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… Expand
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The perioperative survival advantage with endovascular repair as compared with open repair is not sustained after the first postoperative year, with no significant difference in subsequent aneurysm-related mortality. Expand
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Endovascular repair results in less blood loss, shorter intensive care unit and hospital stays, lower 30-day mortality, and lower systemic and/or remote complication rates than those of open surgical repair. Expand
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Among patients with a small abdominal aortic aneurysm, the United Kingdom Small Aneurysm Trial found no long-term difference in mean survival between the early-surgery and surveillance groups, although after eight years, total mortality was lower in theEarly-sur surgery group. Expand
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