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Vascular and Endovascular Surgery
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Article

Endovascular Abdominal Aortic Aneurysm Repair: A Community Hospitals Experience

Nicholas Madden, Donald T. Baril, Richard Wertz, Arthur DeMarsico, Robert Y. Rhee, and Rabih A. Chaer, MD*

The University of Pittsburgh School of Medicine

* To whom correspondence should be addressed. E-mail: chaerra{at}upmc.edu.


  Abstract

Endovascular abdominal aortic aneurysm repair (EVAR) has become the first-line approach for the treatment of abdominal aortic aneurysms. Outcomes outside of tertiary care settings remain unknown. The purpose of this study is to report the midterm outcomes of EVAR in a community hospital. A retrospective review of 75 elective, consecutive EVARs performed at a single nonacademic community hospital was performed. There were no conversions to open repair during or after endovascular repair. The mean follow-up was 18 months. There were no postoperative ruptures or aneurysm-related deaths. At 24 months, freedom from aneurysm-related death was 100%, freedom from secondary interventions was 91%, and freedom from endoleak was 69%. EVAR in the community setting is a safe and durable procedure, even in a medically high-risk population. Comparable outcomes can be achieved to tertiary care centers, in carefully selected patients with favorable anatomy.

First published on September 30, 2008, doi:10.1177/1538574408322754

Vascular and Endovascular Surgery 2009;43:25.

A more recent version of this article appeared on February 1, 2009

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