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Comparing and Correlating Outcomes between Open and Percutaneous Access in Endovascular Aneurysm Repair in Aortic Aneurysms Using a Retrospective Cohort Study Design
Author
DeVito, PeterKimyaghalam, Ali
Shoukry, Sameh
DeVito, Robert
Williams, John
Kumar, Eashaa
Vitvitsky, Eugene
Affiliation
Univ ArizonaIssue Date
2020-11-29
Metadata
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HINDAWI LTDCitation
DeVito, P., Kimyaghalam, A., Shoukry, S., DeVito, R., Williams, J., Kumar, E., & Vitvitsky, E. (2020). Comparing and Correlating Outcomes between Open and Percutaneous Access in Endovascular Aneurysm Repair in Aortic Aneurysms Using a Retrospective Cohort Study Design. International Journal of Vascular Medicine, 2020.Rights
Copyright © 2020 Peter DeVito Jr. et al. This is an open access article distributed under the Creative Commons Attribution License.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Objective. This retrospective cohort study is aimed at determining the safety and efficacy between Femoral Open-Cutdown access and Percutaneous access with Endovascular Aneurysm Repair (EVAR) by contrasting perioperative complication rates. We hypothesized that the percutaneous approach is a better alternative for aortic aneurysm patients as it is minimally invasive and has been demonstrated to decrease the length of hospital stay. Methods. We retrospectively reviewed data for patients undergoing EVAR between the years of 2005 and 2013. We then compared overall mortality, hematoma or seroma formation, graft infection, arterio-venous injury, distal embolization, limb loss, myocardial infarction or arrhythmia, and renal dysfunction. Results were demonstrated using a retrospective cohort study design to confirm the hematoma rate associated with EVAR open compared to percutaneous access. Results. Our series involves 73 patients who underwent percutaneous access for EVAR (n=49) or traditional open cutdown (n=24). Percutaneous access resulted in significantly less hematoma formation when compared to the traditional open cutdown (4% vs. 12.5%; p<0.059). Our analysis suggests decreased mortality rates associated with EVAR as compared to the Open-Cutdown method using Northside Medical Center's Study and the OVER Veterans Affairs Cooperative Study (p=0.0053). Conclusion. Percutaneous access for EVAR is safe and effective when compared to Open-Cutdown access for aortic aneurysm patients. Percutaneous access was associated with decreased rates of in-hospital mortality, hematoma formation, graft infection, and respiratory failure.Note
Open access journalISSN
2090-2824PubMed ID
33312729Version
Final published versionae974a485f413a2113503eed53cd6c53
10.1155/2020/8823039
Scopus Count
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Except where otherwise noted, this item's license is described as Copyright © 2020 Peter DeVito Jr. et al. This is an open access article distributed under the Creative Commons Attribution License.
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