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Eur J Cardiothorac Surg 2007;31:412-413. doi:10.1016/j.ejcts.2007.01.010
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Editorial comment

Time course of the inflammatory response after endovascular repair of aortic aneurysms

Internal Medicine and Vascular Medicine Department, Hôpital Cantonal Fribourg, 1700 Fribourg, Switzerland

^_* Corresponding author. Tel.: +41 26 4267254; fax: +41 26 4267251. (Email: hayozd@hopcantfr.ch).

The first 20% of the full text of this article appears below.

Endovascular repair of aortic aneurysms is becoming an interesting alternative to open surgery in a subset of patients (elderly with several co-morbidities). Ongoing trials are underway in order to obtain head to head comparison of the performance of both methods. Recent reports (EVAR 1–2 and DREAM) have produced results that tend to demonstrate better mortality rate in the early phase (30 days) with a progressive loss of the benefit with time (after 2 years) [1,2]. The second observation that can be drawn from the publications is a greater number of complications in the endovascular repair group than in the open surgery group. These conclusions for the time being suggest that endovascular repair should be reserved for a subset of patients whose anatomy allows stent implantation and who following thorough investigations and information accept the late inconvenience of the endovascular approach.

One of the . . . [Full Text of this Article]