A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms.
@article{Prinssen2004ART, title={A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms.}, author={Monique Prinssen and Eric L.G. Verhoeven and J. Buth and Philippe W. M. Cuypers and Marc R.H.M. van Sambeek and Ron Balm and Erik Buskens and Diederick E. Grobbee and Jan D. Blankensteijn}, journal={The New England journal of medicine}, year={2004}, volume={351 16}, pages={ 1607-18 } }
BACKGROUND
Although the initial results of endovascular repair of abdominal aortic aneurysms were promising, current evidence from controlled studies does not convincingly show a reduction in 30-day mortality relative to that achieved with open repair.
METHODS
We conducted a multicenter, randomized trial comparing open repair with endovascular repair in 345 patients who had received a diagnosis of abdominal aortic aneurysm of at least 5 cm in diameter and who were considered suitable…
1,892 Citations
Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms.
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Endovascular repair was associated with increased rates of graft-related complications and reinterventions and was more costly than open surgical repair, but no differences were seen in total mortality or aneurysm-related mortality in the long term.
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Endovascular and open repair of abdominal aortic aneurysm resulted in similar rates of survival six years after randomization, and the rate of secondary interventions was significantly higher for endovascular repair.
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The 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, and the number of patients who underwent secondary therapeutic procedures was noted.
Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial.
- MedicineJAMA
- 2009
Perioperative mortality was low for both procedures and lower for endovascular than open repair in this report of short-term outcomes after elective AAA repair, and the early advantage of endov vascular repair was not offset by increased morbidity or mortality in the first 2 years after repair.
Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population.
- MedicineThe New England journal of medicine
- 2008
Endovascular repair of abdominal aortic aneurysm is associated with lower short-term rates of death and complications and the survival advantage is more durable among older patients.
Endovascular Repair Versus Open Repair of Ruptured Abdominal Aortic Aneurysms: A Multicenter Randomized Controlled Trial
- MedicineAnnals of surgery
- 2013
This trial did not show a significant difference in combined death and severe complications between EVAR and OR, which may be explained by optimization of logistics, preoperative CT imaging, and centralization of care in centers of expertise.
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- 2011
Randomised controlled trials, although difficult to perform in an acute severe condition like ruptured AAA, are needed to identify possible benefits of EVAR over open surgery in patients with a rupturedAAA.
Elective treatment of abdominal aortic aneurysm with endovascular or open repair: the first decade.
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- 2007
The ACE trial: a randomized comparison of open versus endovascular repair in good risk patients with abdominal aortic aneurysm.
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