MIDTERM RESULTS OF ENDOVASCULAR VERSUS OPEN SURGICAL REPAIR FOR INFRARENAL ABDOMINAL AORTIC ANEURYSMS IN LOW SURGICAL RISK PATIENTS.

ABSTRACT Objective To analyse midterm outcomes of endovascular repair (EVAR) versus open surgery (OR) for treatment of infrarenal abdominal aortic aneurysms (AAA) in low surgical-risk patients. Methods Elective AAA patients undergoing treatment from 2003 to 2017 in a single, tertiary-care institution were evaluated. All patients with a low preoperative risk of complications and perioperative mortality (Medicare Aneurysm Scoring System Results A total of 227 patients were included (59.9% EVAR and 40.1% OR), and followed for a mean of 80 ± 48 months. Patients undergoing EVAR were older (66.6 ± 5 vs. 64.1 ± 6 years; p Conclusion In low surgical risk patients suffering from AAA, EVAR may offer comparable midterm results to open repair, with a lower rate of major adverse events and a shorter in-hospital stay. With the current OR-first paradigm in low-risk patients, several factors should be taken into account for decision making (anatomic suitability, risk of sexual dysfunction, risk of type 2 endoleaks and need of follow-up).