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N/A N=613 Randomized Treatment

Immediate Management of the Patient With Rupture : Open Versus Endovascular Repair

Abdominal Aortic Aneurysm

Enrolled (actual)
613
Serious AEs
39.5%
Results posted
Dec 2019
Primary outcome: Primary: Mortality — 111; 112; 133; 130 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Open repair (Procedure); EVAR (Procedure)
Age
Adult, Older Adult · 50+ yrs
Sex
All
Sponsor
Imperial College London
Primary completion
Aug 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Mortality
111; 112; 133; 130; 165; 151
SECONDARY
Quality-adjusted Life Years (QALYs) to Enable Cost-effectiveness Evaluation
0.97; 1.14
SECONDARY
Hospital Costs to Enable Cost-effectiveness Evaluation
19483; 16878

Summary

The purpose of this trial is to assess whether a strategy of endovascular repair (if aortic morphology is suitable, open repair if not) versus open repair reduces early mortality for patients with suspected ruptured abdominal aortic aneurysm (AAA).

Eligibility Criteria

Inclusion Criteria

  • Clinical suspicion of ruptured abdominal aortic aneurysm after review in Accident and Emergency (or other hospital unit).
  • Men and women over the age of 50 years will be recruited.

Exclusion Criteria

  • Patients with known connective tissue disorders (eg Marfan syndrome) where endovascular repair may not be beneficial.
  • Patients with known previous repair of an abdominal aortic aneurysm, because procedures either open or endovascular are likely to be very complex and there are no guidelines for anatomical restriction to repair.
  • Deeply unconscious and moribund patients since the chances of recovery are minimal.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00746122). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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