Department of Surgery, Division of Vascular and Endovascular Surgery, Johns Hopkins University, School of Medicine, Baltimore, MD, USA.
Semin Vasc Surg. 2010 Sep;23(3):165-9. doi: 10.1053/j.semvascsurg.2010.05.009.
Several early studies have shown the benefit of endovascular aneurysm repair in reducing procedure-related mortality and morbidity of open aneurysm repair. Three prospective randomized trials have addressed the advantages and disadvantages of the two procedures. These studies had shown some conflicting findings in survival and complications. We reviewed the largest registry for endovascular abdominal aortic repair and the three randomized trials to evaluate the similarities and differences in their outcomes. Cross-comparison of operative, aneurysm-related and all-cause mortality is presented. Patient characteristics, device specifications, procedure morbidity and reintervention rate of each study are evaluated.
一些早期的研究表明，血管内动脉瘤修复在降低开放动脉瘤修复的与手术相关的死亡率和发病率方面具有优势。三项前瞻性随机试验已经研究了这两种手术的优缺点。这些研究在生存和并发症方面得出了一些相互矛盾的发现。我们回顾了最大的血管内腹主动脉瘤修复登记处和三项随机试验，以评估它们结果的异同。报告了手术、动脉瘤相关和全因死亡率的交叉比较。评估了每个研究的患者特征、器械规格、手术发病率和再干预率。
