Long-Term Outcomes of Open and Endovascular Abdominal Aortic Repair in Younger Patients.

Lorenzo Gibello,Fabio Verzini,Flavia Spalla,Edoardo Frola,Luca Porro, Ilaria Peluttiero,Matteo Ripepi,Michele Boero,Gianfranco Varetto

Annals of vascular surgery（2022）

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Abstract

According to our data, EVAR in young patients is presenting an excessive rate of reintervention compared to OAR. The presence of conical neck is an independent predictor of EVAR failure and late reintervention, while it does not play a significant role in the OAR group. Open surgery should be considered the first option in younger patients with a long-life expectancy.

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Key words

AAA,Aortic aneurysm,EVAR,abdominal,adverse neck,endovascular repair,long-term outcome,open repair,overall survival,reintervention,young patients

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