Endovascular aortic repair

Endovascular aortic repair has been studied in 10 papers since 2019: 9 observational studies in people, 1 review. The newest paper, Sep 1, 2025: “Age Related Trends and Long Term Survival in Elective Abdominal Aortic Aneurysms: A Comparison of Endovascular versus Open Repair”.

Exposure

10 papers study it2 findingsUpdated

See all 10

“There was a significant decrease in PMA and LPMA at L3 level”
Developing sarcopenia predicts long-term mortality after elective endovascular aortic aneurysm repairJournal of vascular surgery2019doi:10.1016/j.jvs.2019.05.060

None of its findings points the other way.

  • 2 independent labs in 2 countries
  • Funders: Emil Aaltosen Säätiö and 1 more
  • Humans9

What did studies of Endovascular aortic repair find?

2

Studies of Endovascular aortic repair measured 2 outcomes; the most studied are peri-operative mortality (1 study) and psoas muscle area (1).

Peri-operative mortality

downin humans1

1 study
  1. Endovascular aortic repair is linked with lower peri-operative mortality in humans (5.1%, 10.0%, and 50.0% vs. 100.0%, 80.0%, and 62.5% after OSR).

    “The 90 day mortality rates were 100.0%, 80.0%, and 62.5% for asymptomatic, symptomatic, and rAAA, respectively, after open surgical repair (OSR), and 5.1%, 10.0%, and 50.0%, respectively, after endovascular aortic repair (EVAR).”

    Humans90 days

    Peri-Operative Mortality and Survival After Repair of Abdominal Aortic Aneurysm in Advanced Age Patients: A National Study from the Norwegian Registry for Vascular Surgery Focused on Nonagenarians

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

Psoas muscle area

downin humans1

1 study
  1. Endovascular aortic repair is linked with lower psoas muscle area in humans (over follow-up after EVAR, greatest decline in the first postoperative year) (mean -4.4 cm2 (-26.8%) for PMA).

    “There was a significant decrease in PMA and LPMA at L3 level”

    Humansover follow-up after EVAR, greatest decline in the first postoperative yearpsoas musclefirst postoperative yearn = 122

    Developing sarcopenia predicts long-term mortality after elective endovascular aortic aneurysm repair

    Journal of vascular surgery

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