abdominal aortic aneurysms.
Answers are grounded in this paper and cite their sources.
OSR associated with lower re-intervention rates in infrarenal AAA; leaves open optimal strategy pending RCTs balancing durability and mortality.
A best evidence topic has been constructed using a described protocol. The three-part question addressed was: In patients with Infrarenal abdominal aortic aneurysm (AAA), Does endovascular abdominal aortic repair (EVAR), AS compared to open surgical repair (OSR), has lower re-intervention rates? The outcomes assessed were the re-interventional rates in both techniques. The best evidence showed that the OSR has lower statistically significant difference rates in re-intervention rates than the EVAR.
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Rahim et al. (2021) conducted a review in Infrarenal abdominal aortic aneurysm (AAA). Endovascular abdominal aortic repair (EVAR) vs. Open surgical repair (OSR) was evaluated on Re-intervention rates. Open surgical repair (OSR) demonstrated statistically significantly lower re-intervention rates than endovascular abdominal aortic repair (EVAR) for infrarenal abdominal aortic aneurysms.
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