Debate: Whether endovascular repair offers a survival advantage over open repair for ruptured abdominal aortic aneurysms

• Published in: Journal of vascular surgery Vol. 61; no. 2; pp. 546 - 555
• Main Authors: Dubois, Luc, MSc, MD, Mayer, Dieter, MD, Rancic, Zoran, MD, Veith, Frank J., MD, Lachat, Mario, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2015
• Subjects: Aortic Aneurysm, Abdominal - diagnosis; Aortic Aneurysm, Abdominal - mortality; Aortic Aneurysm, Abdominal - surgery; Aortic Rupture - diagnosis; Aortic Rupture - mortality; Aortic Rupture - surgery; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - mortality; Endovascular Procedures - adverse effects; Endovascular Procedures - mortality; Evidence-Based Medicine; Humans; Observational Studies as Topic; Patient Selection; Randomized Controlled Trials as Topic; Risk Assessment; Risk Factors; Surgery; Survival Analysis; Time Factors; Treatment Outcome
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2014.11.042

During the last decade, new information and reports have been published regularly describing endovascular and open repair of ruptured abdominal aortic aneurysms, but despite this, disagreement persists over which therapy is best. At the root of the problem is the discrepancy between the findings of multiple well-performed observational studies and a smaller number of randomized controlled trials. Our debaters do an excellent job of summarizing the current status of the world literature and describing their conflicting interpretations.