The SAFE-AAA Study: Is One Limb at a Time Better Than Two?

HomeCirculationVol. 147, No. 17The SAFE-AAA Study: Is One Limb at a Time Better Than Two? No AccessEditorialRequest AccessFull TextAboutView Full TextView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toNo AccessEditorialRequest AccessFull TextThe SAFE-AAA Study: Is One Limb at a Time Better Than Two? Peter Osztrogonacz and Alan B. Lumsden Peter OsztrogonaczPeter Osztrogonacz Correspondence to: Peter Osztrogonacz, MD, Department of Cardiovascular Surgery, Houston Methodist Hospital, 6550 Fannin St, Houston, TX 77030. Email E-mail Address: [email protected] https://orcid.org/0000-0002-5633-4363 Department of Cardiovascular Surgery, Houston Methodist Hospital, TX (P.O., A.B.L.). Department of Vascular and Endovascular Surgery, Semmelweis University, Budapest, Hungary (P.O.). Search for more papers by this author and Alan B. LumsdenAlan B. Lumsden Department of Cardiovascular Surgery, Houston Methodist Hospital, TX (P.O., A.B.L.). Search for more papers by this author Originally published24 Apr 2023https://doi.org/10.1161/CIRCULATIONAHA.123.064497Circulation. 2023;147:1277–1280This article is a commentary on the followingComparison of Unibody and Non-Unibody Endografts for Abdominal Aortic Aneurysm Repair in Medicare Beneficiaries: The SAFE-AAA StudyFootnotesThe opinions expressed in this article are not necessarily those of the editors or of the American Heart Association.For Disclosures, see page 1279.Circulation is available at www.ahajournals.org/journal/circCorrespondence to: Peter Osztrogonacz, MD, Department of Cardiovascular Surgery, Houston Methodist Hospital, 6550 Fannin St, Houston, TX 77030. Email [email protected]comReferences1. Schermerhorn ML, O’Malley AJ, Jhaveri A, Cotterill P, Pomposelli F, Landon BE. Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population.N Engl J Med. 2008; 358:464–474. doi: 10.1056/NEJMoa0707348CrossrefMedlineGoogle Scholar2. Powell JT, Sweeting MJ, Ulug P, Blankensteijn JD, Lederle FA, Becquemin JP, Greenhalgh RM; EVAR-1, DREAM, OVER and ACE Trialists. Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years.Br J Surg. 2017; 104:166–178. doi: 10.1002/bjs.10430CrossrefMedlineGoogle Scholar3. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG; EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial.Lancet. 2004; 364:843–848. doi: 10.1016/S0140-6736(04)16979-1CrossrefMedlineGoogle Scholar4. Dansey KD, Varkevisser RRB, Swerdlow NJ, Li C, de Guerre L, Liang P, Marcaccio C, O’Donnell TFX, Carroll BJ, Schermerhorn ML. Epidemiology of endovascular and open repair for abdominal aortic aneurysms in the United States from 2004 to 2015 and implications for screening.J Vasc Surg. 2021; 74:414–424. doi: 10.1016/j.jvs.2021.01.044CrossrefMedlineGoogle Scholar5. Secemsky EA, Song Y, Sun T, Johnson CG, Gatski M, Wang L, Farb A, Lee RE, Shaw A, Xu J, et al. Comparison of unibody and non- unibody endografts for abdominal aortic aneurysm repair in Medicare beneficiaries: the SAFE-AAA study.Circulation. 2023; 147:1264–1276. doi: 10.1161/CIRCULATIONAHA.122.062123LinkGoogle Scholar6. Goodney P, Mao J, Columbo J, Suckow B, Schermerhorn M, Malas M, Brooke B, Hoel A, Scali S, Arya S, et al; Society for Vascular Surgery’s Patient Safety Organization. Use of linked registry claims data for long term surveillance of devices after endovascular abdominal aortic aneurysm repair: observational surveillance study.BMJ. 2022; 379:e071452. doi: 10.1136/bmj-2022-071452CrossrefMedlineGoogle Scholar7. Hahl T, Protto S, Järvenpää V, Uurto I, Väärämäki S, Suominen V. Long-term outcomes of endovascular aneurysm repair according to instructions for use adherence status.J Vasc Surg. 2022; 76:699–706.e2. doi: 10.1016/j.jvs.2022.03.010CrossrefMedlineGoogle Scholar8. Antoniou GA, Juszczak MT, Nasr H, Narlawar R, Antoniou SA, Matsagkas M, Donas KP, de Vries JPM. Prognosis review and time-to-event data meta-analysis of endovascular aneurysm repair outside versus within instructions for use of aortic endograft devices.J Vasc Surg. 2020; 71:1415–1431.e15. doi: 10.1016/j.jvs.2019.08.247CrossrefMedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsRelated articlesComparison of Unibody and Non-Unibody Endografts for Abdominal Aortic Aneurysm Repair in Medicare Beneficiaries: The SAFE-AAA StudyEric A. Secemsky, et al. Circulation. 2023;147:1264-1276 April 25, 2023Vol 147, Issue 17 Advertisement Article InformationMetrics © 2023 American Heart Association, Inc.https://doi.org/10.1161/CIRCULATIONAHA.123.064497PMID: 37093968 Originally publishedApril 24, 2023 Keywordsendovascular aneurysm repairabdominalvascular surgical proceduresaneurysmEditorialsaortaaortic aneurysmPDF download Advertisement SubjectsAneurysm