title: [Early and late mortality and morbidity after elective repair of infrarenal aortic aneurysm].
abstract: BACKGROUND
  The open repair (OR) of infrarenal aortic aneurysm (AAA) has low mortality in tertiary care centres, however, endovascular repair (ER) could be more beneficial for some cases. The aim of our study was to compare the mortality and morbidity of the different AAA repair techniques.
  
  
  METHODS
  In a single centre retrospective study we evaluated the postoperative complications, the early and late mortality of patients underwent open or endovascular AAA repair.
  
  
  RESULTS
  Total of 431 patients underwent OR and 59 had ER. Early mortality was below 2% in both groups (statistically non-significant [NS] difference). Postoperative complications were found in 14.4% in the OR group and 11.9% in the ER group (NS). The intraoperative blood loss and use of blood products were higher, the operation time was significantly longer in the OR group (p < 0.001). The average follow-up time was 37 ± 22 months. Long term mortality and the prevalence of stroke and acute myocardial infarction were similar in both groups. 16% of the patients in the OR group developed incisional hernia. Patients after ER needed further vascular intervention more frequently than patients in the OR group (16.2% vs. 6.2%; p = 0.0327).
  
  
  CONCLUSIONS
  The early and late mortality was similar after open and endovascular AAA repair. Postoperative complications did not show significant difference between the two groups. We found significant difference in the use of blood products, the prevalence of incisional hernias and the number of reinterventions. According to our results, stent graft implantation is mainly recommended in high risk patients and open aortic repair still has a role in the low-moderate operative risk group.
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: Hanga
authors.initials: H
authors.lastname: Kovács
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: Mátyás
authors.initials: M
authors.lastname: Fehérvári
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: Bianka
authors.initials: B
authors.lastname: Forgó
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: Gergely
authors.initials: G
authors.lastname: Gősi
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Oláh
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: Csaba
authors.initials: C
authors.lastname: Csobay-Novák
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: László
authors.initials: L
authors.lastname: Entz
authors.affiliation: Semmelweis Egyetem Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék 1122 Budapest Városmajor u. 68.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szeberin
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000401:mortality* / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D017558:Elective Surgical Procedures; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000209:etiology; D061646:Operative Time; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D020521:Stroke / Q000453:epidemiology / Q000209:etiology; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality
keywords: aneurysm; aneurysma; infrarenal; infrarenalis; stent graft; stentgraft