Quality of Life After Open Surgical versus Endovascular Repair of Abdominal Aortic Aneurysms
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2018
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| _version_ | 1876439832835653632 |
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| author | Mustafa Akbulut |
| author_facet | Mustafa Akbulut |
| contents | Quality of Life After Open Surgical versus Endovascular Repair of Abdominal Aortic Aneurysms Mustafa Akbulut Eray Aksoy İbrahim Kara Davut Cekmecelioglu Cengiz Koksal Medicina Abdominal Quality of Life Aortic Aneurysm Endovascular Procedures Objective: This study aims to compare open surgical and endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms in terms of their effects on quality of life, using Short Form-36 (SF-36).Methods: A total of 133 consecutive patients who underwent EVAR or open surgical repair for infra-renal abdominal aorta aneurysm between January 2009 and June 2014 were included in the study. Twenty-six (19.5%) patients died during follow-up and were excluded from the analysis. Overall, 107 patients, 39 (36.4%) in the open repair group, and 68 (63.6%) in the EVAR group, completed all follow-up visits and study assessments. Quality of life assessments using SF-36 were performed before surgery and at post-operative months 1, 6, and 12.Results: The mean duration of follow-up was 29.55±19.95 months. At one month, both physical and mental domains of the quality of life assessments favored EVAR, while the two surgical approaches did not differ significantly at or after six months postoperatively.Conclusion: Despite anatomical advantages and acceptable mid-phase mortality in patients with high- or medium-risk for open surgery, EVAR did not exhibit a quality of life superiority over open surgery in terms of physical function and patient comfort at or after postoperative six months. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398956091010 https://www.redalyc.org/journal/3989/398956091010/ https://www.redalyc.org/journal/3989/398956091010/html/ https://www.redalyc.org/journal/3989/398956091010/398956091010.epub https://www.redalyc.org/journal/3989/398956091010/movil 10.21470/1678-9741-2017-0236 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.33 |
| format | Artículo científico |
| id | redalyc_398956091010 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Quality of Life After Open Surgical versus Endovascular Repair of Abdominal Aortic Aneurysms Mustafa Akbulut Medicina Abdominal Quality of Life Aortic Aneurysm Endovascular Procedures Quality of Life After Open Surgical versus Endovascular Repair of Abdominal Aortic Aneurysms Mustafa Akbulut Eray Aksoy İbrahim Kara Davut Cekmecelioglu Cengiz Koksal Medicina Abdominal Quality of Life Aortic Aneurysm Endovascular Procedures Objective: This study aims to compare open surgical and endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms in terms of their effects on quality of life, using Short Form-36 (SF-36).Methods: A total of 133 consecutive patients who underwent EVAR or open surgical repair for infra-renal abdominal aorta aneurysm between January 2009 and June 2014 were included in the study. Twenty-six (19.5%) patients died during follow-up and were excluded from the analysis. Overall, 107 patients, 39 (36.4%) in the open repair group, and 68 (63.6%) in the EVAR group, completed all follow-up visits and study assessments. Quality of life assessments using SF-36 were performed before surgery and at post-operative months 1, 6, and 12.Results: The mean duration of follow-up was 29.55±19.95 months. At one month, both physical and mental domains of the quality of life assessments favored EVAR, while the two surgical approaches did not differ significantly at or after six months postoperatively.Conclusion: Despite anatomical advantages and acceptable mid-phase mortality in patients with high- or medium-risk for open surgery, EVAR did not exhibit a quality of life superiority over open surgery in terms of physical function and patient comfort at or after postoperative six months. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398956091010 https://www.redalyc.org/journal/3989/398956091010/ https://www.redalyc.org/journal/3989/398956091010/html/ https://www.redalyc.org/journal/3989/398956091010/398956091010.epub https://www.redalyc.org/journal/3989/398956091010/movil 10.21470/1678-9741-2017-0236 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.33 |
| title | Quality of Life After Open Surgical versus Endovascular Repair of Abdominal Aortic Aneurysms |
| topic | Medicina Abdominal Quality of Life Aortic Aneurysm Endovascular Procedures |
| url | https://www.redalyc.org/articulo.oa?id=398956091010 https://www.redalyc.org/journal/3989/398956091010/ https://www.redalyc.org/journal/3989/398956091010/html/ https://www.redalyc.org/journal/3989/398956091010/398956091010.epub https://www.redalyc.org/journal/3989/398956091010/movil |