Journal of the American College of Surgeons
Volume 202, Issue 4 , Pages 577-587 , April 2006

Open Versus Endovascular Abdominal Aortic Aneurysm Repair in VA Hospitals

  • Ruth L. Bush, MD, MPH, FACS

      Affiliations

    • Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center
    • Michael E DeBakey Department of Surgery Baylor College of Medicine, Houston, TX
    • Corresponding Author InformationCorrespondence address: Ruth L Bush, MD, Michael E DeBakey Department of Surgery, Baylor College of Medicine, 1709 Dryden, Suite 1568, Houston, TX 77030.
  • ,
  • Michael L. Johnson, PhD

      Affiliations

    • Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center
    • Department of Medicine
  • ,
  • Tracie C. Collins, MD, MPH

      Affiliations

    • Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center
    • Department of Medicine
  • ,
  • William G. Henderson, PhD

      Affiliations

    • University of Colorado Health Outcomes Program, Denver, CO
  • ,
  • Shukri F. Khuri, MD, FACS

      Affiliations

    • Harvard Medical School, VA Boston Healthcare System, Boston, MA
  • ,
  • Hong-Jen Yu, MS

      Affiliations

    • Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center
  • ,
  • Peter H. Lin, MD

      Affiliations

    • Michael E DeBakey Department of Surgery Baylor College of Medicine, Houston, TX
  • ,
  • Alan B. Lumsden, MD, FACS

      Affiliations

    • Michael E DeBakey Department of Surgery Baylor College of Medicine, Houston, TX
  • ,
  • Carol M. Ashton, MD, MPH

      Affiliations

    • Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center
    • Department of Medicine

Received 2 January 2006 ,Accepted 11 January 2006.

