title: [Comparison of early effectiveness between total percutaneous endovascular aneurysm repair and surgical femoral cutdown endovascular aneurysm repair for asymptomatic abdominal aortic aneurysm].
abstract: OBJECTIVE
  To investigate the early effectiveness of total percutaneous endovascular aneurysm repair (TPEVAR) in treating asymptomatic abdominal aortic aneurysm (AAAA) by comparing with surgical femoral cutdown endovascular aneurysm repair (SFCEVAR).
  
  
  METHODS
  Between January 2010 and May 2011, 41 cases of AAAA were treated with TPEVAR in 26 cases (TPEVAR group) and with SFCEVAR in 15 cases (SFCEVAR group). The maximum tumor diameter ranged from 3.5 to 9.2 cm (mean, 5.7 cm) in TPEVAR group, and ranged from 3.5 to 10.0 cm (mean, 6.9 cm) in SFCEVAR group. There was no significant difference in gender or age between 2 groups (P > 0.05).
  
  
  RESULTS
  All patients underwent EVAR successfully. The patients were followed up 6-23 months (mean, 13.5 months). No significant difference was found in the outer diameters of the delivery system for main body and iliac leg, operation time, contrast media dosage, hospitalization days, or postoperative hospitalization days between 2 groups (P > 0.05). The patients of SFCEVAR group had more bleeding volume and longer ICU stay than patients of TPEVAR group (P < 0.05). The incidence of minor complication was 7.7% (2/26) in TPEVAR group and 33.3% (5/15) in SFCEVAR group, showing no significant difference between 2 group (chi2=4.42, P=0.08); the incidence of major complication in SFCEVAR group (20.0%, 3/15) was significantly higher than that in TPEVAR group (0) (chi2=5.61, P=0.02).
  
  
  CONCLUSIONS
  TPEVAR shows safer and more effective than SFCEVAR in treating AAAA.
authors.affiliation: Department of Vascular Surgery, Vascular Surgery Center of Chinese PLA, General Hospital of Chinese PLA, Beijing, 100853, P.R.China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Xiong
authors.forename: Ren
authors.initials: R
authors.lastname: Wei
authors.forename: Wei
authors.initials: W
authors.lastname: Guo
authors.forename: Xiaoping
authors.initials: X
authors.lastname: Liu
authors.forename: Xin
authors.initials: X
authors.lastname: Jia
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Ma
authors.forename: Hongpeng
authors.initials: H
authors.lastname: Zhang
authors.forename: Minhong
authors.initials: M
authors.lastname: Zhang
authors.forename: Jia
authors.initials: J
authors.lastname: Zhang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D016063:Blood Loss, Surgical; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D057510:Endovascular Procedures; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011677:Punctures / Q000295:instrumentation / Q000379:methods; D011859:Radiography; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome