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neypayasam short story in malayalam pdf 32 kb[Surgical versus endovascular therapy of abdominal aortic aneurysms].
Endovascular aneurysm repair is currently the treatment of choice in patients with abdominal aortic aneurysms. Open surgical aneurysm repair is still indicated for patients with a high risk for the endovascular technique or patients with bleeding complications after endovascular repair. The aim of this study was to evaluate clinical outcomes of the surgical and endovascular repair of abdominal aortic aneurysms. Out of 4148 patients with abdominal aortic aneurysms 974 received surgical (n = 641) and endovascular (n = 333) repair between January 1, 2000 and December 31, 2003. The etiology was atherosclerosis (n = 624), hypertension (n = 242) and bicuspid aortic valve (n = 198). Follow-up data were collected from 645 patients, which means a follow-up of 6 months for 91 % of the patients (2176 aneurysms). The aneurysms were not sealed by the procedure in 554 patients (77 %). In the study period 18 patients died (2.6 %) (16.8 % in the endovascular and 3.8 % in the surgical group). The mean follow-up period was 19 months. In the study period 20 patients (2.8 %) underwent a reintervention (endovascular n = 16, surgical n = 4) (elective n = 18, n = 22, emergency n = 2). This study shows a lower mortality rate in the surgical group and a trend towards reintervention after endovascular repair. The surgical technique showed a higher rate of aneurysm sealing (68 %) compared to endovascular repair (46 %). After 10 years the cumulative rates for aneurysm sealing are 83 % for open surgical aneurysm repair and 72 % for endovascular repair. In conclusion, surgical repair is superior to endovascular repair concerning the clinical results.title: $(title)
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