References 

  1. Parodi J , Palmaz J , Barone H . Transfemoral intraluminal graft implantation for abdominal aortic aneurysm . Ann Vasc Surg . 1991;5:491–499
  2. Buth J , van Marrewijk CJ , Harris PL , et al.   Outcome of endovascular abdominal aortic aneurysm repair in patients with conditions considered unfit for an open procedure (a report on the EUROSTAR experience) . J Vasc Surg . 2002;35:211–221
  3. Zarins C , White R , Moll F , et al.   The AneuRx stent graft (Four-year results and worldwide experience 2000) . J Vasc Surg . 2001;33:S135–S145
  4. Zarins C , White R , Schwarten D , et al.   AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms (multicenter prospective clinical trial) . J Vasc Surg . 1999;29:292–308
  5. Moore W , Kashyap V , Vescera C , Quinones-Baldrich W . Abdominal aortic aneurysm (a six-year comparison of endovascular versus transabdominal repair) . Ann Surg . 1999;230:298–305
  6. May J , White G , Yu W , et al.   Concurrent comparison of endoluminal versus open repair in the treatment of abdominal aortic aneurysms (analysis of 303 patients by life table method) . J Vasc Surg . 1998;27:213–221
  7. Arko FR , Hill BB , Olcott C , et al.   Endovascular repair reduces early and late morbidity compared to open surgery for abdominal aortic aneurysm . J Endovasc Ther . 2002;9:711–718
  8. Adriaensen ME , Bosch JL , Halpern EF , et al.   Elective endovascular versus open surgical repair of abdominal aortic aneurysms (systematic review of short-term results) . Radiology . 2002;224:739–747
  9. Greenhalgh RM , Brown LC , Kwong GP , et al.   Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results (randomised controlled trial) . Lancet . 2004;364:843–848
  10. Prinssen M , Verhoeven EL , Buth J , et al.   A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms . N Engl J Med . 2004;351:1607–1618
  11. Khuri SF , Daley J , Henderson W , et al.   The Department of Veterans Affairs’ NSQIP (the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care) . National VA Surgical Quality Improvement Program. Ann Surg . 1998;228:491–507
  12. Dominitz JA , Maynard C , Boyko EJ . Assessment of vital status in Department of Veterans Affairs national databases. comparison with state death certificates . Ann Epidemiol . 2001;11:286–291
  13. Fisher SG , Weber L , Goldberg J , Davis F . Mortality ascertainment in the veteran population (alternatives to the National Death Index) . Am J Epidemiol . 1995;141:242–250
  14. Ligush J , Pearce JD , Edwards MS , et al.   Analysis of medical risk factors and outcomes in patients undergoing open versus endovascular abdominal aortic aneurysm repair . J Vasc Surg . 2002;36:492–499
  15. Lee TH , Marcantonio ER , Mangione CM , et al.   Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery . Circulation . 1999;100:1043–1049
  16. Birkmeyer JD , Finlayson EV , Birkmeyer CM . Volume standards for high-risk surgical procedures (potential benefits of the Leapfrog initiative) . Surgery . 2001;130:415–422
  17. Halm EA , Lee C , Chassin MR . Is volume related to outcome in health care? . A systematic review and methodologic critique of the literature. Ann Intern Med . 2002;137:511–520
  18. Dardik A , Lin JW , Gordon TA , et al.   Results of elective abdominal aortic aneurysm repair in the 1990s (A population-based analysis of 2335 cases) . J Vasc Surg . 1999;30:985–995
  19. Lemeshow S , Hosmer DW . A review of goodness of fit statistics for use in the development of logistic regression models . Am J Epidemiol . 1982;115:92–106
  20. Harrell FE , Califf RM , Pryor DB , et al.   Evaluating the yield of medical tests . JAMA . 1982;247:2543–2546
  21. Hosmer DW , Taber S , Lemeshow S . The importance of assessing the fit of logistic regression models (a case study) . Am J Public Health . 1991;81:1630–1635
  22. Rubin DB . Estimating causal effects from large data sets using propensity scores . Ann Intern Med . 1997;127:757–763
  23. Becquemin J , Bourriez A , D’Audiffret A , et al.   Mid-term results of endovascular versus open repair for abdominal aortic aneurysm in patients anatomically suitable for endovascular repair . Eur J Vasc Endovasc Surg . 2000;19:656–661
  24. Kazis LE , Ren XS , Lee A , et al.   Health status in VA patients (results from the Veterans Health Study) . Am J Med Qual . 1999;14:28–38
  25. Petersen LA , Normand SL , Daley J , McNeil BJ . Outcome of myocardial infarction in Veterans Health Administration patients as compared with medicare patients . N Engl J Med . 2000;343:1934–1941
  26. Thompson JP , Boyle JR , Thompson MM , et al.   Cardiovascular and catecholamine responses during endovascular and conventional abdominal aortic aneurysm repair . Eur J Vasc Endovasc Surg . 1999;17:326–333
  27. Salartash K , Sternbergh WC , York JW , Money SR . Comparison of open transabdominal AAA repair with endovascular AAA repair in reduction of postoperative stress response . Ann Vasc Surg . 2001;15:53–59
  28. Baxendale BR , Baker DM , Hutchinson A , et al.   Haemodynamic and metabolic response to endovascular repair of infra-renal aortic aneurysms . Br J Anaesth . 1996;77:581–585
  29. Ashton CM , Souchek J , Petersen NJ , et al.   Hospital use and survival among Veterans Affairs beneficiaries . N Engl J Med . 2003;349:1637–1646
  30. Elkouri S , Martelli E , Gloviczki P , et al.   Most patients with abdominal aortic aneurysm are not suitable for endovascular repair using currently approved bifurcated stent-grafts . Vasc Endovascular Surg . 2004;38:401–412
  31. Woodburn KR , Chant H , Davies JN , et al.   Suitability for endovascular aneurysm repair in an unselected population . Br J Surg . 2001;88:77–81
  32. Tassiopoulos AK , Kwon SS , Labropoulos N , et al.   Predictors of early discharge following open abdominal aortic aneurysm repair . Ann Vasc Surg . 2004;18:218–222
  33. Brown PM , Pattenden R , Vernooy C , et al.   Selective management of abdominal aortic aneurysms in a prospective measurement program . J Vasc Surg . 1996;23:213–220 discussion 221–222
  34. Blankensteijn JD , de Jong SE , Prinssen M , et al.   Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms . N Engl J Med . 2005;352:2398–2405
  35. Garcia-Madrid C , Josa M , Riambau V , et al.   Endovascular versus open surgical repair of abdominal aortic aneurysm (a comparison of early and intermediate results in patients suitable for both techniques) . Eur J Vasc Endovasc Surg . 2004;28:365–372
  36. Prinssen M , Buskens E , Blankensteijn JD . Quality of life endovascular and open AAA repair (Results of a randomised trial) . Eur J Vasc Endovasc Surg . 2004;27:121–127
  37. Soulez G , Therasse E , Monfared AA , et al.   Pain and quality of life assessment after endovascular versus open repair of abdominal aortic aneurysms in patients at low risk . J Vasc Interv Radiol . 2005;16:1093–1100
  38. Lottman PE , Laheij RJ , Cuypers PW , et al.   Health-related quality of life outcomes following elective open or endovascular AAA repair (a randomized controlled trial) . J Endovasc Ther . 2004;11:323–329
  39. Ballard JL , Abou-Zamzam AM , Teruya TH , et al.   Quality of life before and after endovascular and retroperitoneal abdominal aortic aneurysm repair . J Vasc Surg . 2004;39:797–803
  40. Lee WA , Carter JW , Upchurch G , et al.   Perioperative outcomes after open and endovascular repair of intact abdominal aortic aneurysms in the United States during 2001 . J Vasc Surg . 2004;39:491–496
  41. Poldermans D , Boersma E , Bax JJ , et al.   The effect of bisoprolol on perioperative mortality and myocardial infarction in high-risk patients undergoing vascular surger. Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echocardiography Study Group . N Engl J Med . 1999;341:1789–1794
  42. Kertai MD , Boersma E , Westerhout CM , et al.   A combination of statins and beta-blockers is independently associated with a reduction in the incidence of perioperative mortality and nonfatal myocardial infarction in patients undergoing abdominal aortic aneurysm surgery . Eur J Vasc Endovasc Surg . 2004;28:343–352

 Competing Interests Declared: None.Local funding from the Houston Center for Quality of Care and Utilization Studies, Houston, TX supported this work.

PII: S1072-7515(06)00043-3

doi: 10.1016/j.jamcollsurg.2006.01.005

Journal of the American College of Surgeons
Volume 202, Issue 4 , Pages 577-587 , April 2006