This study uses data from the Vascular Study Group of New England data registry to compare postoperative complication and long-term survival rates in patients who received general anesthesia with those who received combined epidural and general anesthesia for elective abdominal aortic aneurysm repair.
This observational study reports that the survival advantage of endovascular over open aortic aneurysm repairs is maintained for 3 years, after which time, endovascular repair was associated with a higher mortality but mortality differences did not reach statistical significance during the study period.
Epstein et al examine the impact of standard vs minimally invasive surgery on health care plan spending and workplace absenteeism for 6 types of surgery: coronary revascularization, uterine fibroid resection, prostatectomy, peripheral revascularization, carotid revascularization, and aortic aneurysm repair. In an invited critique, Dimick and Ryan provide commentary.
This study suggests that smoking cessation and control of diastolic blood pressure are direct actions that should be taken to reduce the rate of abdominal aortic aneurysm expansion.