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Endovascular repair versus open surgical repair of juxtarenal abdominal aortic aneurysms: short-term
postoperative outcomes and mortality 07

c) Postoperative outcomes within 30 days: Conclusion

This study provides data on real-life daily practice
6
Patients treated with OSR had significantly in The Netherlands treating JRAAAs. OSR had
significantly higher odds for major and minor
more complications- both major and minor, and
complications and short term (30 days) mortality
a higher risk of early mortality compared to
compared with cEVAR. 6
patients treated with EVAR. 6
References
Table 2: Adjusted early outcomes after
primary elective JRAAA repair. 6 1) von Meijenfeldt GC, Ultee KH, Eefting D, Hoeks SE, ten Raa
S, Rouwet EV, et al. Differences in mortality, risk factors, and
complications after open and endovascular repair of
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2) Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins
Major complications < 30 3.64 2.25-5.89 CK, Bernhard VM, et al. Ad Hoc Committee for Standardized
days after treatment Reporting Practices in Vascular Surgery of The Society for
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Clinical evidence 4) Powell JT, Sweeting MJ, Ulug P, Blankensteijn JD, Lederle
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no significant difference in early mortality
5) Jongkind V, Yeung KK, Akkersdijk GJ, Heidsieck D,
between OSR and FEVAR. 6,7 Reitsma JB, Tangelder GJ, et al. Juxtarenal aortic aneurysm

a higher number of postoperative repair. J Vasc Surg 2010;52:760-767.

complications in OSR compared with 6) von Meijenfeldt GCI, Alberga AJ, Balm R, Vahl AC,
Verhagen HJM, Blankensteijn JD, Zeebregts CJ, van der
FEVAR. 6,7 Laan MJ. Results from a nationwide prospective registry on
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aortic aneurysms. J Vasc Surg 2022;75:81-89.
Guidelines
7) Karthaus EG, Vahl A, van der Werf LR, Elsman BHP, Van
The European Society of Vascular Surgery Herwaarden JA, Wouters M, et al. Variation in surgical
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endografts for JRAAAs treatment, whenever
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mortality compared to OSR. CHEVAR is recom-
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mended in acute or emergency setting. 3,9 9) Li Y, Hu Z, Bai C, Liu J, Zhang T, Ge Y, et al. Fenestrated
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