Validation of patient selection for endovascular aneurysm repair or open repair of abdominal aortic aneurysm

• Yamamoto Kiyohito

  Department of Surgery, Division of Vascular Surgery, Nagoya University Graduate School of Medicine

• Komori Kimihiro

  Department of Surgery, Division of Vascular Surgery, Nagoya University Graduate School of Medicine

• Banno Hiroshi

  Department of Surgery, Division of Vascular Surgery, Nagoya University Graduate School of Medicine

• Narita Hiroshi

  Department of Surgery, Division of Vascular Surgery, Nagoya University Graduate School of Medicine

• Kodama Akio

  Department of Surgery, Division of Vascular Surgery, Nagoya University Graduate School of Medicine

• Sugimoto Masayuki

  Department of Surgery, Division of Vascular Surgery, Nagoya University Graduate School of Medicine

書誌事項

タイトル別名

• Validation of Patient Selection for Endovascular Aneurysm Repair or Open Repair of Abdominal Aortic Aneurysm　– Single-Center Study –
• Validation of patient selection for endovascular aneurysm repair of open repair of abdominal aortic aneurysm
• Validation of patient selection for endovascular aneurysm repair or open repair of abdominal aortic aneurysm—single-center study

抄録

Background:To validate the criteria for endovascular aneurysm repair (EVAR) or open repair of abdominal aortic aneurysm (AAA) at Nagoya University Hospital, the results of both treatments were retrospectively compared.Methods and Results:Patient selection for EVAR was primarily based on suitable anatomy, minimum age 75 years, and significant comorbidity. From June 2007 to April 2014, 426 patients were treated via EVAR (EVAR group) and 346 patients were treated with open surgery (OS group). The mortality rates of the EVAR and OS groups were not significantly different (0.2% vs. 1.1%; P=0.33). Patient age, operation time, amount of bleeding, and duration of hospital stay were significantly lower in the EVAR group compared with the OS group. The incidence of comorbidity was higher in the EVAR group compared with the OS group. The incidence of early postoperative complications was significantly higher in the OS group, whereas the incidence of late complications for both groups was similar. The cumulative aneurysm-related survival rates were similar (98.9% vs. 98.5%; P=0.767). The cumulative survival rates and reintervention-free rates at 5 years were lower for the EVAR group (76% vs. 89%, P=0.019; 81% vs. 89%, P=0.046).Conclusions:Patient selection practices and criteria for EVAR and open repair at Nagoya University Hospital are generally acceptable. (Circ J 2015; 79: 1699–1705)

収録刊行物

• Circulation Journal

  Circulation Journal 79 (8), 1699-1705, 2015

  一般社団法人 日本循環器学会

キーワード

• Abdominal aortic aneurysm
• Endovascular aneurysm repair
• Open surgery
• Patient selection

詳細情報

• CRID: 1390001205107144576
• NII論文ID: 130005089349
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-14-1160
• ISSN: 13474820
• ISSN: 13469843
• NDL書誌ID: 026602481
• PubMed: 26016734
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I026602481
• Web Site: https://www.jstage.jst.go.jp/article/circj/advpub/0/advpub_CJ-14-1160/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2016110710
• 本文言語コード: en
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
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