Features January 2010 Issue

Endovascular AAA Repair Less Risky than Open Surgery for Older Adults

A minimally invasive procedure reduces risks of complications and death from an aneurysm.

A study published in the October issue of the Journal of Vascular Surgery found that older adults have better outcomes when an endovascular procedure rather than open surgery is performed to repair an abdominal aortic aneurysm (AAA). "Previously, a significant number or older patients did not have their AAAs repaired because of the risks associated with open surgery. But now the majority of AAA repairs are done with an endovascular procedure, which is a less invasive method. Risks with endovascular aortic repair (EVAR) are markedly less than with open repair," says Roy Greenberg, MD, a vascular surgeon in the departments of vascular surgery, cardiothoracic surgery and biomedical engineering at Cleveland Clinic. "EVAR has decreased the numbers of deaths in this country related to ruptured aneurysms."

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