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Article: Large infra-renal abdominal aortic aneurysms: Endovascular vs. open repair - Single centre experience

TitleLarge infra-renal abdominal aortic aneurysms: Endovascular vs. open repair - Single centre experience
Authors
Issue Date2007
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJCP
Citation
International Journal Of Clinical Practice, 2007, v. 61 n. 3, p. 373-378 How to Cite?
AbstractEndovascular aneurysm repair (EVAR) has become an established alternative to open repair (OR). We present a consecutive series of 486 elective patients with large infra-renal aortic abdominal aneurysm, comparing OR with EVAR. Prospective data collected during an 8-year period from January 1997 to October 2005 was reviewed. Statistical analysis performed using SPSS data editor with χ2 tests and Mann-Whitney U-tests. There were 486 patients with 329 OR (293 males, 36 females) with median age of 72 years with median diameter 6.3 cm and 157 EVAR (148 males, 9 females) with median age 75 years with median diameter 6.1 cm. Mortality was 13 (4%) for OR and 5 (3.2%) for EVAR (three of whom were in the UK EVAR 2 trial). Blood loss was significantly less for EVAR 500 ml vs. 1500 ml for OR. Sixty-five (19.8%) patients with OR had significantly more peri-operative complications compared with 14 (8.9%) with EVAR. The length of stay in hospital was significantly less for EVAR. This non-randomised study shows that although EVAR does not have a statistically significantly lower mortality, it does have statistically significantly lower complication rates compared with OR. EVAR can be achieved with good primary success, but long-term follow-up is essential to assess durability. © 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/147686
ISSN
2015 Impact Factor: 2.226
2015 SCImago Journal Rankings: 0.759
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, YCen_HK
dc.contributor.authorMorales, JPen_HK
dc.contributor.authorGulamhuseinwala, Nen_HK
dc.contributor.authorSabharwal, Ten_HK
dc.contributor.authorCarmichael, Men_HK
dc.contributor.authorThomas, Sen_HK
dc.contributor.authorCarrell, TWGen_HK
dc.contributor.authorReidy, JFen_HK
dc.contributor.authorTaylor, PRen_HK
dc.date.accessioned2012-05-29T06:07:57Z-
dc.date.available2012-05-29T06:07:57Z-
dc.date.issued2007en_HK
dc.identifier.citationInternational Journal Of Clinical Practice, 2007, v. 61 n. 3, p. 373-378en_HK
dc.identifier.issn1368-5031en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147686-
dc.description.abstractEndovascular aneurysm repair (EVAR) has become an established alternative to open repair (OR). We present a consecutive series of 486 elective patients with large infra-renal aortic abdominal aneurysm, comparing OR with EVAR. Prospective data collected during an 8-year period from January 1997 to October 2005 was reviewed. Statistical analysis performed using SPSS data editor with χ2 tests and Mann-Whitney U-tests. There were 486 patients with 329 OR (293 males, 36 females) with median age of 72 years with median diameter 6.3 cm and 157 EVAR (148 males, 9 females) with median age 75 years with median diameter 6.1 cm. Mortality was 13 (4%) for OR and 5 (3.2%) for EVAR (three of whom were in the UK EVAR 2 trial). Blood loss was significantly less for EVAR 500 ml vs. 1500 ml for OR. Sixty-five (19.8%) patients with OR had significantly more peri-operative complications compared with 14 (8.9%) with EVAR. The length of stay in hospital was significantly less for EVAR. This non-randomised study shows that although EVAR does not have a statistically significantly lower mortality, it does have statistically significantly lower complication rates compared with OR. EVAR can be achieved with good primary success, but long-term follow-up is essential to assess durability. © 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJCPen_HK
dc.relation.ispartofInternational Journal of Clinical Practiceen_HK
dc.subject.meshAgeden_US
dc.subject.meshAortic Aneurysm, Abdominal - Mortality - Surgeryen_US
dc.subject.meshBlood Vessel Prosthesis Implantationen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntraoperative Complications - Etiologyen_US
dc.subject.meshLength Of Stayen_US
dc.subject.meshMaleen_US
dc.subject.meshPostoperative Complications - Etiologyen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRenal Artery - Surgeryen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshVascular Surgical Procedures - Methods - Mortalityen_US
dc.titleLarge infra-renal abdominal aortic aneurysms: Endovascular vs. open repair - Single centre experienceen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hken_HK
dc.identifier.authorityChan, YC=rp00530en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1742-1241.2006.01032.xen_HK
dc.identifier.pmid17263699-
dc.identifier.scopuseid_2-s2.0-33847039584en_HK
dc.identifier.hkuros145389-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33847039584&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume61en_HK
dc.identifier.issue3en_HK
dc.identifier.spage373en_HK
dc.identifier.epage378en_HK
dc.identifier.isiWOS:000244243500009-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridChan, YC=27170769400en_HK
dc.identifier.scopusauthoridMorales, JP=8082109300en_HK
dc.identifier.scopusauthoridGulamhuseinwala, N=21739414300en_HK
dc.identifier.scopusauthoridSabharwal, T=6603720140en_HK
dc.identifier.scopusauthoridCarmichael, M=15847894100en_HK
dc.identifier.scopusauthoridThomas, S=7404655240en_HK
dc.identifier.scopusauthoridCarrell, TWG=36795384700en_HK
dc.identifier.scopusauthoridReidy, JF=7102684353en_HK
dc.identifier.scopusauthoridTaylor, PR=35103559200en_HK
dc.identifier.citeulike1119894-

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