Publication: Quality of Life After Open Surgical versus Endovascular Repair of Abdominal Aortic Aneurysms
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Date
2018-06-01
Authors
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KÖKSAL, CENGİZ
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Abstract
Objective: This study aims to compare open surgical and
endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms
in terms of their effects on quality of life, using Short Form-36 (SF-36).
Methods: A total of 133 consecutive patients who underwent
EVAR or open surgical repair for infra-renal abdominal aorta
aneurysm between January 2009 and June 2014 were included
in the study. Twenty-six (19.5%) patients died during follow-up
and were excluded from the analysis. Overall, 107 patients, 39
(36.4%) in the open repair group, and 68 (63.6%) in the EVAR
group, completed all follow-up visits and study assessments.
Quality of life assessments using SF-36 were performed before
surgery and at post-operative months 1, 6, and 12.
Results: The mean duration of follow-up was 29.55±19.95
months. At one month, both physical and mental domains of the
quality of life assessments favored EVAR, while the two surgical
approaches did not differ significantly at or after six months
postoperatively.
Conclusion: Despite anatomical advantages and acceptable
mid-phase mortality in patients with high- or medium-risk for
open surgery, EVAR did not exhibit a quality of life superiority
over open surgery in terms of physical function and patient
comfort at or after postoperative six months.
Keywords: Quality of Life. Endovascular Procedures. Aortic
Aneurysm, Abdominal.
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Citation
KÖKSAL C., -Quality of Life After Open Surgical versus Endovascular Repair of Abdominal Aortic Aneurysms-, JOURNAL OF CARDIOVASCULAR SURGERY, cilt.3, ss.265-270, 2018