WHAT’S THE BEST TECHINQUE FOR REPAIRING THE BODY’S BIGGEST BLOOD VESSEL? ELIZABETH TRACEY REPORTS
Aortic aneurysm is a condition where the walls of the body’s biggest blood vessel, the aorta, balloon outwards, with the potential for sudden rupture. Now a study led by Julie Frieschlag, chief of surgery at Johns Hopkins, has compared the two techniques for repair- one involving open surgery and the other done from within the blood vessel, so called endovascular surgery.
FREISCHLAG: When you look at our results we show that there was very low mortality for both groups at the beginning, so we’re very good at it. Mortality rate for the open in our study was only 3% and for the endovascular was 0 for the thirty days and at two years there still was a benefit for the endovascular repair patients living versus the open, and we think it has to do with the fact that they didn’t have a great big operation, so as they age they didn’t have the effects of the big operation. :27
Endovascular surgery is much more expensive up front, but that expense may translate into a survival benefit. At Johns Hopkins, I’m Elizabeth Tracey.