Does endovascular repair improve long-term overall survival compared to open repair in patients with abdominal aortic aneurysm?
Patients with abdominal aortic aneurysm
Endovascular repair
Open repair
Long-term overall survivalhard clinical
Long-term overall survival is similar between endovascular and open repair for abdominal aortic aneurysms, contrasting with previous European trials.
Long-term overall survival was similar among patients who underwent endovascular repair and those who underwent open repair. A difference between groups was noted in the number of patients who underwent secondary therapeutic procedures. Our results were not consistent with the findings of worse performance of endovascular repair with respect to long-term survival that was seen in the two European trials. (Funded by the Department of Veteran Affairs Office of Research and Development; OVER ClinicalTrials.gov number, NCT00094575.).
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Frank A. Lederle
Tassos C. Kyriakides
Kevin T. Stroupe
New England Journal of Medicine
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Atrium Health Wake Forest Baptist
VA Connecticut Healthcare System
Edward Hines, Jr. VA Hospital
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Lederle et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69e27572255fe7814cb736a2 — DOI: https://doi.org/10.1056/nejmoa1715955