The endovascular aneurysm repair-2 (EVAR-2) trial suggested that EVAR in patients unfit for open surgical repair (OSR) failed to provide a significant overall survival advantage compared with conservative management.

2016年11月12日 · Background: Short-term survival benefits of endovascular aneurysm repair (EVAR) versus open repair of intact abdominal aortic aneurysms have been shown in randomised trials, but this early survival benefit is lost after a few years. We investigated whether EVAR had a long-term survival benefit compared with open repair.

2025年1月2日 · EVAR is performed by inserting a stent-graft into the lumen of the aneurysmal portion of the aorta. The stent-graft consists of a graft that provides a conduit for blood flow and a stent that anchors the graft to the aorta and provides structural support for the graft material.

2015年3月12日 · Knowledge of endovascular repair of AAAs is important to the success of the procedure and involves assessment of vascular anatomy, the EVAR technique, and procedure-specific complications, which are identified at the time of the procedure and at imaging surveillance, factors discussed in this article in pictorial form.

2010年5月20日 · In this randomized trial involving patients who were physically ineligible for open repair, endovascular repair of abdominal aortic aneurysm was associated with a significantly lower rate of...

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2010年5月20日 · In this large, randomized trial, endovascular repair of abdominal aortic aneurysm was associated with a significantly lower operative mortality than open surgical repair. …

Endovascular aortic aneurysm repair (EVAR) is associated with a lower risk of perioperative complications and death than open surgical repair. The early advantage of EVAR over open surgery has been demonstrated on average 2 to 3 years after the intervention. There is no long-term survival advantage when compared with the open surgical procedure.

In 1999, two randomised controlled trials (RCTs) [EVAR trial 1 (EVAR-1) and EVAR trial 2 (EVAR-2)] were set up to test the safety, efficacy and cost-effectiveness of endovascular repair in two different populations of patients. EVAR-1 randomised patients who were considered to be fit for both procedures to either EVAR or OR.

To appraise the long-term significance of type II endoleak and define criteria for intervention. Design: Two national, multicentre randomised controlled trials: EVAR-1 and EVAR-2. Setting: Patients were recruited from 37 hospitals in the UK between 1 September 1999 and 31 …