In this follow-up (mean 1.8 years) of a randomized multi-center trial of 881 veterans, most outcome measures between open and endovascular repair of AAA were about the same; although peri-operative mortality was lower in the endovascular group, 2 year mortality was about the same. The endovascular group had shorter times for the procedure, ventilation, and length of stay, as well as less blood loss, but there was no significant differences between the groups in major morbidity (abstract). Longer-term follow-up is needed to draw more firm conclusions.
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.