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:8/16/2017)... ... August 16, 2017 , ... For the second year, ... student to educate the public on the impact of concussions. Brooke Mills, student ... National Concussion Awareness Day. , Brooke is working diligently is to raise awareness ...
(Date:8/16/2017)... , ... August 16, 2017 , ... ... partnerships through affiliations and de novo development, today announced Cumberland Skin Surgery ... Cumberland Skin Surgery and Dermatology, with offices in both Hermitage and Lebanon, Tennessee, ...
(Date:8/16/2017)... ... August 16, 2017 , ... The Southeastern Telehealth ... grant totaling $975,000, renewing its funding from the Health Resources and Services Administration ... funding marks, the fourth time the HRSA administration has renewed its financial support ...
(Date:8/16/2017)... ... August 16, 2017 , ... A global leader in the treatment of clubfoot, ... all 29 Indian states—bringing the country one step closer to eliminating clubfoot as a ... organization is on track to enroll 10,000 children in the clubfoot treatment program in ...
(Date:8/16/2017)... (PRWEB) , ... August 16, 2017 , ... Melbourne’s reign ... by the prestigious Economist Intelligence Unit’s (EIU) annual Liveability Index. , The Index surveys ... Since the index began in 2006, Melbourne has consistently come in the top three ...
Breaking Medicine News(10 mins):
(Date:8/15/2017)... Mich. , Aug. 15, 2017 Diplomat ... naloxone to Michigan residents. ... Flint retail pharmacy, G-3320 Beecher ... approved by the Food and Drug Administration, is intended ... extreme drowsiness, slowed breathing, and loss of consciousness. The ...
(Date:8/15/2017)... WILMINGTON, N.C. , Aug. 15, 2017 ... Wilmington, NC , today announced that the company ... at the University of North Carolina at Chapel Hill ... AccuKit-HIV is designed to characterize and quantify HIV reservoir ... and after pharmacological intervention. The HIV Cure Center is ...
(Date:8/14/2017)... TIKVAH, Israel , Aug. 15, 2017 ... developer of adult stem cell technologies for neurodegenerative diseases, ... 30, 2017. "We ... pivotal Phase 3 trial to investigate NurOwn ® ... Chief Executive Officer of BrainStorm. "We have agreements with ...
Breaking Medicine Technology: