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Jornal Vascular Brasileiro

Print version ISSN 1677-5449

Abstract

SIMAO, Ana Carolina P. et al. Endovascular elective treatment of the abdominal aortic aneurysm versus conventional open repair: a comparative study. J. vasc. bras. [online]. 2009, vol.8, n.4, pp.335-342. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492009000400009.

The elective treatment of the abdominal aortic aneurysm is recommended due to the high morbidity and mortality of a possible rupture. The objective of this study was to compare the elective endovascular aneurysm repair with open repair and to analyze the in-hospital and perioperative mortality rate during 1 year related to all causes and to the aneurysm, as well as the postoperative length of hospital stay, complications, survival rates, conversion and reintervention, graft durability, cost-benefit ratio, and relation with the medical team’s experience. A review of the scientific literature about endovascular versus open repair was carried out. We found a higher rate of perioperative survival and less postoperative stress; nevertheless, the initial benefits were lost due to late complications and reinterventions. First-generation endografts overestimated the early results of mortality rates, complications, and reinterventions. Endograft durability, real advantage of survival rates, and cost-benefits are uncertain and further long-term follow-up studies are necessary.

Keywords : Endovascular treatment; abdominal aortic aneurysm; surgery; endograft.

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