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Improved Survival After Abdominal Aortic Aneurysm Rupture by Offering Both Open and Endovascular Repair—Invited Critique
William C. Pevec, MD
Arch Surg. 2008;143(6):550.
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Dr Wibmer and colleagues present a well-written review of the outcomes of treatment of patients with rAAA. They compare a recent 41-month experience in which stable, older patients with rAAA were preferentially treated with endovascular repair and younger, unstable patients were treated with open repair, with historical controls all treated with open repair.
The authors found that stable patients with rAAA who underwent endovascular repair had a mortality rate of 11%. However, 38% (6 of 16) needed additional operations for abdominal compartment syndrome (n = 3) or revision of the endograft (n = 3). Endovascular repair was not associated with a shorter length of stay.
In the more recent experience, the mortality rate of open repair of rAAA improved from 55% to 29%. By shifting the older patients preferentially to endovascular repair, the open group in the more recent experience was younger. The apparent decrease in mortality may be due . . . [Full Text of this Article]
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Improved Survival After Abdominal Aortic Aneurysm Rupture by Offering Both Open and Endovascular Repair
Andreas Wibmer, Maria Schoder, Klaus S. Wolff, Alexander M. Prusa, Maryana Sahal, Johannes Lammer, Ihor Huk, Peter Polterauer, Georg Kretschmer, and Harald Teufelsbauer
Arch Surg. 2008;143(6):544-549.
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