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dc.contributor.authorDeVito, Peter
dc.contributor.authorKimyaghalam, Ali
dc.contributor.authorShoukry, Sameh
dc.contributor.authorDeVito, Robert
dc.contributor.authorWilliams, John
dc.contributor.authorKumar, Eashaa
dc.contributor.authorVitvitsky, Eugene
dc.date.accessioned2021-05-06T00:13:23Z
dc.date.available2021-05-06T00:13:23Z
dc.date.issued2020-11-29
dc.identifier.citationDeVito, 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.en_US
dc.identifier.issn2090-2824
dc.identifier.pmid33312729
dc.identifier.doi10.1155/2020/8823039
dc.identifier.urihttp://hdl.handle.net/10150/658178
dc.description.abstractObjective. 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.en_US
dc.language.isoenen_US
dc.publisherHINDAWI LTDen_US
dc.rightsCopyright © 2020 Peter DeVito Jr. et al. This is an open access article distributed under the Creative Commons Attribution License.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.titleComparing and Correlating Outcomes between Open and Percutaneous Access in Endovascular Aneurysm Repair in Aortic Aneurysms Using a Retrospective Cohort Study Designen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizonaen_US
dc.identifier.journalINTERNATIONAL JOURNAL OF VASCULAR MEDICINEen_US
dc.description.noteOpen access journalen_US
dc.description.collectioninformationThis 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.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleInternational journal of vascular medicine
dc.source.volume2020
dc.source.beginpage8823039
dc.source.endpage
refterms.dateFOA2021-05-06T00:13:24Z
dc.source.countryUnited States


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Copyright © 2020 Peter DeVito Jr. et al. This is an open access article distributed under the Creative Commons Attribution License.
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.