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Endovascular repair of abdominal aortic aneurysm

  1. Sharath Chandra Vikram Paravastu1,
  2. Rubaraj Jayarajasingam2,
  3. Rachel Cottam3,
  4. Simon J Palfreyman4,
  5. Jonathan A Michaels5,
  6. Steven M Thomas6,*

Editorial Group: Cochrane Vascular Group

Published Online: 23 JAN 2014

Assessed as up-to-date: 21 JAN 2013

DOI: 10.1002/14651858.CD004178.pub2


How to Cite

Paravastu SCV, Jayarajasingam R, Cottam R, Palfreyman SJ, Michaels JA, Thomas SM. Endovascular repair of abdominal aortic aneurysm. Cochrane Database of Systematic Reviews 2014, Issue 1. Art. No.: CD004178. DOI: 10.1002/14651858.CD004178.pub2.

Author Information

  1. 1

    The University of Sheffield, Academic Vascular Unit, Sheffield, UK

  2. 2

    Northern General Hospital, Department of Clinical Radiology, Sheffield, South Yorkshire, UK

  3. 3

    Sheffield Teaching Hospital NHS Foundation Trust, Vascular Angiography, Sheffield, South Yorkshire, UK

  4. 4

    Sheffield Teaching Hospitals NHS Foundation Trust, Tissue Viability, Sheffield, UK

  5. 5

    University of Sheffield, ScHARR, School of Health and Related Research, Sheffield, UK

  6. 6

    Northern General Hospital, Sheffield Vascular Institute, Sheffield, UK

*Steven M Thomas, Sheffield Vascular Institute, Northern General Hospital, Herries Road, Sheffield, S5 7AU, UK. s.m.thomas@sheffield.ac.uk.

Publication History

  1. Publication Status: New
  2. Published Online: 23 JAN 2014

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
ACE {published data only}
  • Becquemin JP. The ACE trial: a randomized comparison of open versus endovascular repair in good risk patients with abdominal aortic aneurysm. Journal of Vascular Surgery 2009;50(1):222-4.
  • Becquemin JP, Pillet JC, Lescalie F, Sapoval M, Goueffic Y, Lermusiaux P, et al. A randomized controlled trial of endovascular aneurysm repair versus open surgery for abdominal aortic aneurysms in low- to moderate-risk patients. Journal of Vascular Surgery 2011;53(5):1167-73.
DREAM {published data only}
  • Baas AF, Janssen KJ, Prinssen M, Buskens E, Blankensteijn JD. The Glasgow Aneurysm Score as a tool to predict 30-day and 2-year mortality in the patients from the Dutch Randomized Endovascular Aneurysm Management trial. Journal of Vascular Surgery 2008;47(2):277-81.
  • Blankensteijn JD, de Jong SE, Prinssen M, van der Ham AC, Buth J, van Sterkenburg SM, et al. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. New England Journal of Medicine 2005;352(23):2398-405.
  • De Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW, et al. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. New England Journal of Medicine 2010;362(20):1881-9.
  • Prinssen M, Buskens E, Blankensteijn J, DREAM-Trial participants. Quality of life after endovascular and open AAA repair. Results of a randomised trial. European Society for Vascular Surgery, Programme and Abstract Book, XVII Annual Meeting and Course on Vascular Surgical Techniques. 2003:66-7.
  • Prinssen M, Buskens E, Blankensteijn JD. The Dutch Randomised Endovascular Aneurysm Management (DREAM) trial. Background, design and methods. Journal of Cardiovascular Surgery 2002;43(3):379-84.
  • Prinssen M, Buskens E, Blankensteijn JD, DREAM trial participants. Quality of life endovascular and open AAA repair; Results of a randomised trial. European Journal of Vascular and Endovascular Surgery 2004;27(2):121-7.
  • Prinssen M, Buskens E, Nolthenius RP, van Sterkenburg SM, Teijink JA, Blankensteijn JD. Sexual dysfunction after conventional and endovascular AAA repair: results of the DREAM trial. Journal of Endovascular Therapy 2004;11(6):613-20.
  • Prinssen M, Buskens E, de Jong SE, Buth J, Mackaay AJ, Sambeek MR, et al. Cost-effectiveness of conventional and endovascular repair of abdominal aortic aneurysms: Results of a randomized trial. Journal of Vascular Surgery 2007;46(5):883-90.
  • Prinssen M, Verhoeven EL, Buth J, Cuypers PW, Van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. New England Journal of Medicine 2004;351(16):1607-18.
EVAR1 {published data only}
  • Brown L, Greenhalgh R, Powell J, Thompson S, on behalf of the EVAR Trial Participants. Cardiovascular events and the convergence of mid-term mortality after endovascular aneurysm repair (EVAR) or open repair of abdominal aortic aneurysm. The Vascular Society of Great Britain & Ireland Yearbook 44th Annual Meeting; 18-20 November 2009, Liverpool, UK. 2009:63.
  • Brown LC, Brown EA, Greenhalgh RM, Powell JT, Thompson SG, UK EVAR Trial Participants. Renal function and abdominal aortic aneurysm (AAA): the impact of different management strategies on long-term renal function in the UK EndoVascular Aneurysm Repair (EVAR) trials. Annals of Surgery 2010;251(5):966-75.
  • Brown LC, Epstein D, Manca A, Beard JD, Powell JT, Greenhalgh RM. The UK Endovascular Aneurysm Repair (EVAR) trials: design, methodology and progress. European Journal of Vascular and Endovascular Surgery 2004;27(4):372-81.
  • Brown LC, Greenhalgh RM, Howell S, Powell JT, Thompson SG. Patient fitness and survival after abdominal aortic aneurysm repair in patients from the UK EVAR trials. British Journal of Surgery 2007;94(6):709-16.
  • Brown LC, Greenhalgh RM, Kwong GP, Powell JT, Thompson SG, Wyatt MG. Secondary interventions and mortality following endovascular aortic aneurysm repair: device-specific results from the UK EVAR Trials. European Journal of Vascular and Endovascular Surgery 2007;34(3):281-90.
  • Brown LC, Thompson SG, Greenhalgh RM, Powell JT, on behalf of the Endovascular Aneurysm Repair trial participants. Incidence of cardiovascular events and death after open or endovascular repair of abdominal aortic aneurysm in the randomized EVAR trial 1. British Journal of Surgery 2011;98(7):935-42.
  • EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet 2005;365(9478):2179-86.
  • Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG, EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 2004;364(9437):843-8.
  • ISRCTN55703451. EndoVascular Aneurysm Repair (EVAR) trials 1 and 2. http://www.controlled-trials.com/ISRCTN55703451 (accessed 6 December 2013).
  • United Kingdom EVAR Trial Investigators. Endovascular versus open repair of abdominal aortic aneurysm. New England Journal of Medicine 2010;362(20):1863-71.
EVAR2 {published data only}
  • Brown LC, Epstein D, Manca A, Beard JD, Powell JT, Greenhalgh RM. The UK Endovascular Aneurysm Repair (EVAR) trials: design, methodology and progress. European Journal of Vascular and Endovascular Surgery 2004;27(4):372-81.
  • Brown LC, Greenhalgh RM, Howell S, Powell JT, Thompson SG. Patient fitness and survival after abdominal aortic aneurysm repair in patients from the UK EVAR trials. British Journal of Surgery 2007;94(6):709-16.
  • Brown LC, Greenhalgh RM, Thompson SG, Powell JT, EVAR Trial Participants. Does EVAR alter the rate of cardiovascular events in patients with abdominal aortic aneurysm considered unfit for open repair? Results from the randomised EVAR trial 2. European Journal of Vascular and Endovascular Surgery 2010;39(4):396-402.
  • EVAR 2 Trial Participants. Does aneurysm rupture risk decrease in patients who are anatomically suitable for endovascular repair?. The Vascular Society of Great Britain & Ireland 42nd Annual Meeting; 28-30 November 2007; Manchester, UK. 2007:89.
  • EVAR trial participants. Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. Lancet 2005;365(9478):2187-92.
  • EVAR trial participants. Secondary interventions and mortality following endovascular aortic aneurysm repair: Device-specific results from the UK EVAR Trials. European Journal of Vascular and Endovascular Surgery 2007;34(3):281-90.
  • ISRCTN55703451. EndoVascular Aneurysm Repair (EVAR) trials 1 and 2. http://www.controlled-trials.com/ISRCTN55703451 (accessed 6 December 2013).
  • United Kingdom EVAR Trial Investigators, Greenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D. Endovascular repair of aortic aneurysm in patients physically ineligible for open repair. New England Journal of Medicine 2010;362(20):1872-80.
OVER {published data only}
  • Kyriakides TC, Lederle F, Freischlag J. Open versus endovascular repair of abdominal aortic aneurysms: the OVER trial. Clinical Trials 2004; Vol. 1, issue Suppl 1:212.
  • Lederle FA, Freischlag JA, Kyriakides TC, Matsumura JS, Padberg FT Jr, Kohler TR, et al. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. New England Journal of Medicine 2012;367(21):1988-97.
  • Lederle FA, Freischlag JA, Kyriakides TC, Padberg FT Jr, Matsumura JS, Kohler TR, et al. Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA 2009;302(14):1535-42.
  • Lederle FA, Freischlag JA, Kyriakides TC, Padberg FTJ, Matsumura JS Kohler TR. Two-year comparison of endovascular and open repair of abdominal aortic aneurysms. Journal of Vascular Surgery 2009;50(2):447.
  • Lederle FA, Stroupe KT, Open versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group. Cost-effectiveness at two years in the VA Open versus Endovascular Repair trial. European Journal of Vascular and Endovascular Surgery 2012;44(6):543-8.
  • NCT00094575. Standard open surgery versus endovascular repair of abdominal aortic aneurysm (AAA). http://clinicaltrials.gov/ct/show/NCT00094575?order=1 (accessed 6 December 2013).
  • Stroupe KT, Lederle FA, Matsumura JS, Kyriakides TC, Jonk YC, Ge L, et al. Cost-effectiveness of open versus endovascular repair of abdominal aortic aneurysm in the OVER trial. Journal of Vascular Surgery 2012;56(4):901-9.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
CAESAR Trial {published data only}
  • Cao P, CAESAR Trial Collaborators. Comparison of surveillance vs Aortic Endografting for Small Aneurysm Repair (CAESAR) trial: study design and progress. European Journal of Vascular and Endovascular Surgery 2005;30(3):245-51.
  • Cao P, De Rango P, Verzini F, Parlani G, Romano L, Cieri E. Comparison of Surveillance Versus Aortic Endografting for Small Aneurysm Repair (CAESAR): results from a randomised trial. European Journal of Vascular and Endovascular Surgery 2011;41(1):13-25.
  • NCT00118573. Comparison of surveillance versus aortic endografting for small aneurysm repair (CAESAR). http://clinicaltrials.gov/ct/show/NCT00118573?order=1 (accessed 6 December 2013).
Cuypers 2001 {published data only}
ECAR study 2010 {published data only}
  • Desgranges P, Kobeiter H, Castier Y, Senechal M, Majewski M, Krimi A. The Endovasculaire vs Chirurgie dans les Anevrysmes Rompus PROTOCOL trial update. Journal of Vascular Surgery 2010;51(1):267-70.
IMPROVE trial {unpublished data only}
  • IMPROVE Trial, Powell JT, Thompson SG, Thompson MM, Grieve R, Nicholson AA, Ashleigh R, et al. The Immediate Management of the Patient with Rupture: Open Versus Endovascular repair (IMPROVE) aneurysm trial--ISRCTN 48334791 IMPROVE trialists. Acta Chirurgica Belgica 2009;109(6):678-80.
Lottman 2004 {published data only}
  • Lottman PE, Laheij RJ, Cuypers PW, Bender M, Buth J. Health-related quality of life outcomes following elective open or endovascular AAA repair: a randomized controlled trial. Journal of Endovascular Therapy 2004;11(3):323-9.
PIVOTAL Trial {published data only}
  • NCT00444821. The (PIVOTAL) study. http://clinicaltrials.gov/ct/show/NCT00444821?order=1 (accessed 6 December 2013).
  • Ouriel K. The PIVOTAL study: A randomized comparison of endovascular repair versus surveillance in patients with smaller abdominal aortic aneurysms. Journal of Vascular Surgery 2009;49(1):266-9.
  • Ouriel K, Clair DG, Kent KC, Zarins CK, PIVOTAL Investigators. Endovascular repair compared with surveillance for patients with small abdominal aortic aneurysms. Journal of Vascular Surgery 2009;50(2):449.
Soulez 2005 {published data only}
  • Soulez G, Thérasse E, Monfared AA, Blair JF, Choiniére M, Elkouri S, et al. Pain and quality of life assessment after endovascular versus open repair of abdominal aortic aneurysms in patients at low risk. Journal of Vascular Interventional Radiology 2005;16(8):1093-100.

