Document Detail

Physiological comparison of open and endovascular aneurysm repair.
MedLine Citation:
PMID:  10383575     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This prospective study compared morbidity and mortality rates following conventional and endovascular abdominal aortic aneurysm (AAA) repair using a physiological scoring system. METHODS: Between December 1994 and November 1997, 104 elective open aneurysm repairs and 49 endovascular aneurysm repairs were performed. These patient cohorts were compared using the Portsmouth predictor equation (P-POSSUM) scoring system. Data collected prospectively from patient notes were used to obtain physiological and operative severity scores which were analysed to compare expected and observed mortality and morbidity rates. RESULTS: There were three deaths (6 per cent) in the endovascular AAA repair group and 17 (16 per cent) in the conventional aneurysm repair group, whereas the P-POSSUM formulae predicted mortality rates of 8 and 19 per cent respectively. Although the mean physiological scores were similar for both groups (endovascular 20.8 versus conventional 20.1), the operative severity score was significantly greater in the conventional group (26.3 versus 19.7; P < 0.001). CONCLUSION: In this study open aortic aneurysm repair had a higher operative severity than endovascular repair, which was reflected in the increased mortality rate.
G D Treharne; M M Thompson; M S Whiteley; P R Bell
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of surgery     Volume:  86     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-20     Completed Date:  1999-07-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  760-4     Citation Subset:  AIM; IM    
Department of Vascular Surgery, Leicester Royal Infirmary, UK.
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MeSH Terms
Aged, 80 and over
Aortic Aneurysm, Abdominal / surgery*
Endoscopy / methods
Middle Aged
Prospective Studies
Severity of Illness Index
Surgical Procedures, Elective / methods
Survival Rate
Treatment Outcome
Comment In:
Br J Surg. 1999 Nov;86(11):1483-4   [PMID:  10617364 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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