[Endovascular and open repair of abdominal aortic aneurysm are still both warranted--a systematic review]

Abstract

Abdominal aortic aneurysm can be treated by open surgical repair or by endovascular repair (EVAR) - a less invasive procedure, with lower 30-day mortality and morbidity rates. Twelve studies have been evaluated. The results indicate that for large aneurysms > 5.5 cm, EVAR can be recommended for patients with intermediate to high operative risk. For younger patients, with low operative risk, OR is the preferred method, in light of the continued small risk of rupture after EVAR and the need for lifelong surveillance.