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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
Postoperative OR* 95% [CI] ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc
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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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Early mortality 3.79 31.26-11.34 3) Wanhainen A, Verzini F, Van Herzeele I, Allaire E, Bown M,
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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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