Long-term survival after endovascular and open repair of unruptured abdominal aortic aneurysm
British Journal of Surgery Dec 04, 2019
Johal AS, et al. - From Hospital Episode Statistics data, patients having open repair or endovascular aneurysm repair (EVAR) in the English National Health Service between January 2006 and December 2015 have been identified to analyze patterns of 10-year survival after elective repair of unruptured abdominal aortic aneurysms (AAAs) in different patient groups. In addition, the researchers explored the link between patient characteristics and risk of rupture after repair. Approximately 37,138 patients had elective AAA repair, 15,523 of which were open and 21,615 were endovascular. Findings revealed that the risk of rupture over 9 years was 3·4% for EVAR and 0·9% for open repair and was weakly linked to patient factors. Long-term patterns of survival in patients with different age and co-morbidity profiles after elective open repair and EVAR for unruptured AAA vary markedly.
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