Navigation Links
Study Compares Abdominal Aortic Aneurysm Repair Methods
Date:10/13/2009

Ongoing research finds better short-term results for endovascular repair than for open surgery

TUESDAY, Oct. 13 (HealthDay News) -- A less-invasive method of abdominal aortic aneurysm (AAA) repair reduces the short-term risk of death, according to a new U.S. study.

The interim findings are from a nine-year multicenter trial comparing patient outcomes after endovascular and open surgical repair of AAA. The report included postoperative outcomes of up to two years (average 1.8 years of follow-up) for 881 patients, aged 49 or older, who had endovascular repair (444) or open repair (437).

Endovascular repair is performed through a catheter inserted into an artery. Open repair involves an abdominal incision. Of the 45,000 patients in the United States who undergo elective repair of an unruptured AAA each year, more than 1,400 die in the perioperative period -- the first 30 days after surgery or inpatient status. There's limited data available about whether short-term survival is better after endovascular repair compared to open repair.

The interim study found that the rate of death after surgery was lower for the endovascular group than for the open surgery group at 30 days (0.2 percent versus 2.3 percent) and at 30 days or during hospitalization (0.5 percent versus 3 percent). There was no significant difference in all-cause death at two years (7 percent versus 9.8 percent) or in death after the perioperative period (6.1 percent versus 6.6 percent).

The researchers also found that patients in the endovascular repair group spent less time in surgery, lost less blood, and spent less time on mechanical ventilation.

"Hospital and ICU stays were shorter with endovascular repair and need for transfusion was decreased. No significant differences were observed in major morbidities, secondary procedures, or aneurysm-related hospitalizations," wrote Dr. Frank A. Lederle, of the Veterans Affairs Medical Center, Minneapolis, and colleagues. "Longer-term data are needed to fully assess the relative merits of the two procedures."

The study appears in the Oct. 14 issue of the Journal of the American Medical Association, a theme issue on surgical repair.

More information

The Society for Vascular Surgery has more about abdominal aortic aneurysm.



-- Robert Preidt



SOURCE: Journal of the American Medical Association, news release, Oct. 13, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. United Way Homeless Study Exposes Cost of Living on Streets in Los Angeles
2. Canadian blood supply future uncertain as population ages: Study
3. Independent Study: OxiTitan VLR Antimicrobial Coating Kills Virus on Surfaces
4. Studying cancer in pet dogs to find new treatments for human patients
5. Lab Study Makes Strides in Mending Hearts
6. Study of DuraPrep versus chlorhexidine
7. Researchers report benefits of new standard treatment study for rare pediatric brain cancer
8. Feinstein Investigators Receive Federal GO Grant to Study the Genetics of Schizophrenia
9. Miscarriage Treatment Wont Harm Future Fertility: Study
10. Shingles Raises Stroke Risk: Study
11. Major health care challenges persist for D.C. children despite high rates of health insurance coverage, RAND study finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... As health ... medicine known as “patient engagement.” The patient is doing more than filling out a ... , “There is an increasing emphasis in health care and research on the ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... PurhealthRX ... CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil will ... and providing a CBD form that can be easily incorporated into liquid products, while ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Many families ... However, many long-term care insurance companies have a waiver for care if the client ... elimination period, when the family pays for care, is often waived, so the benefits ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and ... explains one of the most popular and least understood books in the Holy Scriptures, ... puzzling descriptions that have baffled scholars for centuries. Many have tossed it off as ...
(Date:10/13/2017)... ... , ... “America On The Brink”: the Christian history of the United States ... creation of published author, William Nowers. Captain Nowers and his wife, Millie, have ... thirty years in the Navy. Following his career as a naval aviator and ...
Breaking Medicine News(10 mins):
(Date:9/19/2017)... HistoSonics, Inc., a venture-backed medical device company developing a non-invasive, robotically assisted, platform ... leadership team developments today:   ... ... Tom Tefft ... Veteran medical device executive Josh Stopek , PhD, who has led ...
(Date:9/18/2017)... KALAMAZOO, Mich. , Sept. 18, 2017 ... , and OptiMed Specialty Pharmacy of Kalamazoo, ... offer a strategic hub service that expedites and streamlines ... personal spirometer, Spiro PD 2.0, and wellness management services.  ... is a medical device used to measure lung function ...
(Date:9/13/2017)... --  OrthoAtlanta has been named the official orthopedic and ... for the 2018 College Football Playoff (CFP) National Championship to ... in Atlanta, Georgia . OrthoAtlanta is proud ... participating in many activities leading up to, and including the ... ...
Breaking Medicine Technology: