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Long-Term Outcomes of Abdominal Aortic Aneurysm in the Medicare Population
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Long-Term Outcomes of Abdominal Aortic Aneurysm in the Medicare Population
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Journal Article
Long-Term Outcomes of Abdominal Aortic Aneurysm in the Medicare Population
2015
Overview
In this study of abdominal aortic aneurysm repair, endovascular repair was shown to have an early survival advantage over open repair during the first three years. However, interventions related to aneurysm and ruptures were more common after endovascular repair.
The use of endovascular repair of abdominal aortic aneurysms is increasing. By 2010, endovascular repair accounted for 78% of all intact repairs.
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,
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Randomized, controlled trials comparing endovascular repair with open repair generally have shown a perioperative benefit of endovascular repair over open repair.
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–
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Long-term survival, however, is similar with the two approaches.
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As data on long-term outcomes accumulate, concerns have been raised about endovascular repair with respect to the increased rate of late failure leading to rupture and higher rates of reintervention.
In our previous analyses performed with the use of Medicare data, which account for more . . .
Publisher
Massachusetts Medical Society
Subject
/ Aged
/ Aortic Aneurysm, Abdominal - mortality
/ Aortic Aneurysm, Abdominal - surgery
/ Aortic Rupture - epidemiology
/ Female
/ Humans
/ Male
/ Medicare
/ Postoperative Complications - epidemiology
/ Postoperative Complications - mortality
/ Reoperation - statistics & numerical data
/ Rupture
/ Survival
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