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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


 
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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: October 12, 2025]. 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 October 12, 2025]; 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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    International Journal of Medicine in Developing Countries is a peer-reviewed, open-access international medical journal. Journal Title Internat ... Read more.



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