OP 44. Short-Term Mortality and Complication Rates of Endovascular Repair Versus Open Surgical Repair for Aortic Aneurysms


M. Soe Thet, A Kankoç, F. Nur Baran Aksakal, A Yener

Chair(s): Gábor Szabó, Beat Walpoth & Violetta Kékesi

17:40 - 17:50h at Erszebet Room (A)

Categories: Cardiac and Vascular Surgery, Oral Session

Session: Oral Session V - Cardiac and Vascular Surgery I


Background:
Endovascular repairs (TEVAR/EVAR) has emerged as an alternative to conventional open surgical repair for both thoracic and abdominal aortic aneurysms. With the gaining popularity of endovascular repair, mortality, complications and survival rates of open surgical repair and endovascular repair are being compared.

Material and Methods:
From 2008 through 2013, a total of 75 patients were assigned into two groups for retrospective analysis according to the treatment received. Group A (n=54) was treated with endovascular repair (either TEVAR or EVAR) and group B (n=21) received open surgical repair as treatment. Short-term mortality and complication rates, and also 1-year survival rates are compared between Group A and Group B. Mann-Whitney U test, Fisher’s exact test, χ2 test and Kaplan- Meier survival analysis were applied for statistical analysis.

Result:
Overall short-term mortality rate of Group A is 16.7% and that of group B is 19.0%. Total complication rates are 14.8% for Group A, and 33.3% for Group B. 1-year survival is 85.2% for Group A, and 81.0% for Group B. There is no statistical significant difference between Group A and Group B in terms of short-term mortality and complication rates, and 1-year survival rate as well (P > 0.05).

Conclusion:
Open surgical repair and endovascular repair (TEVAR/EVAR) of aortic aneurysms have similar short-term rates of survival.