Journal of Vascular Surgery
Volume 45, Issue 2 , Pages 227-235.e1 , February 2007

Performance of endovascular aortic aneurysm repair in high-risk patients: Results from the Veterans Affairs National Surgical Quality Improvement Program

Presented at the Sixtieth Annual Meeting of The Society for Vascular Surgery, Philadelphia, Pa, June 2006.

  • Ruth L. Bush, MD, MPH

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, the University of Houston, College of Pharmacy, Houston, Tex.
    • Corresponding Author InformationReprint requests: Ruth L. Bush, MD, MPH, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 1709 Dryden, Suite 1568, Houston, TX 77030.
    • ,
  • Michael L. Johnson, PhD

      Affiliations

    • Michael E. DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Tex.
    • ,
  • Nasim Hedayati, MD

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, the University of Houston, College of Pharmacy, Houston, Tex.
    • ,
  • William G. Henderson, PhD

      Affiliations

    • University of Colorado Health Outcomes Program, Denver, Colo.
    • ,
  • Peter H. Lin, MD

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, the University of Houston, College of Pharmacy, Houston, Tex.
    • ,
  • Alan B. Lumsden, MD

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, the University of Houston, College of Pharmacy, Houston, Tex.

Received 7 June 2006 ,Accepted 4 October 2006.

  • Image Result

    Bar graph shows the unadjusted association between types of surgery, either endovascular aneurysm repair (EVAR) or open repair, and 30-day mortality rates stratified by number of surgical risk factors

    Bar graph shows the unadjusted association between types of surgery, either endovascular aneurysm repair (EVAR) or open repair, and 30-day mortality rates stratified by number of surgical risk factors. The P value reflects comparison between Open (clear bars) and EVAR (shaded bars) within the level of risk factors.

  • Image Result
    Bar graph shows the unadjusted association between types of surgery, either endovascular aneurysm repair (EVAR) or open repair, and 1-year mortality rates stratified by number of surgical risk factors

    Bar graph shows the unadjusted association between types of surgery, either endovascular aneurysm repair (EVAR) or open repair, and 1-year mortality rates stratified by number of surgical risk factors. The P value reflects comparison between Open (clear bars) and EVAR (shaded bars) within the level of risk factors.

  • Image Result
    Bar graph shows the unadjusted association between types of surgery, either endovascular aneurysm repair (EVAR) or open repair, and perioperative complication rates stratified by number of surgical ri

    Bar graph shows the unadjusted association between types of surgery, either endovascular aneurysm repair (EVAR) or open repair, and perioperative complication rates stratified by number of surgical risk factors. The P value reflects comparison between Open (clear bars) and EVAR (shaded bars) within the level of risk factors. There are fewer complications at all risk levels following EVAR.

  • Image Result
    Kaplan-Meier analysis shows a benefit to patients having endovascular aneurysm repair (EVAR; thick line) that remains greater than open repair (thin line) even at 2 years.

    Kaplan-Meier analysis shows a benefit to patients having endovascular aneurysm repair (EVAR; thick line) that remains greater than open repair (thin line) even at 2 years.

 Additional material for this article may be found online at www.jvascsurg.org.Competition of interest: none.

PII: S0741-5214(06)01849-0

doi: 10.1016/j.jvs.2006.10.005

Journal of Vascular Surgery
Volume 45, Issue 2 , Pages 227-235.e1 , February 2007

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