Endovaskuläre Therapie beim Bauchaortenaneurysma ist Operation langfristig gleichwertig
Endovaskuläre Therapie beim Bauchaortenaneurysma ist Operation langfristig gleichwertig (Deutsches Ärzteblatt).
Elective endovascular repair of an abdominal aortic aneurysm results in lower perioperative mortality than traditional open repair, but after 4 years this survival advantage is not seen; in addition, results of two European trials have shown worse long-term outcomes with endovascular repair than with open repair. Long-term results of a study we conducted more than a decade ago to compare endovascular repair with open repair are unknown.
Long-term overall survival was similar among patients who underwent
endovascular repair and those who underwent open repair. A difference between
groups was noted in the number of patients who underwent secondary therapeutic
procedures. Our results were not consistent with the findings of worse
performance of endovascular repair with respect to long-term survival that was
seen in the two European trials.
Quelle: New England Journal of Medicine 30.05.2019