Comparison Between Surgical and Endovascular Repair of Infra-renal Abdominal Aortic Aneurysm

Document Type : Original Article

Authors

1 Vascular surgery department, faculty of medicine, Zagazig university, Zagazig, Egypt

2 Vascular surgery department, faculty of medicine, Zagazig University, zagazig

3 Double affiliations 1- Vascular surgery department, faculty of medicine, Zagazig University, Egypt. 2- Alnoor Specialist Hospital, Makkah, Saudi Arabia.

Abstract

Background: Elective open repair (OR) and endovascular aneurysm repair (EVAR) are the 2 methods of infra-renal abdominal aortic aneurysm (AAA) repair. Aim of study was to compare both methods.
Patients and methods: Prospective study was conducted at vascular surgery departments, Zagazig University Hospitals, Egypt and Alnoor Specialist Hospital, Makkah, Saudi Arabia from February 2015 to January 2020. Included patients were with asymptomatic AAA with diameter ≥5.5cm or symptomatic. Patients underwent computerized tomographic angiography, echocardiogram, cardiac and chest consultation.
Results: 14 patients underwent OR and 9 underwent EVAR. No statistically significant difference between both groups regarding demographics or aneurysm characteristics. In OR group mean age was 65.54±4.44 years and mean aneurysm maximum diameter was 6.92±0.55 cm, while in EVAR group mean age was 67.03±5.31years and mean aneurysm maximum diameter was 7.1±0.3cm. EVAR group had statistically significant less duration of procedure (p < /p>

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