Elektive endovaskuläre versus operative Therapie des Bauchaortenaneurysmas – aktuelle Langzeitdaten

Abstract

Four randomized clinical trials prospectively compared endovascular (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA): Chronologically these are EVAR 1 (UK), DREAM (Netherlands), OVER (USA) and ACE (France). All of them investigated whether the superior early postoperative outcome of endovascular repair is maintained in the long-term. The longest follow-up data of EVAR 1, with a mean person-years observation (either until death or end of study) of 8 years, clearly question the superiority of EVAR. In this context, open repair of AAA takes on a new significance and the indication for endovascular repair should be critically assessed with regard to the long-term course. Indication for invasive treatment has not changed and should - apart from exceptions - only be given for men with a diameter of 5,5 cm or more. Furthermore, current studies on prophylactic mesh reinforcement after open repair of AAA show that incisional hernias can be safely avoided.

Bibliographical metadata

Translated title of the contributionElective Endovascular Versus Open Repair of Abdominal Aortic Aneurysm - Current Long-Term Data
Original languageGerman
ISSN0012-0472
DOIs
Publication statusPublished - 04.2020
PubMed 32236919