Journal of vascular surgery
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Randomized Controlled Trial Multicenter Study Comparative Study
A randomized controlled trial of endovascular aneurysm repair versus open surgery for abdominal aortic aneurysms in low- to moderate-risk patients.
Several studies, including three randomized controlled trials (RCTs), have shown that endovascular repair (EVAR) of abdominal aortic aneurysms (AAA) offered better early results than open surgical repair (OSR) but a similar medium-term to long-term mortality and a higher incidence of reinterventions. Thus, the role of EVAR, most notably in low-risk patients, remains debated. ⋯ In patients with low to intermediate risk factors, open repair of AAA is as safe as EVAR and remains a more durable option.