Endovascular procedures versus Open Repair in the management of Abdominal Aortic Aneurysm
Keywords:
EVAR, Open repair, Abdominal aortic aneurysm;End leakAbstract
Background: Endovascular repair or open surgery are two options for treating abdominal aortic aneurysm. To avoid potentially fatal aortic ruptures, prosthesis is inserted in both instances. different research arrived at different findings when trying to determine the best course of treatment.
Aim and objectives: Examining the anesthesia, operating time, hospital stay, main patency, and complications of Endo Vascular Aortic Repair (EVAR) vs. open surgical repair (OSR) for infra renal abdominal aortic aneurysms (AAA).
Patients and methods: From July 2021 to October 2023, fifty patients at Beni-Sueif University hospital and Military hospitals in Cairo were randomly assigned to either endovascular or open repair of big abdominal aortic aneurysms (≥5.5cm in diameter) in a retrospective observational comparative analysis. Each group consisted of twenty-five patients.
Results: The result of study comparing EVAR to open repair is EVAR less in duration of procedure 130-minutes versus 190-minutes for open, less in intraoperative complication 28%for EVAR 52% for open, less in ICU stay 1-day for EVAR versus 3-days for open, less in hospital stay 2-days for EVAR versus 4-days for open. One-week post-operative complications 8% for EVAR 36% for open one-month complications 6% for EVAR 12% for open.one year complications 16% for EVAR and 8% for open.
Conclusion: There are a number of advantages to EVAR over traditional surgery, including shorter hospital stays, less blood loss, fewer rates of complications, and rates of inpatient mortality.
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Kuivaniemi H, Ryer EJ, Elmore JR, et al. Understanding the pathogenesis of abdominal aortic aneurysms. Expert Rev Cardiovasc Ther.2015;13(9):975-987.
Buck DB, van Herwaarden JA, Schermerhorn ML, et al. Endovascular treatment of abdominal aortic aneurysms [published correction appears in Nat Rev Cardiol.2014 Feb;11(2): i]. Nat Rev Cardiol.2014;11(2):112-123.
Brown LC, Powell JT, Thompson SG, et al. The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy. Health Technol Assess.2012;16(9):1-218.
Mehta M, Paty PS, Byrne WJ, et al. Nanotechnology Applications in Vascular Medicine and Surgery. The Clinical Nanomedicine Handbook,2018;249.
Reise JA, Sheldon H, Earnshaw J, et al. Patient preference for surgical method of abdominal aortic aneurysm repair:postal survey. Eur J Vasc Endovasc Surg.2010;39(1):55-61.
Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg.2018;67(1):2-77. e2.
Rutherford RB. Rutherford's vascular surgery.2010;(Vol. 2). Saunders/Elsevier.
van Marrewijk CJ, Fransen G, Laheij RJ, et al. Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. Eur J Vasc Endovasc Surg.2004;27(2):128-137.
Buth J, Harris P. Endovascular treatment of aortic aneurysm, Rutherford vascular surgery, Elsevier Saunders.2018;101:1454-1462.
Verzini F, Cao P, De Rango P, et al. Conversion to open repair after endografting for abdominal aortic aneurysm:causes, incidence and results. Eur J Vasc Endovasc Surg.2006;31(2):136-142.
Jhaveri KD, Saratzis AN, Wanchoo R, et al. Endovascular aneurysm repair (EVAR)- and transcatheter aortic valve replacement (TAVR)-associated acute kidney injury. Kidney Int.2017;91(6):1312-1323.
Drury D, Michaels JA, Jones L, et al. Systematic review of recent evidence for the safety and efficacy of elective endovascular repair in the management of infrarenal abdominal aortic aneurysm. Br J Surg.2005;92(8):937-946.
Grootenboer N, Hunink MG, Hendriks JM, et al. Sex differences in 30-day and 5-year outcomes after endovascular repair of abdominal aortic aneurysms in the EUROSTAR study. J Vasc Surg.2013;58(1):42-9. e1.
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