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
NExT ERA {unpublished data only}
  • Mastracci TM, Clase CM, Devereaux PJ, Cinà CS. Open versus endovascular repair of abdominal aortic aneurysm: a survey of Canadian vascular surgeons. Canadian Journal of Surgery 2008;51(2):142-8, quiz 149.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
AAAQIP 2011
  • The Abdominal Aortic Aneurysm Quality Improvement Programme Team. National abdominal aortic aneurysm quality improvement programme. Vascular Society of Great Britain and Ireland, http://www.vascularsociety.org.uk/vascular/wp-content/uploads/2012/11/National-AAA-QIP-Interim-Report.pdf (accessed 4 July 2013).
Armon 1998
  • Armon MP, Hopkinson BR. How much does an aorto-uni-iliac stent-graft increase the endovascular options for abdominal aortic aneurysm repair?. In: Greenhalgh RM editor(s). Indications in Vascular and Endovascular Surgery. London: Saunders, 1998:221-7.
Bengtsson 1993
Budd 1989
  • Budd JS, Finch DR, Carter PG. A study of the mortality from ruptured abdominal aortic aneurysms in a district community. European Journal of Vascular Surgery 1989;3(4):351-4.
Campbell 1986
Dangas 2012
  • Dangas G, O'Connor D, Firwana B, Brar S, Ellozy S, Vouyouka A, et al. Open versus endovascular stent graft repair of abdominal aortic aneurysms: a meta-analysis of randomized trials. JACC: Cardiovascular Interventions 2012;5(10):1071-80.
Eskandari 1998
  • Eskandari MK, Bowles SA, Webster MW, Steed DL, Makaroun MS, Muluk SC, et al. Ruptured abdominal aortic aneurysms in the 1990s: resource utilization, long-term survival and quality of life after repair. Vascular and Endovascular Surgery 1998;32(5):415-24.
EVAR1 2005
  • EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet 2005;365(9478):2179-86.
Feinglass 1995
  • Feinglass J, Cowper D, Dunlop D, Slavensky R, Martin GJ, Pearce WH. Late survival risk factors for abdominal aortic aneurysm repair: experience from fourteen Department of Veterans Affairs hospitals. Surgery 1995;118(1):16-24.
Gadowski 1994
Giles 2011
  • Giles KA, Landon BE, Cotterill P, O'Malley AJ, Pomposelli FB, Schermerhorn ML. Thirty-day mortality and late survival with reinterventions and readmissions after open and endovascular aortic aneurysm repair in Medicare beneficiaries. Journal of Vascular Surgery 2011;53(1):6-13.
Higgins 2011
  • Higgins JPT, Altman DG. Chapter 8: Assessing Risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration 2011. Available from www.cochrane-handbook.org.
Holt 2009
  • Holt PJ, Poloniecki JD, Khalid U, Hinchliffe RJ, Loftus IM, Thompson MM. Effect of endovascular aneurysm repair on the volume-outcome relationship in aneurysm repair. Circulation. Cardiovascular quality and outcomes 2009;2(6):624-32.
Ingoldby 1986
Johansson 1986
Kantonen 1999
  • Kantonen I, Lepantalo M, Brommels M, Luther M, Salenius JP, Ylonen K. Mortality in ruptured abdominal aortic aneurysms. The Finnvasc Study Group. European Journal of Vascular and Endovascular Surgery 1999;17(3):208-12.
Karthikesalingam 2013
Khoo 1994
  • Khoo DE, Ashton H, Scott RA. Is screening once at age 65 an effective method for detection of abdominal aortic aneurysms?. Journal of Medical Screening 1994;1(4):223-5.
Leach 1988
Mutirangura 1989
NICE EVAR 2012
  • National Institute for Health and Clinical Excellence. Endovascular stent–grafts for the treatment of abdominal aortic aneurysms. http://www.nice.org.uk/ (accessed 4 July 2013).
Olsen 1991
  • Olsen PS, Schroeder T, Agerskov K, Roder O, Sorensen S, Perko M, et al. Surgery for abdominal aortic aneurysms. A survey of 656 patients. Journal of Cardiovascular Surgery 1991;32(5):636-42.
Parodi 1991
  • Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Annals of Vascular Surgery 1991;5(6):491-9.
Scott 1995
Steyerberg 1995
  • Steyerberg EW, Kievit J, de Mol Van Otterloo JC, van Bockel JH, Eijkemans MJ, Habbema JD. Perioperative mortality of elective abdominal aortic aneurysm surgery. A clinical prediction rule based on literature and individual patient data. Archives of Internal Medicine 1995;155(18):1998-2004.
Takolander 1998
Thomas 1988
Thomas 2002
  • Thomas SM, Palfreyman SSJ, Michaels JA, Cleveland TJ, Gaines PA. Endovascular repair of abdominal aortic aneurysm. Cochrane Database of Systematic Reviews 2002, Issue 2. [DOI: 10.1002/14651858.CD004178]
Thomas 2005
  • Thomas SM, Beard JD, Ireland M, Ayers S, Vascular Society of Great Britain and Ireland, British Society of Interventional Radiology. Results from the prospective registry of endovascular treatment of abdominal aortic aneurysms (RETA): mid term results to five years. European Journal of Vascular and Endovascular Surgery 2005;29(6):563-70.
UKSAT 1998
  • The UK Small Aneurysm Trial Participants. Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. Lancet 1998;352(9141):1649-55.
Walton 1999
  • Walton LJ, Franklin IJ, Bayston T, Brown LC, Greenhalgh RM, Taylor GW, et al. Inhibition of prostaglandin E2 synthesis in abdominal aortic aneurysms: implications for smooth muscle cell viability, inflammatory processes, and the expansion of abdominal aortic aneurysms. Circulation 1999;100(1):48-54.
Zarins 1997