Journal of Vascular Surgery
Volume 49, Issue 1 , Pages 52-59 , January 2009

Comparison of EVAR and open repair in patients with small abdominal aortic aneurysms: Can we predict results of the PIVOTAL trial?

Presented at the Annual Meeting of the Midwestern Vascular Surgical Society, Chicago, IL, Sep 6-8, 2007.

  • Purandath Lall, MBBS

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Peter Gloviczki, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • Corresponding Author InformationReprint requests: Peter Gloviczki, MD, Mayo Clinic, Gonda Vascular Center, 200 First St, SW, Rochester, MN 55905
    • ,
  • Gautam Agarwal, MBBS

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Audra A. Duncan, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Manju Kalra, MBBS

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Tanya Hoskin, MS

      Affiliations

    • Division of Biostatistics, Mayo Clinic, Rochester, Minn
    • ,
  • Gustavo S. Oderich, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Thomas C. Bower, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn

Received 28 April 2008 ,Accepted 31 July 2008.

References 

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  2. Reed WW, Hallett JW, Damiano MA, Ballard DJ. Learning from the last ultrasound: a population based study of patients with abdominal aortic aneurysm. Arch Intern Med. 1997;157:2064–2068
  3. [No authors listed.] The UK Small Aneurysm Trial participants. Mortality results for randomized controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. Lancet. 1998;352:1656–1660
  4. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, et al. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Eng J Med. 2002;346:1437–1444
  5. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991;5:491–499
  6. Zarins CK, White RA, Schwarten D, Kinney E, Diethrich EB, Hodgson KJ investigators of the Medtronic AneuRx Multicenter Clinical Trial. AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms: multicenter prospective clinical trial. J Vasc Surg. 1999;29:292–308
  7. Makaroun MS. The Ancure endografting system: an update. J Vasc Surg. 2001;33:S129–S134
  8. Greenhalgh RM EVAR trial participants. Comparison of endovascular aneurysm repair with OR in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomized controlled trial. Lancet. 2004;364:843–848
  9. Zarins CK, Crabtree T, Bloch DA, Arko FR, Ouriel K, White RA. Endovascular aneurysm repair at 5 years: does aneurysm diameter predict outcome?. J Vasc Surg. 2006;44:920–929discussion 929-31
  10. Ouriel K, Srivastava S, Sarac T, O'Hara P, Lyden P, Greenberg R, et al. Disparate outcome after endovascular treatment of small versus large abdominal aortic aneurysm. J Vasc Surg. 2003;37:1206–1212
  11. Cao P CAESAR Trial Collaborators. Comparison of surveillance vs Aortic Endografting for Small Aneurysm Repair (CAESAR) trial: study design and progress. Eur J Vasc Endovasc Surg. 2005;30:245–251
  12. Ouriel K. Treating smaller AAAs (Does the availability of endovascular grafts change the size threshold for repair?). 2005;3:39–42www.evtoday.com
  13. Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM, et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1048–1060
  14. Peppelenbosch N, Buth J, Harris P, Marrewijk C, Fransen C. Diameter of abdominal aortic aneurysm and outcome of endovascular aneurysm repair: does size matter? (A report from EUROSTAR). J Vasc Surg. 2004;39:288–297
  15. Zarins C, Crabtree T, Arko F, Heikkinen M, Bloch D, Ouriel K, et al. Endovascular repair or surveillance of patients with small AAA. Eur J Vasc Endovasc Surg. 2005;29:496–503
  16. De Rango P, Cao P, Parlani G, Verzini F, Brambilla D. Outcome after endografting in small and large abdominal aortic aneurysms: a metanalysis. Eur J Vasc Endovasc Surg. 2008;35:162–172
  17. The UK Small Aneurysm Trial participants. Final 12-year follow-up of surgery versus surveillance in the UK small aneurysm trial. British Journal of Surgery. 2007;94:702–708
  18. Brewster DC, Jones JE, Chung TK, Lamuraglia GM, Kwolek CJ, Watkins MT, et al. Long-term outcomes after endovascular abdominal aortic aneurysm repair (The first decade). Ann Surg. 2006;244:426–438
  19. EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet. 2005;365:2179–2186
  20. Williams JB. Does pre-op AAA size influence sac regression and classical remodeling with the powerlink system?. International Congress XIX Endovascular Interventions; 2006;
  21. Bui H, Lugan R, Nguyen A, Donayre C, Lee L, Wallot I, et al. Impact of endoluminal treatment on small abdominal aortic aneurysm: aneurysmal sac regression and secondary Interventions with 5-years of follow-up. Vascular Endovascular Surg. 2007;41:294–300
  22. Valentine R, DeCaprio J, Castillo J, Modrall J, Jackson M, Clagett G. Watchful waiting in cases of small abdominal aortic aneurysms – appropriate for all patients?. J Vasc Surg. 2000;32:441–452
  23. Armstrong P, Back M, Bandyk D, Lopez D, Cannon S, Johnson B, et al. Optimizing compliance, efficiency, and safety during surveillance of small abdominal aortic aneurysms. J Vasc Surg. 2007;46:190–196

 Competition of interest: none.

PII: S0741-5214(08)01291-3

doi: 10.1016/j.jvs.2008.07.085

Journal of Vascular Surgery
Volume 49, Issue 1 , Pages 52-59 , January 2009

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