TITLE

Endovascular and open repair did not differ for mortality rates at 2 years in abdominal aortic aneurysm: COMMENTARY

AUTHOR(S)
Cinà, Claudio S.; Devereaux, P.J.
PUB. DATE
November 2005
SOURCE
ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p64
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article comments on a clinical study according to which endovascular and open repair did not differ for mortality rates at 2 years in abdominal aortic aneurysm. Current randomized trials of endovascular aneurysm repair (EVAR) have left many questions unanswered because of sample size, selection of surgeons, appropriateness of outcomes, and analysis. The DREAM trial had a sample size of 351 patients and only 45% power to detect a patient-important absolute risk difference of 3% in perioperative mortality. Although initial trials seemed encouraging for EVAR, all of them, including this one, have substantial design and sample size limitations.
ACCESSION #
18925736

 

Related Articles

  • Endovascular and open repair did not differ for mortality rates at 2 years in abdominal aortic aneurysm.  // ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p64 

    This article presents information on a clinical study according to which endovascular and open repair did not differ for mortality rates at 2 years in abdominal aortic aneurysm. The study explored that in patients with abdominal aortic aneurysm, how does elective endovascular repair compare with...

  • Open versus endovascular repair of abdominal aortic aneurysm: a survey of Canadian vascular surgeons. Mastracci, Tara M.; Clase, Catherine M.; Devereaux, Philip J.; Cinà, Claudio S. // Canadian Journal of Surgery;Apr2008, Vol. 51 Issue 2, p142 

    Objective: The aim of this survey was to determine Canadian vascular surgeons' experience with elective endovascular aortic repair (EVAR) and traditional open repair and their interest in participating in an expertise-based randomized controlled trial (RCT) as opposed to a conventional RCT...

  • Endovascular Aneurysm Repair Versus Open Repair in Patients With Abdominal Aortic Aneurysm (EVAR Trial 1): Randomized Controlled Trial. Rutherford, Robert B. // Perspectives in Vascular Surgery & Endovascular Therapy;Mar2006, Vol. 18 Issue 1, p74 

    The authors report the results of a trial randomized controlled trial of 1082 patients aged 60 years or older with large abdominal aortic aneurysms (5.5 cm or larger in diameter) in which endovascular aneurysm repair (EVAR) was compared with open repair. The variables compared were cost,...

  • Pharmacotherapy of Abdominal Aortic Aneurysms. Dawson, Joe; Choke, Edward; Sayed, Saiqa; Cockerill, Gillian; Loftus, Ian; Thompson, Matt M. // Current Vascular Pharmacology;Apr2006, Vol. 4 Issue 2, p129 

    Aortic aneurysms account for 10,000 deaths annually in the UK, due to rupture. At present the only effective therapeutic strategy to treat abdominal aortic aneurysms is to surgically repair them; this carries an elective mortality of up to 10%. Recent advances in vascular biology have led to a...

  • The Viborg vascular (VIVA) screening trial of 65-74 year old men in the central region of Denmark: study protocol. Grøndal, Nikolaj; Søgaard, Rikke; Henneberg, Eskild W.; Lindholt, Jes S. // Trials;2010, Vol. 11, p67 

    Background: Screening for abdominal aortic aneurysm (AAA) of men aged 65-74 years reduces the AAA-related mortality and is generally considered cost effective. Despite of this only a few national health care services have implemented permanent programs. Around 10% of men in this group have...

  • Aortic valve reimplantation for aortic root aneurysms: trainer and trainee differences on long-term results. Monsefi, Nadejda; Primbs, Patrick; Miskovic, Aleksandra; Folkmann, Sandra; Moritz, Anton // Langenbeck's Archives of Surgery;Feb2015, Vol. 400 Issue 2, p259 

    Purpose: The advantages of aortic valve-preserving surgery are still hampered by a higher rate of reoperations compared to root replacement with valved conduits. This study evaluates whether valve deterioration rate is related to the method or depends on stringent adherence to technical...

  • Results of consecutive training procedures in pediatric cardiac surgery. Stoica, Serban C.; Campbell, David N. // Journal of Cardiothoracic Surgery;2010, Vol. 5, p105 

    This report from a single institution describes the results of consecutive pediatric heart operations done by trainees under the supervision of a senior surgeon. The 3.1% mortality seen in 1067 index operations is comparable across procedures and risk bands to risk-stratified results reported by...

  • PII: S1443-9506(15)00889-6.  // Heart, Lung & Circulation;2015 Supplement 3, Vol. 24, pS310 

    No abstract available.

  • Early management of ruptured abdominal aortic aneurysm: a practical guide. Assar, Ahmed N. // British Journal of Hospital Medicine (17508460);Jun2009, Vol. 70 Issue 6, pM88 

    The article provides information on how to manage ruptured abdominal aortic aneurysm. The author emphasizes the importance of early diagnosis using computed tomography and other endovascular techniques to minimize morbidity and mortality rates. Based on several clinical examinations, early...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics