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Type: Artigo
Title: Results Of Open And Endovascular Abdominal Aortic Aneurysm Repair According To The E-pass Score
Author: Menezes
Fabio Husemann; Ferrarezi
Barbara; de Souza
Moises Amancio; Cosme
Susyanne Lavor; Dal Poggetto Molinari
Giovani Jose
Abstract: Endovascular repair (EVAR) of abdominal aortic aneurysm has become the standard of care due to a lower 30-day mortality, a lower morbidity, shorter hospital stay and a quicker recovery. The role of open repair (OR) and to whom this type of operation should be offered is subject to discussion. Objective: To present a single center experience on the repair of abdominal aortic aneurysm, comparing the results of open and endovascular repairs. Methods: Retrospective cross-sectional observational study including 286 patients submitted to OR and 91 patients submitted to EVAR. The mean follow-up for the OR group was 66 months and for the EVAR group was 39 months. Results: The overall mortality was 11.89% for OR and 7.69% for EVAR (P=0.263), EVAR presented a death relative risk of 0.647. It was also found a lower intraoperative bleeding for EVAR (OR=1417.48 +/- 1180.42 mL versus EVAR=597.80 +/- 488.81 mL, P<0.0002) and a shorter operative time for endovascular repair (OR=4.40 +/- 1.08 hours versus EVAR=3.58 +/- 1.26 hours, P<0.003). The postoperative complications presented no statistical difference between groups (OR=29.03% versus EVAR=25.27%, P=0.35). Conclusion: EVAR presents a better short term outcome than OR in all classes of physiologic risk. In order to train future vascular surgeons on OR, only young and healthy patients, who carry a very low risk of adverse events, should be selected, aiming at the long term durability of the procedure.
Subject: Postoperative Complications
Surgical Procedures, Operative
Aortic Aneurysm, Abdominal
Endovascular Procedures
Editor: Soc Brasil Cirurgia Cardiovasc
São Paulo
Citation: Revista Brasileira De Cirurgia Cardiovascular. Soc Brasil Cirurgia Cardiovasc, v. 31, p. 22 - 30, 2016.
Rights: aberto
Identifier DOI: 10.5935/1678-9741.20160006
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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