Endovascular repair of ruptured abdominal aortic aneurysms does not reduce later mortality compared with open repair  William P. Robinson, MD, Andres.

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In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity.
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Presentation transcript:

Endovascular repair of ruptured abdominal aortic aneurysms does not reduce later mortality compared with open repair  William P. Robinson, MD, Andres Schanzer, MD, Francesco A. Aiello, MD, Julie Flahive, MS, Jessica P. Simons, MD, Danielle R. Doucet, MD, Elias Arous, MD, Louis M. Messina, MD  Journal of Vascular Surgery  Volume 63, Issue 3, Pages 617-624 (March 2016) DOI: 10.1016/j.jvs.2015.09.057 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Number of open repairs (ORs) and endovascular aneurysm repairs (EVARs) performed for ruptured abdominal aortic aneurysm (RAAA) in the Vascular Quality Initiative (VQI) from 2003 to 2013. Journal of Vascular Surgery 2016 63, 617-624DOI: (10.1016/j.jvs.2015.09.057) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 In-hospital survival after repair of ruptured abdominal aortic aneurysm (RAAA) for all patients, for patients undergoing open repair (OR), and for patients undergoing endovascular aneurysm repair (EVAR) in the Vascular Quality Initiative (VQI) from 2003 to 2013. Journal of Vascular Surgery 2016 63, 617-624DOI: (10.1016/j.jvs.2015.09.057) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Long-term mortality after open repair (OR) and endovascular aneurysm repair (EVAR) in the entire Vascular Quality Initiative (VQI) cohort (A), in low-risk patients (Vascular Study Group of New England [VSGNE] ruptured abdominal aortic aneurysm [RAAA] risk score 0-1; B), in moderate-risk patients (VSGNE RAAA risk score 2-3; C), and in high-risk patients (VSGNE RAAA risk score 4-6; D). Journal of Vascular Surgery 2016 63, 617-624DOI: (10.1016/j.jvs.2015.09.057) Copyright © 2016 Society for Vascular Surgery Terms and Conditions