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Conference Paper: Has the introduction of endovascular treatment made elective repair of infrarenal abdominal aortic aneurysm safer?

TitleHas the introduction of endovascular treatment made elective repair of infrarenal abdominal aortic aneurysm safer?
Authors
Issue Date2005
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk
Citation
The 2005 Annual Scientific Meeting of the Association of Surgeons of Great Britain and Ireland (ASGBI), Glasgow, UK., 13-15 April 2005. In British Journal of Surgery, 2005, v. 92 n. S1, p. 9 How to Cite?
AbstractAims: Endovascular aneurysm repair (EVAR) has become an established alternative to open repair (OR). We present 556 elective patients with infrarenal abdominal aortic aneurysm, comparing OR versus EVAR. Methods: Prospective data collection from 1991 to 2004 was reviewed. Statistical analysis was performed using the SPSS data editor with χ2 tests and Mann–Whitney U-test (*P < 0·05). Results: There were 556 patients with 438 OR (386 males, 52 females) with median age 71 (IQR, 66–75·5) years and 118 EVAR (109 males, 9 females) with median age 74 (IQR, 69–79)* years. For OR, there were 322 tube grafts and 116 bifurcated grafts and for EVAR 13 and 105, respectively. Total blood loss OR median 1400 (IQR 750–2450) versus 450 (IQR, 260–800)* ml. Overall mortality was 20 (4·6%) for OR and 3 (2·5%) for EVAR*. Cardiac events occurred in 15 OR and 5 EVAR*; strokes 2 OR, 0 EVAR; pneumonia 4 OR, 1 EVAR*; acute renal failure 16 OR, 2 EVAR*; 76 OR have complications, 12 EVAR*. Some 5 OR required splenectomy, 7 had ischaemic colitis and 9 had multiorgan failure; no EVAR patients had these complications. Nineteen OR patients were returned to theatre for complications compared to two in the EVAR group*. Embolectomy was required for lower limb ischaemia in 9 OR and 2 EVAR, 4 OR had femoro-popliteal/distal grafts compared to no EVAR. Two amputations were performed in OR and one in EVAR. Conclusions: This audit shows that EVAR has lower mortality and lower complication rates compared to OR. EVAR can be achieved with good primary success, but long-term follow-up is essential to assess durability.
Persistent Identifierhttp://hdl.handle.net/10722/148733
ISSN
2015 Impact Factor: 5.596
2015 SCImago Journal Rankings: 2.966

 

DC FieldValueLanguage
dc.contributor.authorChan, YC-
dc.contributor.authorBucher, TA-
dc.contributor.authorAnjum, AI-
dc.contributor.authorWood, CL-
dc.contributor.authorTaylor, PR-
dc.date.accessioned2012-05-30T03:29:10Z-
dc.date.available2012-05-30T03:29:10Z-
dc.date.issued2005-
dc.identifier.citationThe 2005 Annual Scientific Meeting of the Association of Surgeons of Great Britain and Ireland (ASGBI), Glasgow, UK., 13-15 April 2005. In British Journal of Surgery, 2005, v. 92 n. S1, p. 9-
dc.identifier.issn0007-1323-
dc.identifier.urihttp://hdl.handle.net/10722/148733-
dc.description.abstractAims: Endovascular aneurysm repair (EVAR) has become an established alternative to open repair (OR). We present 556 elective patients with infrarenal abdominal aortic aneurysm, comparing OR versus EVAR. Methods: Prospective data collection from 1991 to 2004 was reviewed. Statistical analysis was performed using the SPSS data editor with χ2 tests and Mann–Whitney U-test (*P < 0·05). Results: There were 556 patients with 438 OR (386 males, 52 females) with median age 71 (IQR, 66–75·5) years and 118 EVAR (109 males, 9 females) with median age 74 (IQR, 69–79)* years. For OR, there were 322 tube grafts and 116 bifurcated grafts and for EVAR 13 and 105, respectively. Total blood loss OR median 1400 (IQR 750–2450) versus 450 (IQR, 260–800)* ml. Overall mortality was 20 (4·6%) for OR and 3 (2·5%) for EVAR*. Cardiac events occurred in 15 OR and 5 EVAR*; strokes 2 OR, 0 EVAR; pneumonia 4 OR, 1 EVAR*; acute renal failure 16 OR, 2 EVAR*; 76 OR have complications, 12 EVAR*. Some 5 OR required splenectomy, 7 had ischaemic colitis and 9 had multiorgan failure; no EVAR patients had these complications. Nineteen OR patients were returned to theatre for complications compared to two in the EVAR group*. Embolectomy was required for lower limb ischaemia in 9 OR and 2 EVAR, 4 OR had femoro-popliteal/distal grafts compared to no EVAR. Two amputations were performed in OR and one in EVAR. Conclusions: This audit shows that EVAR has lower mortality and lower complication rates compared to OR. EVAR can be achieved with good primary success, but long-term follow-up is essential to assess durability.-
dc.languageeng-
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk-
dc.relation.ispartofBritish Journal of Surgery-
dc.rightsBritish Journal of Surgery. Copyright © John Wiley & Sons Ltd.-
dc.titleHas the introduction of endovascular treatment made elective repair of infrarenal abdominal aortic aneurysm safer?en_US
dc.typeConference_Paperen_US
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hk-
dc.identifier.doi10.1002/bjs.5007-
dc.identifier.volume92-
dc.identifier.issueS1-
dc.identifier.spage9-
dc.identifier.epage9-
dc.publisher.placeUnited Kingdom-

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