Mid-term results of endovascular versus open repair for abdominal aortic aneurysm in patients anatomically suitable for endovascular repair.

作者: J.-P. Becquemin , A. Bourriez , A. D»Audiffret , T. Zubilewicz , H. Kobeiter

DOI: 10.1053/EJVS.2000.1116

关键词:

摘要: Objectives to prospectively evaluate the mid-term results of endovascular and open repair in patients with abdominal aortic aneurysm (AAA) anatomically suitable for repair. Material methods between January 1995 March 1999, among 438 treated AAA, 180 (41%) were as assessed by computed tomography (CT) scan angiogram. Seventy-three various commercially available grafts (EV) 107 (OR). Postoperatively, followed every 6 months clinical examination, duplex EV group, CT scans. Patients» demographic data, intra- postoperative events recorded a computerised database compared each group. Results median age, sex ratio, preoperative risk factors diameters not statistically different two groups. Respectively OR, average duration operation was 149±73 mn, 133±44 mn (NS), blood loss 96 ml±28 985 ml±113 (p<0.01), hospitalisation 7 days±2 13 days±7 (p<0.01). The one-month mortality 2.7% (n=2) 2.8% (n=3) OR. rate cardiac pulmonary complications significantly higher OR group (6.9% versus 19.6%, p=0.017). At mean follow-up 1 year, cumulative survival 82.2%±7.5 96%±2.12 (log-rank testp =0.043). No died rupture, but three had be converted surgery. Twenty-two percent (n=16) 7.5% (n=8) submitted subsequent minor or major reintervention (p=0.007). rates free any respectively 78.8%±6.7% 92.9%±2.7% (p=0.001). In there 17 early endoleaks (23.3%). end patient's seven (9.6%) persisted. primary success defined absence endoleak 54 (74%) 101 (94%) Conclusion is promising technique. However, current devices indications immediate benefits, mainly less loss, fewer complications, shorter time, are outweighed reinterventions treat endoleak, maintain patency graft.

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