Short-term outcomes following endovascular and open surgical repair of abdominal aortic aneurysms

Objectives: Endovascular repair of abdominal aortic aneurysms (AAA) has become the treatment of choice in the last decade. Perioperative morbidity and mortality are decreased along with the decreased hospital length of stay and decreased costs. We aimed to evaluate short-term outcomes and to compare conventional outcomes in patients undergoing either endovascular or open transperitoneal surgical repair. Materials and Methods: Totally, 46 consecutive patients presenting with the diagnosis of AAA between October 2012 and February 2014 were prospectively studied. Patients were grouped into two: elective endovascular (n = 24) and elective open repair (n = 22). Perioperative and in-hospital mortality rates, patient demographics, procedural details, postoperative follow-up data were collected. Results: Hospital stay was significantly shorter after endovascular AAA repair (P < 0.01). Endovascular technique was associated with shorter and less invasive perioperative hospital course and fewer postoperative complications. Conclusions: Endovascular repair may be an effective treatment of choice with low mortality and morbidity rates for the patients who are elderly and are at high-risk for surgery and those who are anatomically suitable, through the advances in graft technology.