scholarly journals OPEN VERSUS ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC ANEURYSM IN THE ELECTIVE AND EMERGENT SETTING IN A POOLED POPULATION OF 37,781 PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

2014 ◽  
Vol 63 (12) ◽  
pp. A2143
Author(s):  
Dustin Thomas ◽  
Edward Hulten ◽  
Shane Ellis ◽  
David M. Anderson ◽  
Nathan Anderson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Meta Analysis ◽  
Abdominal Aortic ◽  
Open Versus

Systematic review and meta-analysis of the early and late outcomes of open and endovascular repair of abdominal aortic aneurysm

2013 ◽  
Vol 100 (7) ◽  
pp. 863-872 ◽  
Author(s):  
P. W. Stather ◽  
D. Sidloff ◽  
N. Dattani ◽  
E. Choke ◽  
M. J. Bown ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Meta Analysis ◽  
Abdominal Aortic

scholarly journals Open versus Endovascular Repair of Abdominal Aortic Aneurysm in the Elective and Emergent Setting in a Pooled Population of 37,781 Patients: A Systematic Review and Meta-Analysis

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Dustin M. Thomas ◽  
Edward A. Hulten ◽  
Shane T. Ellis ◽  
David M. F. Anderson ◽  
Nathan Anderson ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Abdominal Aortic ◽  
Open Versus ◽  
Aneurysm Repair

Background. We evaluated the incidence of mortality and myocardial infarction (MI) in endovascular repair (EVAR) as compared to open aneurysm repair (OAR) in both elective and ruptured abdominal aortic aneurysm (AAA ) setting. Methods. We analyzed the rates of 30-day mortality, 30-day MI, and hospital length of stay (LOS) based on comparative observation and randomized control trials involving EVAR and OAR. Results. 41 trials compared EVAR to OAR with a total pooled population of 37,781 patients. Analysis of elective and ruptured AAA repair favored EVAR with respect to 30-day mortality with a pooled odds ratio of 0.19 (95% CI 0.17–0.20; I2=88.9%; P<0.001). There were a total of 1,835 30-day MI events reported in the EVAR group as compared to 2,483 events in the OAR group. The pooled odds ratio for elective AAA was 0.74 (95% CI 0.58–0.96; P=0.02) in favor of EVAR. The average LOS was reduced by 296.75 hrs (95% CI 156.68–436.82 hrs; P<0.001) in the EVAR population. Conclusions. EVAR has lower rates of 30-day mortality, 30-day MI, and LOS in both elective and ruptured AAA repair.

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