A propensity-matched comparison for endovascular and open repair of XXXX .

@entity1 @entity1538 @entity101 @entity6 @entity301 @entity177 @entity2334 @entity439 @entity358 @entity2759 @entity1576 @entity451 @entity204
OBJECTIVE: The aim of this study was to investigate outcomes of @entity1 treated with endovascular repair (ER) with the use of fenestrated and branched stent grafts or @entity1538 ( @entity1538 ) for @entity2334 ( @entity2334 ) in a current series of @entity1 . METHODS: All @entity2334 @entity1 undergoing repair at three centers between January 2007 and December 2014 were included in a prospective database. @entity1 were stratified according to treatment by ER or @entity1538 , and outcomes were compared using propensity score matching (1:1). Covariates included age, sex, @entity439 extent, @entity101 , @entity301 , @entity358 , @entity6 , and renal function. The primary end points were mortality and @entity451 . Secondary end points included any @entity2759 ( @entity2759 ), @entity177 , and a composite of these complications or @entity204 at 30  days. All-cause survival and freedom from reintervention were compared in the two groups. RESULTS: Of 341 @entity1 , 84 (25%) underwent ER and 257 underwent @entity1538 (75%). After propensity score matching (65 @entity1 per group), no significant differences were observed in rates of 30-day mortality (7.7% in ER and 6.2% in @entity1538 ; P  = 1) and @entity451 (9.2% and 10.8%; P  = 1). Any @entity2759 , @entity177 , and @entity1576 were 12.3% and 20% (P  = .34), 9.2% and 12.3% (P  = .78), and 0% and 12.3% (P  = .006) in ER and @entity1538 , respectively. The incidence of the composite end point was significantly lower in ER @entity1 (18.5% in ER vs 36.0% in @entity1538 ; P  =.03). According to Kaplan-Meier estimates, all-cause survival at 24  months was 82.8% in ER and 84.9% in @entity1538 , with rates unchanged at 42  months (P  = .9). Rates of freedom from reintervention were 91.0% vs 89.7% at 24  months and 80.0% vs 79.9% at 42  months in ER vs @entity1538 , respectively (P  = .3). CONCLUSIONS: A propensity score analysis in @entity1 with @entity2334 undergoing repair suggests an early benefit from ER compared with @entity1538 with regard to the composite end point because of reduced 30-day respiratory complications. No significant differences were found in @entity2759 and @entity177 at 30  days and in survival and reintervention rates at midterm.
