THE OUTCOME OF ENDOVASCULAR

VERSUS OPEN REPAIR OF

ABDOMINAL AORTIC ANEURYSM IN
KARIADI GENERAL HOSPITAL,
SEMARANG, INDONESIA

Herry MP Surbakti1, Aji Nawa Irawan1, M. Ali Sodiq2

1. General Surgery Resident, Dr. Kariadi General Hospital’s department of surgery, Faculty of medicine
Diponegoro University, Semarang, Indonesia.
2. Thoracic and Cardiovascular Surgeon, Dr. Kariadi General Hospital’s department of surgery, Semarang,
Indonesia.

BACKGROUND
Abdominal aortic aneurysm (AAA) can be treated with both endovascular and open
surgery. Although it still remain unclear which procedure is the best solution for AAA.

OBJECTIVE
The objective of this study is to serve data concerning of endovascular and open repair of
AAA in Indonesia.

METHODS RESULTS
The data were collected based on Among 22 patients underwent EVAR
medical record from Januari 2016 procedures, there was no death, no
through December 2017 at Dr. Kariadi bleeding, no need for reintervention, no
General Hospital, Semarang, Indonesia. need for ICU, with average length of
27 patients were diagnosed with AAA. hospital stay was 3,2 days. Among 5
22 patients underwent endovascular patients underwent open surgery
abdominal aortic aneurysm repair procedures, there were 3 patients dead
(EVAR), and 5 patients were treated during observation days in ICU, 5 patients
with open repair. The characteristics of need for blood transfusions, all of them
the patients were compared. Patients observed in ICU right after the surgery, 1
were followed up to six months. MSCT patient got endoleak and underwent
abdomen were performed on the third EVAR on the 6th month, with average
and sixth month after surgery. length of hospital stay was 8,1 days.
.
DISCUSSION
Large statewide and population-based databases have shown significant reductions in
early mortality with EVAR compared to open repair. Another clinical benefit has been
attributed to EVAR include shorter procedural time, less estimated blood loss, fewer
transfusions, decreased intensive care unit observation and total hospital length of stay,
and less need for prolonged mechanical ventilation.

CONCLUSION
Endovascular abdominal aortic aneurysm repair was associated with a clinically lower
operative mortality, and complication than open surgical repair. However, EVAR was
more costly than open surgical repair.

REFERENCES
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endovascular and open repair of abdominal aortic aneurysm. New England Journal Medicine. 2012; 367(21): 1988–1997.
2. Greenhalgh RM,Brown LC,Powell JT,Thompson SG,Epstein D,Sculpher MJ. Endovascular versus open repair of abdominal aortic aneurysm. New England Journal Medicine.
2010; 362(20): 1863–1871.
3. Ullery BW, Hallett RL, Fleischmann D. Epidemiology and Contemporary Management of Abdominal Aortic Aneurysms. Abdominal Radiology. 2018; 43(5):1032-1043.