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Systematic Review With Meta-Analysis of Endovascular Versus Open Repair of Abdominal Aortic Aneurysm Repair in the Young.

Nikolaos KontopodisAikaterini GavalakiNikolaos GalanakisMichalis KantzasChristos V IoannouGeorge GeroulakosJohn KakisisGeorge A Antoniou
Published in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2023)
Uncertainty surrounds the optimal treatment strategy for abdominal aortic aneurysm in young patients. Meta-analysis of some 48,976 young patients showed that endovascular aneurysm repair (EVAR) has a lower perioperative mortality and morbidity and a shorter hospital and intensive care unit stay than open surgical repair, but the overall and aneurysm-related mortality in the short to medium term are not significantly different between EVAR and open repair. EVAR can be considered in young patients.
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