E-ISSN 1658-7820
 

Review Article
Online Published: 27 Jul 2024
 


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


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Abdulrahman Abdulaziz Mohammed Alhejaili
Articles by Bader S. Alhamdan
Articles by Haytham Eltayib Abdelbagi
Articles by Reham Abdulaziz Mohammed
Articles by Rana Abdulaziz Mohammed
on Google
on Google Scholar


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





Most Viewed Articles
Most Accessed Articles

  • Marginal adaptation of fixed prosthodontics
    Shahad Mohammed Halawani, Sahar Amer Al-Harbi
    IJMDC. 2017; 1(2): 78-84
    » Abstract » doi: 10.24911/IJMDC.1.2.7

  • Parasites in central nervous system
    Amal Ahmed Mohamed, Asmaa Mohamed Mansour
    IJMDC. 2017; 1(2): 72-77
    » Abstract » doi: 10.24911/IJMDC.1.2.6

  • Non-diabetic retinopathy: a case report
    Hassan F. Alkwikbi, Nabil Mamon Abdelfattah, Haithem Mamon Abdelfattah
    IJMDC. 2017; 1(1): 33-37
    » Abstract » doi: 10.24911/IJMDC.1.1.6

  • Vitamin D deficiency among high school female students in Riyadh
    Sahar Mohsen Aldhafeeri, Fatemah Ibraheem Alrawaji, Abrar Mubarak Algharbi, Alanoud Abdullah Alhessan, Ayat Sami Qabaja, Ghaleah Abdulaziz Alnassar, Ghaliah Ofayn Alsulami, Mashael Belal Alrubaian, Norah Abdulaziz Alhatim, Salehah Salih Alotaibi, Zahra Ali Alkhamees
    IJMDC. 2017; 1(1): 18-23
    » Abstract » doi: 10.24911/IJMDC.1.1.4

  • Prognosis of chronic complications of diabetes mellitus (DM) after multiple events of diabetic ketoacidosis (DKA)
    Baraa Faiez Rajab, Anwar Essa Alamrim, Ali Essa Alamri
    IJMDC. 2019; 3(5): 474-479
    » Abstract » doi: 10.24911/IJMDC.51-1546551993

  • Most Downloaded
    Top Downloaded Articles

  • Anti-IL-17 markedly inhibited the in vitro granuloma induced by Schistosoma mansoni soluble egg antigen.
    Asmaa Ezz, Irene S. Gmail, Fatma Elzahraa H. Salem, Rabab Salama, Soad Nady
    IJMDC. 2018; 2(January 2018): 38-46
    » Abstract » doi: 10.24911/IJMDC.2.1.7

  • Vitamin D deficiency among high school female students in Riyadh
    Sahar Mohsen Aldhafeeri, Fatemah Ibraheem Alrawaji, Abrar Mubarak Algharbi, Alanoud Abdullah Alhessan, Ayat Sami Qabaja, Ghaleah Abdulaziz Alnassar, Ghaliah Ofayn Alsulami, Mashael Belal Alrubaian, Norah Abdulaziz Alhatim, Salehah Salih Alotaibi, Zahra Ali Alkhamees
    IJMDC. 2017; 1(1): 18-23
    » Abstract » doi: 10.24911/IJMDC.1.1.4

  • Antibiotic Resistance Crisis
    Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
    IJMDC. 2019; 3(6): 561-564
    » Abstract » doi: 10.24911/IJMDC.51-1549060699

  • The knowledge of mothers about children malnutrition and associated factors
    Anas Abdulrahman Aljohani, Mujahid Abdulrahman Aljohani
    IJMDC. 2020; 4(1): 7-11
    » Abstract » doi: 10.24911/IJMDC.51-1541620358

  • Knowledge and attitude of caregivers of cerebral palsy children in Riyadh city
    Abdulaziz Alruwaished, Baleegh Ali, Lubna Abdullah Alhowaimil , Abaraa adullah Alhowaimil, Najd Abdullah Alhowaimil, Aminah Alessa
    IJMDC. 2020; 4(1): 12-17
    » Abstract » doi: 10.24911/IJMDC.51-1547833051

  • Most Cited Articles
    Most Cited Articles

  • Antibiotic Resistance Crisis
    Nuha Saad Mobarki, Buthaina Abdullah Almerabi, Ahmad Hattan Hattan
    IJMDC. 2019; 3(6): 561-564
    » Abstract » doi: 10.24911/IJMDC.51-1549060699
    Cited : 34 times [Click to see citing articles]

  • Prevalence of depression, anxiety and stress among diabetes mellitus patients in Arar, Northern Saudi Arabia
    AMohammed Elamin Mukrim, Nujud Muteb D. Alshammari, Wurud Muteb D. Alshammari, Maali Subhi T. Alshammari, Yousef Nasif R. Alshammari, Abdulaziz Sael M. Alshammari, Maisa Hamad F. Alanazi, Abdulelah Abdulrhman F. Alzammam, Muharib Mana M. Alshammari, Slwa Khaled Abu Asyah, Aseel Jamal Alzuhayri, Mushref Saeid Alshammari
    IJMDC. 2019; 3(3): 229-233
    » Abstract » doi: 10.24911/IJMDC.51-1542576396
    Cited : 8 times [Click to see citing articles]

  • Knowledge, attitude, and practice of breast self-examination toward breast cancer among female students at King Saud University in Riyadh, Saudi Arabia
    Abdullah Nasser Alomair, Dania Ghazi Felemban, Mohannad Sami Felemban, Jameel Abdullah Awadain, Ammar Saud Altowairqi, Nawaf Fawzan Alfawzan, Fatimah Mohammed Almazayen, Abdulrahman Jalwi Korkoman, Nawaf Saad Alrusayyis
    IJMDC. 2020; 4(2): 429-434
    » Abstract » doi: 10.24911/IJMDC.51-1576668182
    Cited : 8 times [Click to see citing articles]

  • Population awareness about rheumatoid arthritis in Jazan region, Saudi Arabia
    Ahmad Ali Hazzazi, Mohssen Hassen Ageeli, Ahmed Ali Muyidi, Abdulaziz Mohammad Abulgasim, Abdullah Ahmad Yateemi, Nabil Alhakami
    IJMDC. 2020; 4(3): 668-675
    » Abstract » doi: 10.24911/IJMDC.51-1576010943
    Cited : 4 times [Click to see citing articles]

  • Prevalence and factors associated with depression among health care workers in National Guard Hospital in Riyadh, KSA
    Noor Mohammad AlFahhad
    IJMDC. 2018; 2(September 2018): 92-96
    » Abstract » doi: 10.24911/IJMDC.51-1526306040
    Cited : 4 times [Click to see citing articles]