Survival After Endovascular vs Open Aortic Aneurysm Repairs

Long-term outcomes of endovascular (EVAR) and open repair of abdominal aortic aneurysm (AAA) were compared using a California-based dataset including more than 23,000 pts. Postoperative outcomes were better with EVAR, and survival at 3 years was better with EVAR.  After 3 years, mortality was higher for EVAR, and EVAR was associated with higher rates of reintervention and of late AAA rupture.