title: Clinical outcomes of endovascular aneurysm repair of abdominal aortic aneurysm complicated with hypertension: A 5-year experience.
abstract: OBJECTIVE
  To evaluate the therapeutic effects of endovascular aneurysm repair (EVAR) on abdominal aortic aneurysm (AAA) complicated with hypertension.
  
  
  METHODS
  Fifty-two patients with AAA complicated with hypertension treated in our hospital were retrospectively analyzed. They were divided into an observation group (34 cases) and a control group (18 cases). The control group was treated by incision of AAA and artificial blood vessel replacement, and the observation group was treated by EVAR.
  
  
  RESULTS
  All surgeries were performed successfully. However, compared with the control group, the observation group had significantly less surgical time, intraoperative blood loss and blood transfusion, as well as significantly higher total hospitalization expense (P<0.05). During the one-month follow-up, the observation group was significantly less prone to pulmonary infection, surgical site infection, lower-extremity deep venous thrombosis and lower extremity weakness than the control group (P<0.05). The observation group enjoyed significantly better quality of life than the control group did one and three months after surgery (P<0.05).
  
  
  CONCLUSIONS
  Given sufficient funding, EVAR should be preferentially selected in the treatment of AAA complicated with hypertension due to minimal invasion, safety, stable postoperative vital signs and improved quality of life.
authors.affiliation: Xi-Tao Peng, He'nan Provincial People's Third Hospital, Zhengzhou 450006, P. R. China.
authors.forename: Xi-Tao
authors.initials: XT
authors.lastname: Peng
authors.affiliation: Qi-Dong Yuan, He'nan Provincial People's Third Hospital, Zhengzhou 450006, P. R. China.
authors.forename: Qi-Dong
authors.initials: QD
authors.lastname: Yuan
authors.affiliation: Ming-Zhe Cui, He'nan Provincial People's Third Hospital, Zhengzhou 450006, P. R. China.
authors.forename: Ming-Zhe
authors.initials: MZ
authors.lastname: Cui
authors.affiliation: Hong-Chao Fang, He'nan Provincial People's Third Hospital, Zhengzhou 450006, P. R. China.
authors.forename: Hong-Chao
authors.initials: HC
authors.lastname: Fang
keywords: Abdominal aortic aneurysm; Endovascular aneurysm repair; Hypertension; Quality of life; artificial blood vessel replacement