Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm

Abdominal aortic aneurysm (AAA) is a common condition of increasing prevalence, particularly among older men. An AAA is defined as a permanent dilation of the abdominal aorta, with a diameter greater than 30 mm or a diameter greater than 50% of the aortic diameter at the level of the diaphragm. As t...

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Autores principales:	Kischkel Sabine, Bünger Carsten M.
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2020
Materias:	abdominal aortic aneurysm endovascular aortic repair open aortic repair Medicine R
Acceso en línea:	https://doaj.org/article/743a43339ded4268ae2e706f16fd6202
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spelling	oai:doaj.org-article:743a43339ded4268ae2e706f16fd62022021-12-05T14:10:43ZComparison of open versus endovascular surgical treatment of abdominal aortic aneurysm2364-550410.1515/cdbme-2020-3123https://doaj.org/article/743a43339ded4268ae2e706f16fd62022020-09-01T00:00:00Zhttps://doi.org/10.1515/cdbme-2020-3123https://doaj.org/toc/2364-5504Abdominal aortic aneurysm (AAA) is a common condition of increasing prevalence, particularly among older men. An AAA is defined as a permanent dilation of the abdominal aorta, with a diameter greater than 30 mm or a diameter greater than 50% of the aortic diameter at the level of the diaphragm. As the size of the aneurysm increases, so does the risk of rupture. Therefore, prophylactic repair with insertion of a prosthetic graft is offered. Since 1951 traditional open aneurysm repair (OAR) was reported and minimally invasive endovascular repair (EVAR) was first reported in 1986. Data from four randomized controlled trials (EVAR-1, DREAM, OVER, ACE) for abdominal aortic aneurysm, which enrolled almost 3000 patients, in a period from 1999 to 2008, were summarized. In addition, registry databases on the treatment of AAA of average 4000 patients per year, based from 2015 to 2018 of the German Institute for Vascular Medicine Healthcare Research of the German Society for Vascular Surgery and Vascular Medicine, were compared. The EVAR procedure for AAA showed a lower risk of perioperative mortality but was associated with a higher cardiovascular and aneurysm-related complication rate. In particular, patients aged 80 years or older benefited from EVAR since the 30-day mortality of patients receiving OAR was higher. In mid-term and long-term follow-up there were no differences in survival after endovascular and open aortic repair. Overall, it depends on the respective underlying disease and anatomy which of the two approaches is to be preferred. In conclusion, both treatment options can be considered as equal and can be offered to patients.Kischkel SabineBünger Carsten M.De Gruyterarticleabdominal aortic aneurysmendovascular aortic repairopen aortic repairMedicineRENCurrent Directions in Biomedical Engineering, Vol 6, Iss 3, Pp 477-480 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	abdominal aortic aneurysm endovascular aortic repair open aortic repair Medicine R
spellingShingle	abdominal aortic aneurysm endovascular aortic repair open aortic repair Medicine R Kischkel Sabine Bünger Carsten M. Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm
description	Abdominal aortic aneurysm (AAA) is a common condition of increasing prevalence, particularly among older men. An AAA is defined as a permanent dilation of the abdominal aorta, with a diameter greater than 30 mm or a diameter greater than 50% of the aortic diameter at the level of the diaphragm. As the size of the aneurysm increases, so does the risk of rupture. Therefore, prophylactic repair with insertion of a prosthetic graft is offered. Since 1951 traditional open aneurysm repair (OAR) was reported and minimally invasive endovascular repair (EVAR) was first reported in 1986. Data from four randomized controlled trials (EVAR-1, DREAM, OVER, ACE) for abdominal aortic aneurysm, which enrolled almost 3000 patients, in a period from 1999 to 2008, were summarized. In addition, registry databases on the treatment of AAA of average 4000 patients per year, based from 2015 to 2018 of the German Institute for Vascular Medicine Healthcare Research of the German Society for Vascular Surgery and Vascular Medicine, were compared. The EVAR procedure for AAA showed a lower risk of perioperative mortality but was associated with a higher cardiovascular and aneurysm-related complication rate. In particular, patients aged 80 years or older benefited from EVAR since the 30-day mortality of patients receiving OAR was higher. In mid-term and long-term follow-up there were no differences in survival after endovascular and open aortic repair. Overall, it depends on the respective underlying disease and anatomy which of the two approaches is to be preferred. In conclusion, both treatment options can be considered as equal and can be offered to patients.
format	article
author	Kischkel Sabine Bünger Carsten M.
author_facet	Kischkel Sabine Bünger Carsten M.
author_sort	Kischkel Sabine
title	Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm
title_short	Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm
title_full	Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm
title_fullStr	Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm
title_full_unstemmed	Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm
title_sort	comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm
publisher	De Gruyter
publishDate	2020
url	https://doaj.org/article/743a43339ded4268ae2e706f16fd6202
work_keys_str_mv	AT kischkelsabine comparisonofopenversusendovascularsurgicaltreatmentofabdominalaorticaneurysm AT bungercarstenm comparisonofopenversusendovascularsurgicaltreatmentofabdominalaorticaneurysm
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Comparison of open versus endovascular surgical treatment of abdominal aortic aneurysm

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