Endovascular repair reduces early and late morbidity compared to open surgery for XXXX .

@entity1 @entity439 @entity1028
PURPOSE: To compare systemic complications between standard surgery and endovascular repair of @entity1028 ( @entity1028 ) for both primary and late secondary procedures. METHODS: At a single center between July 1993 and May 2000, 297 @entity1 (255 @entity1 ; mean age 73.4 +/- 8.1 years, range 50-93) were treated with open surgical repair; beginning in 1996, 200 (166 @entity1 ; mean age 73.6 +/- 8.0 years, range 45-96) @entity1 were treated with the AneuRx stent-graft. In a comparison of the cohorts, which were similar in terms of age, gender, and @entity439 diameter, the main outcomes were early major systemic morbidity following the primary procedure to treat the @entity439 and late (>30 days) organ system morbidity for any secondary procedures. RESULTS: Mean length of follow-up for open @entity1 was 20.1 +/- 17.1 months (range 1-150) compared to 12.4 +/- 9.6 months (range 1-60) after endovascular repair (p<0.05). There were 36 (12.1%) systemic complications after the primary open surgery and 15 (7.5%) after endovascular repair (p=NS). There were 43 (14.5%) combined primary and secondary morbidities in the open surgery group versus 15 (7.5%) for @entity1 undergoing endovascular repair (p<0.01). The need for invasive procedures to treat these primary and secondary systemic complications was 4 times greater in the open group (17, 5.7%) than in endograft @entity1 (3, 1.5%) (p<0.05). After secondary procedures (32 in the open group and 30 in the endovascular @entity1 ) for graft-related complications, there were 7 (21.9%) adverse events in the open group versus none (0%) for endograft @entity1 (p<0.01). Hospital lengths of stay following both primary and secondary procedures were lower for the endograft @entity1 (p<0.01 and p<0.001, respectively). CONCLUSIONS: Endovascular stent-graft repair compared to open surgery has reduced the early and late morbidity by half. Complications that require invasive or secondary surgical procedures and hospitalization are reduced with endovascular repair.
