Endovascular Aneurysm Repair (EVAR) vs Open Repair: Long-Term Outcomes

Primary Mortality Outcomes and Clinical Implications

• The American College of Cardiology and American Heart Association acknowledge that while EVAR has lower perioperative mortality, this advantage dissipates over time with higher rates of late rupture and aneurysm-related death after 8 years 1

Guideline Recommendations

• The American College of Cardiology and American Heart Association guidelines apply specifically to patients aged ≥60 years with aneurysms ≥5.5 cm who are anatomically suitable and fit for both procedures, with consideration of EVAR's lower perioperative mortality and open repair's lower late rupture rates 1