Comparing and Correlating Outcomes between Open and Percutaneous Access in Endovascular Aneurysm Repair in Aortic Aneurysms Using a Retrospective Cohort Study Design

Joint Authors

Williams, John
Vitvitsky, Eugene
DeVito, Robert
DeVito, Peter
Kimyaghalam, Ali
Shoukry, Sameh
Kumar, Eashaa

Source

International Journal of Vascular Medicine

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-11-29

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Diseases
Medicine

Abstract EN

Objective.

This retrospective cohort study is aimed at determining the safety and efficacy between Femoral Open-Cutdown access and Percutaneous access with Endovascular Aneurysm Repair (EVAR) by contrasting perioperative complication rates.

We hypothesized that the percutaneous approach is a better alternative for aortic aneurysm patients as it is minimally invasive and has been demonstrated to decrease the length of hospital stay.

Methods.

We retrospectively reviewed data for patients undergoing EVAR between the years of 2005 and 2013.

We then compared overall mortality, hematoma or seroma formation, graft infection, arterio-venous injury, distal embolization, limb loss, myocardial infarction or arrhythmia, and renal dysfunction.

Results were demonstrated using a retrospective cohort study design to confirm the hematoma rate associated with EVAR open compared to percutaneous access.

Results.

Our series involves 73 patients who underwent percutaneous access for EVAR (n=49) or traditional open cutdown (n=24).

Percutaneous access resulted in significantly less hematoma formation when compared to the traditional open cutdown (4% vs.

12.5%; p<0.059).

Our analysis suggests decreased mortality rates associated with EVAR as compared to the Open-Cutdown method using Northside Medical Center’s Study and the OVER Veterans Affairs Cooperative Study (p=0.0053).

Conclusion.

Percutaneous access for EVAR is safe and effective when compared to Open-Cutdown access for aortic aneurysm patients.

Percutaneous access was associated with decreased rates of in-hospital mortality, hematoma formation, graft infection, and respiratory failure.

American Psychological Association (APA)

DeVito, Peter& Kimyaghalam, Ali& Shoukry, Sameh& DeVito, Robert& Williams, John& Kumar, Eashaa…[et al.]. 2020. Comparing and Correlating Outcomes between Open and Percutaneous Access in Endovascular Aneurysm Repair in Aortic Aneurysms Using a Retrospective Cohort Study Design. International Journal of Vascular Medicine،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1174235

Modern Language Association (MLA)

DeVito, Peter…[et al.]. Comparing and Correlating Outcomes between Open and Percutaneous Access in Endovascular Aneurysm Repair in Aortic Aneurysms Using a Retrospective Cohort Study Design. International Journal of Vascular Medicine No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1174235

American Medical Association (AMA)

DeVito, Peter& Kimyaghalam, Ali& Shoukry, Sameh& DeVito, Robert& Williams, John& Kumar, Eashaa…[et al.]. Comparing and Correlating Outcomes between Open and Percutaneous Access in Endovascular Aneurysm Repair in Aortic Aneurysms Using a Retrospective Cohort Study Design. International Journal of Vascular Medicine. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1174235

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1174235