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What did the EVAR (endovascular aneuysm repair) trials show? |
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In a small nutshell the size of a gnats brain EVAR
Patients of both sexes were eligible if they were aged at least 60 years and had an AAA measuring 5.5cm or greater in any plane according to a computed tomography (CT) scan.
EVAR 1
Randomised to OPEN or EVAR
30 mortality EVAR 1.7% and 4.7% for OPEN
4 year mortality was 26% for EVAR and 29% for OPEN
The 3% benefit was maintained, but this was not significant
Cost 13K EVAR and 9K for open
EVAR 2
All not suitable for open randomised to EVAR vs medical management
30 day mortality for EVAR was 7%
At 4 years the mortality rate was 66% for EVAR and 69% for medical management
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