Endovascular stent grafting versus open surgical operation in ... | 合法醫療器材資訊網

由HTeufelsbauer著作·2002·被引用166次—Background:Althoughtransfemoralendovascularaneurysmmanagement(TEAM)ofinfrarenalabdominalaorticaneurysms(AAA)iswidelyperformed,opengraft ...

Background: Although transfemoral endovascular aneurysm management (TEAM) of infrarenal abdominal aortic aneurysms (AAA) is widely performed, open graft replacement is still considered the standard of care. The aim of this study was to investigate whether clear indications for TEAM can be established in patients with significant comorbidities without investigating differences in relative procedure efficacy or durability.

Methods and results: A propensity score-based analysis of 454 consecutive patients treated electively for AAA from January 1995 through December 2000 was performed. Of those 454 patients, 248 received open surgery and 206 received TEAM. In-hospital mortality rates (MRs) were compared. After adjusting for propensity scores, a Cox proportional hazard model (COX) was emp...