Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms

Abdulrahman Abdulaziz Mohammed Alhejaili; Bader S. Alhamdan; Haytham Eltayib Abdelbagi; Reham Abdulaziz Mohammed; Rana Abdulaziz Mohammed

doi:10.24911/IJMDC.51-1718800198

2024, Vol: 8, Issue: 8

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Review Article
Online Published: 27 Jul 2024

IJMDC. 2024; 8(8): 2114-2126

doi: 10.24911/IJMDC.51-1718800198

Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms

Abdulrahman Abdulaziz Mohammed Alhejaili, Bader S. Alhamdan, Haytham Eltayib Abdelbagi, Reham Abdulaziz Mohammed, Rana Abdulaziz Mohammed.

Abstract
Abdominal aortic aneurysm (AAA) has shown to be a significant health disorder globally, with its prevalence steadily rising, particularly in the aging population. The choice between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) has become a focal point of discussion and clinical decision-making. This systematic review aimed to comprehensively evaluate and compare the outcomes of endovascular and surgical treatments for AAA. The search strategy employed a combination of relevant keywords related to “EVAR, OSR, AAA, and relevant outcomes such as all-cause mortality and reintervention”. Meta-analysis was conducted using appropriate statistical methods to pool data from individual studies and estimate overall effect sizes. This systematic review and meta-analysis included 34 articles. The findings indicated that patients undergoing EVAR had a significantly higher long-term all-cause mortality rate of 27.8%, compared to 24.6% in the OSR group. In terms of very long-term (10-year) all-cause mortality, data from 12 studies comprising 46,932 patients (32,523 EVAR and 14,409 OSR) showed no significant difference between the two groups. Additionally, the analysis revealed that EVAR patients experienced a higher very long-term reintervention rate of 21.8%, compared to 10.4% in the OSR group. The results suggested that EVAR is linked to higher rates of long-term all-cause mortality, reintervention, and secondary rupture as compared to OSR. Even over the very long term, EVAR showed persistently higher rates of reintervention and secondary rupture.

Key words: Endovascular, surgical, treatments, abdominal aortic aneurysms, systemic review

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How to Cite this Article

Pubmed Style

Alhejaili AAM, Alhamdan BS, Abdelbagi HE, Mohammed RA, Mohammed RA. Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms. IJMDC. 2024; 8(8): 2114-2126. doi:10.24911/IJMDC.51-1718800198

Web Style

Alhejaili AAM, Alhamdan BS, Abdelbagi HE, Mohammed RA, Mohammed RA. Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms. https://www.ijmdc.com/?mno=206325 [Access: September 28, 2024]. doi:10.24911/IJMDC.51-1718800198

AMA (American Medical Association) Style

Alhejaili AAM, Alhamdan BS, Abdelbagi HE, Mohammed RA, Mohammed RA. Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms. IJMDC. 2024; 8(8): 2114-2126. doi:10.24911/IJMDC.51-1718800198

Vancouver/ICMJE Style

Alhejaili AAM, Alhamdan BS, Abdelbagi HE, Mohammed RA, Mohammed RA. Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms. IJMDC. (2024), [cited September 28, 2024]; 8(8): 2114-2126. doi:10.24911/IJMDC.51-1718800198

Harvard Style

Alhejaili, A. A. M., Alhamdan, . B. S., Abdelbagi, . H. E., Mohammed, . R. A. & Mohammed, . R. A. (2024) Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms. IJMDC, 8 (8), 2114-2126. doi:10.24911/IJMDC.51-1718800198

Turabian Style

Alhejaili, Abdulrahman Abdulaziz Mohammed, Bader S. Alhamdan, Haytham Eltayib Abdelbagi, Reham Abdulaziz Mohammed, and Rana Abdulaziz Mohammed. 2024. Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms. International Journal of Medicine in Developing Countries, 8 (8), 2114-2126. doi:10.24911/IJMDC.51-1718800198

Chicago Style

Alhejaili, Abdulrahman Abdulaziz Mohammed, Bader S. Alhamdan, Haytham Eltayib Abdelbagi, Reham Abdulaziz Mohammed, and Rana Abdulaziz Mohammed. "Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms." International Journal of Medicine in Developing Countries 8 (2024), 2114-2126. doi:10.24911/IJMDC.51-1718800198

MLA (The Modern Language Association) Style

Alhejaili, Abdulrahman Abdulaziz Mohammed, Bader S. Alhamdan, Haytham Eltayib Abdelbagi, Reham Abdulaziz Mohammed, and Rana Abdulaziz Mohammed. "Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms." International Journal of Medicine in Developing Countries 8.8 (2024), 2114-2126. Print. doi:10.24911/IJMDC.51-1718800198

APA (American Psychological Association) Style

Alhejaili, A. A. M., Alhamdan, . B. S., Abdelbagi, . H. E., Mohammed, . R. A. & Mohammed, . R. A. (2024) Systematic review of endovascular vs. surgical treatments for abdominal aortic aneurysms. International Journal of Medicine in Developing Countries, 8 (8), 2114-2126. doi:10.24911/IJMDC.51-1718800198

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