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Denying May Yet Make Sense—Reply
Carlos H. Timaran, MD
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In reply
We appreciate Dr Buskens' discerning comments and questions. Although our study was indeed an observational registry-based study, it is likely the largest cohort of its kind and represents the early outcomes of the vast majority of EVARs performed in the United States over the last 5 years.1 Most other studies compare smaller populations, are restricted to major academic centers, and have highly selected patients and operators.2-5 Our findings, however, confirm those of other large observational studies, which have clearly established that the high 30-day and in-hospital mortality reported in the EVAR trial 2 is not seen in the United States, even in the highest-risk patients or those unfit for open repair.2-3 Although no randomized trial, except for EVAR 2, has assessed the perioperative outcomes of EVAR among the highest-risk patients, the immediate need of data that could justify its use warranted additional investigation in . . . [Full Text of this Article] AUTHOR INFORMATION
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ABSTRACT
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RELATED LETTER
Denying May Yet Make Sense
Erik Buskens
Arch Surg. 2008;143(2):209.
EXTRACT
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